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Abstract

Indonesia is accelerating digital health adoption under Minister of Health Regulation No. 24/2022, which mandates the use and integration of Electronic Medical Records (EMRs) with SATUSEHAT. However, evidence on how quickly primary health care facilities (Fasilitas Kesehatan Tingkat Pertama – FKTP) are adopting EMRs and what the adoption curve looks like remains limited. Survey findings also suggest key barriers and enablers, including security and data migration concerns, as well as human resource and infrastructure constraints. This observational study used provider-network data from a single EMR vendor. Key measures included cumulative registered facilities, monthly registrations, same-month activation (total_active/monthly inflow) as a proxy for onboarding readiness, and the estimated national pool of eligible FKTPs. The study applied descriptive analysis, logistic growth modeling, and Autoregressive Integrated Moving Average (ARIMA) forecasting for short-term projections. Over 39 months, cumulative registrations increased from 2 to 3,803 facilities. Same-month activation remained consistently high (median 0.969, IQR 0.744–0.999). By June 2025, the vendor network captured a 10.3% share of the estimated eligible FKTP pool (3,803/36,784). Logistic modeling suggested convergence to a carrying capacity of approximately 4,034 facilities (95% CI 3,953–4,115), while ARIMA projected around 4,030 facilities by December 2025 (95% CI 3,467–4,593). EMR adoption continues to increase, with rapid activation after registration, although growth slows over time. Localized increases near enforcement milestone windows are consistent with “deadline-chasing” behavior. Policy makers and vendors should combine deadline calendars with streamlined onboarding, secure migration support, clear technical-support SLAs, and region-specific interventions to address workforce and infrastructure gaps.

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Bahasa Abstract

Indonesia mempercepat adopsi kesehatan digital melalui Peraturan Menteri Kesehatan No. 24/2022 (Permenkes 24/2022) yang mewajibkan penggunaan Rekam Medis Elektronik (Electronic Medical Record/EMR) dan integrasi dengan SATUSEHAT. Namun, bukti mengenai seberapa cepat Fasilitas Kesehatan Tingkat Pertama (FKTP) mengadopsi EMR dan bagaimana kurva adopsinya masih terbatas. Temuan survei juga menunjukkan hambatan dan faktor pendukung utama, termasuk masalah keamanan dan migrasi data, serta keterbatasan sumber daya manusia dan infrastruktur. Penelitian observasional ini menggunakan data jaringan penyedia layanan dari satu vendor EMR. Ukuran utama meliputi jumlah kumulatif fasilitas terdaftar, pendaftaran bulanan, aktivasi bulan yang sama sebagai proksi kesiapan onboarding, dan estimasi jumlah FKTP yang memenuhi syarat secara nasional. Analisis yang digunakan mencakup analisis deskriptif, pemodelan pertumbuhan logistik, dan peramalan Autoregressive Integrated Moving Average (ARIMA). Selama 39 bulan, pendaftaran kumulatif meningkat dari 2 menjadi 3.803 fasilitas. Aktivasi pada bulan yang sama tetap tinggi secara konsisten (median 0,969; IQR 0,744–0,999). Pada Juni 2025, vendor jaringan yang diteliti memperoleh 10,3% pangsa dari estimasi FKTP yang memenuhi syarat (3.803/36.784). Pemodelan logistik menunjukkan konvergensi menuju kapasitas sekitar 4.034 fasilitas (95% CI 3.953–4.115), sedangkan ARIMA memproyeksikan sekitar 4.030 fasilitas pada Desember 2025 (95% CI 3.467–4.593). Adopsi EMR terus meningkat, tetapi pertumbuhan melambat seiring waktu. Peningkatan di sekitar periode tenggat implementasi mengindikasikan perilaku “mengejar tenggat waktu”. Pembuat kebijakan dan vendor perlu menyelaraskan target implementasi dengan onboarding yang sederhana, dukungan migrasi data yang aman, SLA dukungan teknis yang jelas, dan intervensi spesifik daerah. 

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