Analysis of the Influence of the Hot-Fit Model on the Success of Hospital Management Information  System (SIMRS) Implementation  at Samaritan General Hospital Palu

Andika Setia Putra; Mustamin Mustamin; Syamsuriyati Syamsuriyati

doi:10.71435/742764

Authors

Andika Setia Putra Master of Hospital Administration Study Program, Postgraduate Program, Universitas Megarezky, Indonesia
Mustamin Master of Hospital Administration Study Program, Postgraduate Program, Universitas Megarezky, Indonesia
Syamsuriyati Master of Hospital Administration Study Program, Postgraduate Program, Universitas Megarezky, Indonesia

DOI:

https://doi.org/10.71435/742764

Keywords:

Human, Organization, Technology, HOT-Fit, SIMRS Implementation Success, Net Benefit

Abstract

The Hospital Management Information System (SIMRS) is an information system that supports integrated information management and healthcare service delivery in hospitals. The success of SIMRS implementation is influenced by various factors, including human, organizational, and technological aspects. This study aimed to analyze the influence of the Human, Organization, and Technology aspects on the success of SIMRS implementation based on the Human–Organization–Technology Fit (HOT-Fit) model at Samaritan General Hospital Palu. This study employed a quantitative approach with a cross-sectional design involving 146 SIMRS users selected through purposive sampling. Data were collected using a questionnaire and analyzed using descriptive statistics, the Chi-Square test, and ordinal logistic regression. Most respondents assessed the Human aspect as moderate (42.5%), the Organization aspect as moderately supportive (36.3%), the Technology aspect as moderately good (40.4%), and the success of SIMRS implementation as moderately beneficial (38.4%). The results showed that the Human aspect (p = 0.010) and the Technology aspect (p = 0.033) had a significant influence on the success of SIMRS implementation, whereas the Organization aspect had no significant influence (p = 0.716). Simultaneously, the Human, Organization, and Technology aspects had a significant influence on the success of SIMRS implementation (p = 0.010). The Human aspect was identified as the most influential factor in the success of SIMRS implementation. In conclusion, the Human, Organization, and Technology aspects collectively influence the success of SIMRS implementation at Samaritan General Hospital Palu. Therefore, improving user competence and readiness, as well as enhancing system quality, information quality, and technical service support, is recommended to increase the benefits and overall success of SIMRS implementation.

References

Alamsyah, N., Daniati, E., & Ristyawan, A. (2025). Evaluasi Kesesuaian Implementasi SIMRS Khanza Berdasarkan Model Human-Organization-Technology Fit (HOT-FIT). The Indonesian Journal of Computer Science Research, 4(2), 128-138. https://doi.org/10.59095/ijcsr.v4i2.204

Alsyouf, A., Lutfi, A., Alsubahi, N., Alhazmi, F. N., Al-Mugheed, K., Anshasi, R. J., ... & Albugami, M. (2023). The use of a technology acceptance model (TAM) to predict patients’ usage of a personal health record system: the role of security, privacy, and usability. International journal of environmental research and public health, 20(2), 1347. https://doi.org/10.3390/ijerph20021347

Damanik, M. R. F., Liliweri, A., Djani, W., & Pradana, I. P. Y. B. (2025). Evaluating EMR Adoption and Its Effect on Organizational Performance: A Quantitative Study Using SEM-PLS in Type-C Hospitals in Kupang City. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 8(7), 448-466.

Darlis, D., Theo, D., & Nasution, R. S. (2024). Analysis of Hospital Organizations in the Implementation of Management Information Systems (SIMRS) at Dr. H. Yuliddin Away Tapaktuan Hospital, Tapaktuan District, South Aceh Regency in 2024. PROMOTOR, 7(6), 880-884. https://doi.org/10.32832/pro.v7i6.1025

Jayanagara, O. (2024). Antecedents of perceived usefulness on the use of electronic hospital management information systems. Journal of Accounting and Investment.

