Implementation of E-Health Innovations in Primary Health Care Services in Sukabumi Regency

Abstract

Digital transformation in the health sector places Electronic Medical Records (EMR) as an important component in strengthening integrated primary health care services. This study aims to analyze the conditions of EMR implementation, its effectiveness in supporting the integration of primary health care services, and to formulate follow-up strategies in Community Health Centers (Puskesmas) in the Sukabumi Regency. The study uses a qualitative approach with a literature review and case study design. Data were collected through semi-structured in-depth interviews with key stakeholders at Puskesmas and documentation studies of policies and official reports related to EMR. Data analysis was conducted descriptively and analytically using the Input–Process–Output–Outcome (IPOO) framework. The results showed that the implementation of EMR at Puskesmas in the Sukabumi Regency has been running and supports the integration of primary health services, but it is not yet optimal. The use of EMR is still partial and not yet fully integrated between service units. Limitations in digital infrastructure, human resource competencies, and system instability are the main obstacles at the input and process stages. In terms of output, EMR has increased the speed and accuracy of medical records, with an average data delivery rate to the SATUSEHAT platform of 74.13%, indicating sufficient integration effectiveness. However, the use of EMR data for health analysis and evidence-based decision-making is still limited. This study recommends strengthening human resource capacity, digital infrastructure, standardizing SOPs, integrating with SATUSEHAT, and promoting cross-sectoral synergy among local governments.Digital transformation in the health sector places Electronic Medical Records (EMR) as an important component in strengthening integrated primary health care services. This study aims to analyze the conditions of EMR implementation, its effectiveness in supporting the integration of primary health care services, and to formulate follow-up strategies in Community Health Centers (Puskesmas) in the Sukabumi Regency. The study uses a qualitative approach with a literature review and case study design. Data were collected through semi-structured in-depth interviews with key stakeholders at Puskesmas and documentation studies of policies and official reports related to EMR. Data analysis was conducted descriptively and analytically using the Input–Process–Output–Outcome (IPOO) framework. The results showed that the implementation of EMR at Puskesmas in the Sukabumi Regency has been running and supports the integration of primary health services, but it is not yet optimal. The use of EMR is still partial and not yet fully integrated between service units. Limitations in digital infrastructure, human resource competencies, and system instability are the main obstacles at the input and process stages. In terms of output, EMR has increased the speed and accuracy of medical records, with an average data delivery rate to the SATUSEHAT platform of 74.13%, indicating sufficient integration effectiveness. However, the use of EMR data for health analysis and evidence-based decision-making is still limited. This study recommends strengthening human resource capacity, digital infrastructure, standardizing SOPs, integrating with SATUSEHAT, and promoting cross-sectoral synergy among local governments.