Health Education and Health Promotion

Aims: This study explored the dynamics of electronic medical records adoption and use in primary healthcare facilities in Indonesia, specifically examining the role of regulatory pressure and perceived technological threats within the framework of mandatory national health policies.
Instrument & Methods: This multisite cross-sectional survey was conducted among 688 healthcare workers from 27 community health centers in Bantul Regency, Indonesia. An analytical framework was used to examine regulatory pressure, perceived threat, performance expectancy, effort expectancy, facilitating conditions, behavioral intention, and actual use, with the latter analyzed through structural equation modeling.
Findings: Perceptions of utility, ease of use, and organizational support played a vital role in shaping the intention to adopt electronic medical records. Regulatory pressure emerged as a primary driver shaping facility readiness and practitioners’ psychological response, directly strengthening behavioral intention. Notably, actual system usage was driven by the synergy between regulatory mandates and institutional readiness.
Conclusion: Successful digital transformation in primary healthcare requires coherence among regulatory enforcement, institutional readiness, and healthcare workers' adaptive responses to technological change.