| Summary: | Background: Medical Record has been implemented in Muhammadiyah
Hospital since 2009. Although, its practice has faced several barriers mainly user
resistance, complexity of technology contents, and knowledge of hospital human
resources toward implementation of medical record. This study was to carried out
evaluate the implementation of medical record according to HOT Fit framework
by Yusof et al. (2008), the framework will be identified by technology, hospital
human resources, and hospital organization of dimensions
Objectives:,To identify the human resources characteristics that were used
medical record, to identify benefit and barrier implementing medical record, and
to evaluate implementation of medical record at inpatient department
Muhammadiyah Hospital, Yogyakarta.
Method: This research was a case study with mixed methods approaches. The
subjects of this research were 2 physician/specialists, 5 nurses, 4 midwives,
medical record manager, 3 medical record staff, 4 IT staff, and 1 quality
assurance staff.
Results: The results indicated that there were eight (38,10%) respondents stated
that medical record system contents were not fitness with end user needs. There
were ten (47,62%) respondents stated that hospital human resources lack of
knowledge about components, functions, security system and knowledge about
the paperless office. Seven (33,33%) respondents still resistance with system,
and there were five (23,81%) respondents stated that job manner in hospital
didn�t support enhancing performance in health information technology.
Conclusion: All clinicians were not yet adopted the medical record in healthcare
because user resistance toward medical record. Hence, we need a health policy
and training step by step in order to enhancing health care at inpatient
Muhammadiyah Hospital, Yogyakarta.
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