Document Detail

The effect of electronic medical record system sophistication on preventive healthcare for women.
MedLine Citation:
PMID:  23048007     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To observe the effect of electronic medical record (EMR) system sophistication on preventive women's healthcare.
MATERIALS AND METHODS: Providers in the National Ambulatory Medical Care Survey (NAMCS), 2007-8, were included if they had at least one visit by a woman at least 21 years old. Based on 16 questions from NAMCS, the level of a provider's EMR system sophistication was classified as non-existent, minimal, basic, or fully functional. A two-stage residual-inclusion method was used with ordered probit regression to model the level of EMR system sophistication, and outcome-specific Poisson regressions to predict the number of examinations or tests ordered or performed.
RESULTS: Across the providers, 29.23%, 49.34%, 15.97%, and 5.46% had no, minimal, basic, and fully functional EMR systems, respectively. The breast examination rate was 20.27%, 34.96%, 37.21%, and 44.98% for providers without or with minimal, basic, and fully functional EMR systems, respectively. For breast examinations, pelvic examinations, Pap tests, chlamydia tests, cholesterol tests, mammograms, and bone mineral density (BMD) tests, an EMR system increased the number of these tests and examinations. Furthermore, the level of sophistication increased the number of breast examinations and Pap, chlamydia, cholesterol, and BMD tests.
DISCUSSION: The use of advanced EMR systems in obstetrics and gynecology was limited. Given the positive results of this study, specialists in women's health should consider investing in more sophisticated systems.
CONCLUSIONS: The presence of an EMR system has a positive impact on preventive women's healthcare; the more functions that the system has, the greater the number of examinations and tests given or prescribed.
Namita L Tundia; Christina M L Kelton; Teresa M Cavanaugh; