Enhancing Health Service Efficiency through the Implementation of Electronic Medical Records: A Health Management Perspective
DOI:
https://doi.org/10.37641/jimkes.v14i3.5172Keywords:
Digital Transformation, Electronic Medical Records, Health Management, Health Services, Time EfficiencyAbstract
Electronic Medical Records (EMRs) are digital records that enhance healthcare efficiency by reducing waiting times, improving coordination, minimizing errors, and accelerating diagnosis. This study aims to assess the efficiency of service times for hypertension patients through the adoption of EMRs. A quantitative observational design was employed, utilizing probability sampling (random) with the Slovin formula, yielding a sample size of 347 patients. Data was collected using an observation sheet during service encounters, and bivariate analysis was performed using the Paired Sample t-Test in SPSS version 30.0. Before the t-test, normality tests were conducted to ensure the data followed a normal distribution. If the data were found to be abnormal, the Wilcoxon Signed-Rank Test was applied as an alternative non-parametric test. The total service time for 347 patients using the EMR system was 271,438 seconds, while the manual system recorded a total of 666,798 seconds. On average, the service time per patient using EMRs was 782 seconds (13.02 minutes), compared to 2,248 seconds (37.46 minutes) for the manual system. The findings demonstrate that the EMR system significantly improves service time efficiency, highlighting its potential to enhance the effectiveness and timeliness of healthcare delivery.
Keywords: Digital Transformation, Electronic Medical Records (EMR), Health Services, Time Efficiency, Health Technology.
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Abdelaziz, T., & Rosa, E. M. (2024). Electronic health records with decision support systems for sharper diagnoses: Bibliometric analysis. International Journal of Advances in Applied Sciences, 13(2), 411–418.
Ahmed, M. M., Okesanya, O. J., Olaleke, N. O., Adigun, O. A., Adebayo, U. O., Oso, T. A., ... & Lucero-Prisno III, D. E. (2025). Integrating digital health innovations to achieve universal health coverage: promoting health outcomes and quality through global public health equity. In Healthcare (Vol. 13, No. 9, p. 1060). Paris: MDPI.
Akinola, S., & Telukdarie, A. (2023). Sustainable digital transformation in healthcare: Advancing a digital vascular health innovation solution. Sustainability, 15(13), 104-117.
Alharbi, M. F. (2025). Does electronic health record implementation enhance hospital efficiency and patient outcomes? A comprehensive systematic review. Sage Open, 15(3), 215-225.
Alzghaibi, H., & Hutchings, H. A. (2025). Barriers to the implementation of large-scale electronic health record systems in primary healthcare centers: a mixed-methods study in Saudi Arabia. Frontiers in Medicine, 12(7), 151-164.
Ariani, S. (2023). Analisis keberhasilan implementasi rekam medis elektronik dalam meningkatkan efisiensi dan mutu pelayanan. Jurnal Kesehatan dan Kedokteran, 2(2), 7–14.
Barbieri, C., Neri, L., Stuard, S., Mari, F., & Martín-Guerrero, J. D. (2023). From electronic health records to clinical management systems: how the digital transformation can support healthcare services. Clinical Kidney Journal, 16(11), 1878-1884.
Bekele, T. A., Gezie, L. D., Willems, H., Metzger, J., Abere, B., Seyoum, B., ... & Bogale, T. N. (2024). Barriers and facilitators of the electronic medical record adoption among healthcare providers in Addis Ababa, Ethiopia. Digital Health, 10(4), 205-215.
Boonstra, A., Versluis, A., & Vos, J. F. (2014). Implementing electronic health records in hospitals: a systematic literature review. BMC Health Services Research, 14(1), 370-380.
Elliason, E. K. (2025). The impact of electronic health records on healthcare quality: a systematic review and meta-analysis. International Journal of Healthcare and Hospital Management Studies, 7(3), 34-67.
Elsangidy, M. M., Farag, N. S., & Ibrahim, N. F. (2025). Electronic medical records: Evolution, usability, challenges, and trends in health care settings. Medicine Updates, 8(5), 45-60.
Enehuа, O. M., & Ibrahim, L. (2025). Electronic medical record (EMR) adoption: A panacea for cost reduction in healthcare facilities in Nigeria. Benin Journal of Social and Management Sciences Research, 15(5), 1–7.
Firdaus, A., & Fitriyani, S. (2024). The effect of using electronic medical records on outpatient waiting times at Majalaya District Hospital. In Proceedings (Vol. 4, No. 1, pp. 293-299). Bandung: Politeknik Piksi Ganesha.
Fu, S., Wu, X. G., Zhang, L., Wu, L. F., Luo, Z. M., & Hu, Q. L. (2021). Service quality improvement of outpatient blood collection by lean management. Patient Preference and Adherence, 15(5), 1537–1543.
Furukawa, M. F. (2011). Electronic medical records and efficiency and productivity during office visits. The American Journal of Managed Care, 17(4), 296-303.
Hameed, K., Naha, R., & Hameed, F. (2024). Digital transformation for sustainable health and well-being: a review and future research directions. Discover Sustainability, 5(1), 104-114.
Handayani, N., Syafei, M. Y., & Narimawati, U. (2025). Integrating hospital information systems and national health insurance: impact on employee performance and service quality. Jurnal Ilmiah Manajemen Kesatuan, 13(4), 2889-2898.
Hansen, L., & Oktamianti, P. (2025). Implementation of electronic medical records and its implications for the effectiveness of health services in Indonesia: Narrative Review. Jurnal Health Sains, 6(9), 294-301.
