Review Of Electronic Medical Record Implementation In Inpatient Services Using The Hot-Fit Model At Bakti Pajajaran Regional Public Hospital

Abstract

Electronic Medical Records (EMRs) are increasingly required to support efficient, accurate, and integrated hospital services. This study evaluated the implementation of EMRs in inpatient services at Bakti Pajajaran Regional Public Hospital using the Human-Organization-Technology Fit (HOT-FIT) model. A descriptive qualitative case-study design was applied. Data were collected from February to March 2026 through HOT-FIT-based observations and semi-structured interviews with six purposively selected informants who had at least one year of experience using the EMR system: the head of the medical records unit, an inpatient physician, an inpatient administrator, a nurse, a nutritionist, and an information technology officer. The findings indicate that the Human component was generally adequate, as users possessed relevant professional or technical qualifications and were able to operate the EMR according to their duties. The Organization component was supported by hospital policies, basic training, interprofessional coordination, and system access, although full integration had not yet been achieved because several units still used a hybrid workflow. The Technology component was supported by computers, servers, LAN/Wi-Fi, and VPN access; however, unstable or slow network connections remained the dominant operational barrier. Overall, the Fit among human, organizational, and technological components was favorable but constrained by network reliability. Regular user training, routine system evaluation, strengthened technical support, improved bandwidth, and backup connectivity are therefore recommended to sustain EMR implementation and optimize its net benefits for inpatient care