Electronic medical record (EMR) satisfaction in hospitals is very important to understand. This is related in how far doctors will use it. There are many factors that can affect the internal satisfaction of ERM. Some of them are communication styles, computer efficacy and competencies. This research seeks to analyze how far communication style, computer efficacy and competencies affect internal satisfaction of electronic medical record services. Location of this research was conducted in one of the hospitals in Surabaya, Indonesia. The method used is multiple linear regression analysis. Sample collection involve 30 doctors from general clinics. The results show that communication style, computer efficacy and competency have a positive and significant effect on internal satisfaction with electronic medical record services, either partially or simultaneously. Computer efficacy are the most dominant factor in influencing EMR satisfaction. This research is expected to be used as input for hospital management to focus on EMR satisfaction by improving doctor’s communication styles, computer efficacy and competencies. If these three factors continue to be improved, especially in computer efficacy for example through training, then EMR satisfaction at hospital will also increase.