Actual Use as the Strongest Indicator of Electronic Medical Record Effectiveness Among Physicians

Abstract

Electronic Medical Records (EMR) have become an essential component of digital health transformation, offering structured documentation, improved accessibility of patient information, and enhanced efficiency in clinical workflows. Despite these advantages, variations in user acceptance remain a challenge in healthcare settings. This study aimed to describe the effectiveness of EMR utilization among physicians at Dera As‑Syifa Hospital based on the Technology Acceptance Model (TAM), focusing on perceived usefulness, perceived ease of use, behavioral intention, and actual use. A quantitative descriptive study with a cross‑sectional design was conducted using a Likert‑scale questionnaire adapted from previous research. The instrument assessed four TAM constructs to capture physicians’ perceptions and experiences in using EMR. Data were analyzed descriptively to determine the effectiveness of each construct. The findings indicate that physicians generally perceive EMR as beneficial, easy to operate, and supportive of clinical practice. Most respondents expressed positive intentions to continue using the system, and EMR has been integrated into routine service activities across multiple units. However, some physicians still experience challenges related to system features, workflow adaptation, and technical constraints, suggesting that acceptance is not yet uniform. In conclusion, EMR implementation at Dera As‑Syifa Hospital is largely effective across key TAM dimensions, reflecting positive user acceptance and integration into daily clinical workflows. Continuous system evaluation, infrastructure strengthening, and sustained user training are essential to optimize EMR utilization and support high‑quality, technology‑driven healthcare services.

Keywords: electronic medical records; technology acceptance model; perceived usefulness; perceived ease of use; behavioral intention; actual use