Document Detail

Factors associated with difficult electronic health record implementation in office practice.
MedLine Citation:
PMID:  22249965     Owner:  NLM     Status:  MEDLINE    
Little is known about physicians' perception of the ease or difficulty of implementing electronic health records (EHR). This study identified factors related to the perceived difficulty of implementing EHR. 163 physicians completed surveys before and after the implementation of EHR in an externally funded pilot program in three Massachusetts communities. Ordinal hierarchical logistic regression was used to identify baseline factors that correlated with physicians' report of difficulty with EHR implementation. Compared with physicians with ownership stake in their practices, physician employees were less likely to describe EHR implementation as difficult (adjusted OR 0.5, 95% CI 0.3 to 1.0). Physicians who perceived their staff to be innovative were also less likely to view EHR implementation as difficult (adjusted OR 0.4, 95% CI 0.2 to 0.8). Physicians who own their practice may need more external support for EHR implementation than those who do not. Innovative clinical support staff may ease the EHR implementation process and contribute to its success.
Marshall Fleurant; Rachel Kell; Chelsea Jenter; Lynn A Volk; Fang Zhang; David W Bates; Steven R Simon
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.     Date:  2012-01-16
Journal Detail:
Title:  Journal of the American Medical Informatics Association : JAMIA     Volume:  19     ISSN:  1527-974X     ISO Abbreviation:  J Am Med Inform Assoc     Publication Date:    2012 Jul-Aug
Date Detail:
Created Date:  2012-07-23     Completed Date:  2012-12-20     Revised Date:  2013-07-02    
Medline Journal Info:
Nlm Unique ID:  9430800     Medline TA:  J Am Med Inform Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  541-4     Citation Subset:  IM    
Boston Medical Center, Boston University School of Medicine, Section of General Internal Medicine, 801 Massachusetts Avenue, 2nd Floor, Boston, MA 02118, USA.
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MeSH Terms
Ambulatory Care Information Systems*
Attitude to Computers*
Electronic Health Records*
Health Care Surveys
Health Plan Implementation*
Logistic Models
Middle Aged
Multivariate Analysis
Physician's Practice Patterns*
Grant Support
1UC1HS015397/HS/AHRQ HHS; T32 HP12706//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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