Lada, S., Chekima, B., Karim, M. R. A., Fabeil, N. F., Ayub, M. S., Amirul, S. M., ... & Zaki, H. O. (2023). Determining factors related to artificial intelligence (AI) adoption among Malaysia's small and medium-sized businesses. Journal of Open Innovation: Technology, Market, and Complexity, 9(4), 100144.

Lolo, A., & Nugroho, E. (2018). Evaluasi sistem informasi manajemen rumah sakit dengan menggunakan metode hot-fit di rumah sakit umum daerah (rsud) Tora Belo Kabupaten Sigi. Gadjah Mada University.

Makaranga, J., Moshi, G., & Sukums, F. (2025). Usage, Benefits, and Barriers of EMRs in Tanzanian Public PHC Facilities: Insights from Sociotechnical Systems Theory. Journal of ICT Systems, 3(2), 44-57.

Muslimin, I., Salaka, S. A., Fajriana, H., Supriadi, R. F., Mahardany, B. O., Abdalqader, M. A., ... & Chen, H. (2025). CURRENT STATUS OF INTEGRATED ANTENATAL CARE COVERAGE AND QUALITY AT COMMUNITY HEALTH CENTERS IN WEST SULAWESI, INDONESIA: A MULTISTAKEHOLDER QUALITATIVE STUDY. Malaysian Journal of Public Health Medicine, 25(3), 146-153. https://doi.org/10.37268/mjphm/vol.25/no.3/art.3684

Mygel, M., Septianingsih, A. B., & Anindita, R. (2024). Acceptance of Implementation of Drug Management and Its’ Barriers on Hospital Management Information Systems. International Journal of Nursing and Health Services (IJNHS), 7(5), 141-147.

Nastiti, I., & Santoso, D. B. (2022). Evaluasi Penerapan Sistem Informasi Manajemen Rumah Sakit di RSUD SLG Kediri dengan Menggunakan Metode HOT-Fit. Jurnal Kesehatan Vokasional, 7(2), 85. https://doi.org/10.22146/jkesvo.72357

Neumann, A. T., Yin, Y., Sowe, S., Decker, S., & Jarke, M. (2024). An LLM-driven chatbot in higher education for databases and information systems. IEEE Transactions on Education, 68(1), 103-116.

Norsaputera, E., Hamzah, H., & Harun, L. (2025). Determinants of Outpatient Satisfaction in Regional Public Hospitals: The Dominant Role of Waiting Time and Process Quality in Indonesia. Majalah Kesehatan Indonesia, 6(3), 137-148.

Nurisyafa'ah, N. T. (2026). Analysis of the Impact of Downtime Disruptions on SIMRS on the Operational Process of Outpatient Registration Services at AMC Hospital Cileunyi. Greenation International Journal of Engineering Science, 4(3), 318-328. https://doi.org/10.38035/gijes.v4i3.1351

Nuryadin, A. A., Sidin, A. I., Saleh, L. M., Nazaruddin, B., Ilham, A. A., & Amir, M. Y. (2026). Implementation of Decision Support Systems in State University Hospitals in Indonesia: A Multi-Site Qualitative Exploration of Influencing Factors.

Prasad Agrawal, K. (2024). Towards adoption of generative AI in organizational settings. Journal of Computer Information Systems, 64(5), 636-651. https://doi.org/10.1080/08874417.2023.2240744

Putri, M., Indrayani, D. A., Wulansari, D. A., Lestari, E. W., Yuliaty, F., & Paramarta, V. (2026). Challenges and Strategies to Improve SIMRS Adoption for Digital Transformation of Indonesian Hospital Management. KASTA: Jurnal Ilmu Sosial, Agama, Budaya dan Terapan, 6(3), 2131-2146. https://doi.org/10.58218/kasta.v6i3.2726

Qowimah, S. S., & Putra, D. N. G. W. M. (2025). Analisis Keberhasilan Implementasi SIMRS UOBK RSUD Besuki Dengan Model Human Organization Technology (Hot)-Fit. Jurnal Manajemen Informasi Kesehatan Indonesia, 13(2), 117-124.

Rahmi, S. F., Dewi, N. H., Hartono, B., & Daud, A. G. (2025). Permasalahan umum dalam implementasi SIMRS: Perspektif tenaga kesehatan dan manajemen. Innovative: Journal Of Social Science Research, 5(4), 11645-11655.

