| Electronic health records in small physician practices: availability, use, and perceived benefits. | |
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MedLine Citation:
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PMID: 21486885 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To examine variation in the adoption of electronic health record (EHR) functionalities and their use patterns, barriers to adoption, and perceived benefits by physician practice size. DESIGN: Mailed survey of a nationally representative random sample of practicing physicians identified from the Physician Masterfile of the American Medical Association. Measurements We measured, stratified by practice size: (1) availability of EHR functionalities, (2) functionality use, (3) barriers to the adoption and use of EHR, and (4) impact of the EHR on the practice and quality of patient care. RESULTS: With a response rate of 62%, we found that < 2% of physicians in solo or two-physician (small) practices reported a fully functional EHR and 5% reported a basic EHR compared with 13% of physicians from 11+ group (largest group) practices with a fully functional system and 26% with a basic system. Between groups, a 21-46% difference in specific functionalities available was reported. Among adopters there were moderate to large differences in the use of the EHR systems. Financial barriers were more likely to be reported by smaller practices, along with concerns about future obsolescence. These differences were sizable (13-16%) and statistically significant (p < 0.001). All adopters reported similar benefits. Limitations Although we have adjusted for response bias, influences may still exist. CONCLUSION: Our study found that physicians in small practices have lower levels of EHR adoption and that these providers were less likely to use these systems. Ensuring that unique barriers are addressed will be critical to the widespread meaningful use of EHR systems among small practices. |
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Authors:
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Sowmya R Rao; Catherine M Desroches; Karen Donelan; Eric G Campbell; Paola D Miralles; Ashish K Jha |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of the American Medical Informatics Association : JAMIA Volume: 18 ISSN: 1527-974X ISO Abbreviation: J Am Med Inform Assoc Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-04-13 Completed Date: 2011-08-23 Revised Date: 2012-05-08 |
Medline Journal Info:
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Nlm Unique ID: 9430800 Medline TA: J Am Med Inform Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 271-5 Citation Subset: IM |
Affiliation:
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Mongan Institute for Health Policy, Massachusetts General Hospital, Biostatistics Center, Boston, Massachusetts, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Diffusion of Innovation* Electronic Health Records / utilization* Female Group Practice / statistics & numerical data Health Care Surveys Humans Male Physician's Practice Patterns* Practice Management, Medical / statistics & numerical data* Private Practice / statistics & numerical data United States |
| Grant Support | |
ID/Acronym/Agency:
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UL1 RR031982-02/RR/NCRR NIH HHS |
| Comments/Corrections | |
Comment In:
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J Am Med Inform Assoc. 2011 Sep-Oct;18(5):726
[PMID:
21705459
]
J Am Med Inform Assoc. 2012 Jan-Feb;19(1):143 [PMID: 22095675 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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