INTRODUCTION:Wellness and health are central to live of all people of age group. Incorporatinginformation communication like Electronic Medical Records on the health care industries is mandatoryfor the better improvement of patient care and safety, integrated research, for effective planning,monitoring and evaluation of disease etc. Electronic Medical Record implementation in public hospitalsin Addis Ababa is on the infant stage not more than three years sinceits inception.Even thoughThere isdiscrepancy in adoption among health professionals and is not utilized as needed due to different factors,most of the public hospitals have implemented it.So identifying the factors which affect the adoptionwill help to apply proactive measure and correction so as to increase the adoption of EMR among healthprofessionals whom are working at the public hospitals.OBJECTIVE:This study aimed at identifying the factors that affect the Behavioral Intention and usagebehavior of ElectronicMedical Recordand determine the utilization status among health professionalsworking in public hospital in Addis AbabaCity Administration health Bureau.rnMETHOD: A Cross-sectional survey was carried out among health professionals working at publichospitals in Addis Ababa using modified theoryof unified acceptance and use of technology(UTAUT)model. Four hundred eight health professionals who had training on EMR were interviewed at the fivepublichospitals.RESULTS:The utilization of EMR among health professions working at the public hospitals was 51.7%.Performance expectancy, Effort expectancy, social influence were factors influencing the behavioralintention of healthprofessionals to adopt EMR and Behavioral intention was also significant influencingfactor on actual usage behavior. Facilitating condition remains insignificant on the actual usagebehavior of EMR among health professionals.CONCLUSION AND RECOMMENDATION:Theutilization rate of EMR was 51.7%: Having no experience,misunderstanding on the relative advantage, perceiving complexity of the system, inadequate support ofthe top managers, low behavioral intent were factors associated with the behavioral intention andactual usage of EMR. This study indicates that the necessity of integrating health managementinformation system with the daily health care activities and development of health information policythat can scale the utilization rate.