Rifial, M., Razak, A., Darmawansyah, D., Indar, I., & Rahman, A. (2024). Impact of health system usage, patient satisfaction, information quality, and service quality on hospital management information system utilization at Madani Regional General Hospital. Journal of Angiotherapy, 8(11), 1-10. https://doi.org/10.25163/angiotherapy.81110061

Silmi, F. E. (2026). Hospital Management Information System Implementation Strategy ToImprove The Quality Of Health Services At Pindad General HospitalBandung. Journal of Applied Digital Business Management, 3(1), 15-19. https://doi.org/10.71266/7200vw47

Soelton, M. (2023). Conceptualizing organizational citizenship behavior and learning organization in the labor sector. Jurnal Organisasi Dan Manajemen, 19(1), 239-255.

Sofiyani, O., & Susanti, A. S. (2025). Analysis of the Cardiology Outpatient Service System at RSUD Majalaya: Implementation of SIMRS and Online Registration to Improve Service Quality. Asian Journal of Environmental Research, 2(2), 172-177.

Sudirman, S., Yani, A., & Andri, M. (2025). Reassessing Patient Satisfaction: Social Determinants and Hospital Quality in Indonesia. Public Health of Indonesia, 11(4), 176-185. https://doi.org/10.36685/phi.v11i4.1651

Syahbana, K. F., Mulyani, S. R., & Halim, A. (2026). Effectiveness of Implementation of Hospital Management Information System (Sim-Rs) and Commitment to the Quality of Health Services Towards the Efficiency of Health Services and Its Implications on Patient Satisfaction. Journal of Community Health Provision, 6(1), 186-199. https://doi.org/10.55885/jchp.v6i1.961

Syahbana, K. F., Mulyani, S. R., & Halim, A. (2026). Effectiveness of Implementation of Hospital Management Information System (Sim-Rs) and Commitment to the Quality of Health Services Towards the Efficiency of Health Services and Its Implications on Patient Satisfaction. Journal of Community Health Provision, 6(1), 186-199.

Syahbana, K. F., Mulyani, S. R., & Halim, A. (2026). Effectiveness of Implementation of Hospital Management Information System (Sim-Rs) and Commitment to the Quality of Health Services Towards the Efficiency of Health Services and Its Implications on Patient Satisfaction. Journal of Community Health Provision, 6(1), 186-199. https://doi.org/10.55885/jchp.v6i1.961

Wati, W. S. N., Santoso, B., & Cahyono, D. (2025). Evaluation Hospital Information System Implementation Using Technology Acceptance Model to Enhance Patient Satisfaction. Sentralisasi, 14(2), 49-69. https://doi.org/10.33506/sl.v14i2.4232

WHO. (2020). Global strategy on digital health 2020–2025. Geneva: World Health Organization. https://iris.who.int/handle/10665/344249

Windari, A., Kismartini, K., Luqman, Y., & Wijanarko, B. (2023). Organizational Effect on the Implementation of “SIMRS”(Hospital Management Information Systems) in Hospital: A Systematic Review. Journal of Health Policy and Management, 8(1), 13-22.

Windari, A., Kismartini, K., Luqman, Y., & Wijanarko, B. (2023). Organizational Effect on the Implementation of “SIMRS”(Hospital Management Information Systems) in Hospital: A Systematic Review. Journal of Health Policy and Management, 8(1), 13-22. https://doi.org/10.26911/thejhpm.2023.08.01.02

Yuliasti, T. (2023). The Effectiveness of Hospital Management Information System Implementation in Improving Administrative Efficiency of Inpatient Services. Journal of Social And Education Research, 1(2), 62-71. https://doi.org/10.63265/jser.v1i2.152

Yusof. (2008). An Evaluation Framework for Health Information Systems: Human, Organization and Technology-Fit Factors (HOT-Fit). International Journal of Medical Informatics, 77(6), 386–398. https://doi.org/10.1016/j.ijmedinf.2007.08.011