Electronic Medical Records Vs Manual Medical Records: A Qualitative Study on Specialist Doctors in a Rural Hospital

Abstract

The use of electronic medical records (RME) in hospitals continues to increase along with the need to improve efficiency and accuracy in patient data management. However, the transition from manual medical records to RME faces significant challenges, especially in technology adaptation in resource-constrained environments. The main issue faced in this study was to compare the effectiveness, safety, and management support between RME and manual medical records from a specialist's perspective. This study aimed to identify the advantages and disadvantages of using RME compared to manual medical records, as well as evaluating specialists' experiences in using both systems. This study used a qualitative approach through questionnaires and in-depth interviews with 12 specialists in a rural hospital, conducted at RS Muhammadiyah Mardhatillah Randudongkal, Pemalang District, in September 2024. Data were analyzed to understand perceptions, preferences, and challenges in using RME and manual systems. Eight out of 12 doctors (67%) preferred RME due to its ease of access and efficiency. Six doctors (50%) stated that RME reduces recording errors and helps collaboration between medical professionals. However, 4 doctors (33%) doubted data security and 5 doctors (42%) reported technical glitches. In contrast, manual systems were rated as more reliable in emergency situations (8%), and 2 doctors (17%) felt safer from the risk of hacking. A total of 67% of doctors rated RME training as adequate, but technical support needs to be improved. Although RME offers many advantages, technical barriers and security-related concerns remain a challenge. Continued support and further training are needed to ensure the successful adoption of RME in rural hospitals.