Jannah, M., & Latifah, N. (2022). Literature review: Faktor-faktor yang mempengaruhi adaptasi psikologi (postpartum blues) pada masa nifas (puerperium). Bhamada Jurnal Ilmu dan Teknologi Kesehatan, 13(1), 64–68.
Kavandi, H., Al Awar, Z., & Jaana, M. (2024). Benefits, facilitators, and barriers of electronic medical records implementation in outpatient settings: A scoping review. In Healthcare Management Forum (Vol. 37, No. 4, pp. 215-225). Los Angeles, CA: SAGE Publications.
Kraus, S., Jones, P., Kailer, N., Weinmann, A., Chaparro-Banegas, N., & Roig-Tierno, N. (2021). Digital transformation: An overview of the current state of the art of research. Sage Open, 11(3), 215-225.
Kumari, R., & Chander, S. (2024). Improving healthcare quality by unifying the American electronic medical report system: time for change. The Egyptian Heart Journal, 76(1), 32-42.
Laurenxius, V. S., Ginting, C. N., & Ginting, R. (2025). Efficiency of transition from manual medical records to electronic medical records on the speed of patient service at RSU Royal Prima Medan. Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics, 7(2), 245-252.
Lewkowicz, D., Wohlbrandt, A., & Boettinger, E. (2020). Economic impact of clinical decision support interventions based on electronic health records. BMC Health Services Research, 20(1), 871-888.
Li, X., Tian, D., Li, W., Dong, B., Wang, H., Yuan, J., ... & Liu, S. (2021). Artificial intelligence-assisted reduction in patients’ waiting time for outpatient process: a retrospective cohort study. BMC Health Services Research, 21(1), 237-249.
Ministry of Health of the Republic of Indonesia. (2022). Regulation of the Minister of Health of the Republic of Indonesia Number 24 of 2022 concerning Medical Records.
Mullins, A., O’Donnell, R., Mousa, M., Rankin, D., Ben-Meir, M., Boyd-Skinner, C., & Skouteris, H. (2020). Health outcomes and healthcare efficiencies associated with the use of electronic health records in hospital emergency departments: a systematic review. Journal of Medical Systems, 44(12), 200-220.
Mwanswila, M. J., Mollel, H. A., & Mushi, L. D. (2024). Outcome evaluation of technical strategies on reduction of patient waiting time in the outpatient department at Kilimanjaro Christian Medical Centre Northern Tanzania. BMC Health Services Research, 24(1), 785-790.
Ngandu, D. (2024). A study of the effect of health records digitalization on healthcare facility operational efficiency. Open Journal of Business and Management, 9(8), 12-24.
Nguyen, K. H., Comans, T., Nguyen, T. T., Simpson, D., Woods, L., Wright, C., ... & Sullivan, C. (2024). Cashing in: cost-benefit analysis framework for digital hospitals. BMC Health Services Research, 24(1), 694-706.
Osipov, V. S., & Skryl, T. V. (2021). Impact of digital technologies on the efficiency of healthcare delivery. In IoT in Healthcare and Ambient Assisted Living (pp. 243-261). Singapore: Springer Singapore.
Păcuraru, I. M., Năstac, A., Zamfir, A., Busnatu, Ș. S., Andronic, O., & Artamonov, A. R. (2025). Digital transformation of medical services in Romania: does the healthcare system meet the current needs of patients?. In Healthcare (Vol. 13, No. 20, p. 2549). Paris: MDPI.
Prabawati, A. Y., & Purwito, D. (2025). Optimization of electronic medical records: challenges, benefits, and strategies for more efficient healthcare services. Series on Health & Medical Sciences, 8(6), 236-245.
Shen, Y., Yu, J., Zhou, J., & Hu, G. (2025). Twenty-five years of evolution and hurdles in electronic health records and interoperability in medical research: comprehensive review. Journal of Medical Internet Research, 27(9), 90-104.
Singh, S., Bhatt, P., Sharma, S. K., & Rabiu, S. (2021). Digital transformation in healthcare: Innovation and technologies. In Blockchain for Healthcare Systems (pp. 61-79). New York: CRC Press.
Suseno, K. B., & Rosita, A. (2025). The impact of electronic medical record implementation on patient waiting time at outpatient clinics of Dr. Harjono S. Regional Hospital, Ponorogo. Jurnal Rekam Medis dan Informasi Kesehatan Indonesia, 4(2), 55-63.
Tsai, C. H., Eghdam, A., Davoody, N., Wright, G., Flowerday, S., & Koch, S. (2020). Effects of electronic health record implementation and barriers to adoption and use: a scoping review and qualitative analysis of the content. Life, 10(12), 327-339.
Tsehay, A. K., & Matlhaba, K. L. (2025). Barriers to the implementation of electronic medical records in Northwest Ethiopia. Health SA Gesondheid, 30(6), 30-40.
Uslu, A., & Stausberg, J. (2021). Value of the electronic medical record for hospital care: update from the literature. Journal of Medical Internet Research, 23(12), 26-35.
Weiner, S. J., Schwartz, A., Weaver, F., Galanter, W., Olender, S., Kochendorfer, K., ... & Varkey, A. (2022). Effect of electronic health record clinical decision support on contextualization of care: a randomized clinical trial. Jama Network Open, 5(10), 228-238.
Yoon, D., Park, I., Schuemie, M. J., Park, M. Y., Kim, J. H., & Park, R. W. (2013). A quantitative method for assessment of prescribing patterns using electronic health records. Plos One, 8(10), 75-87.
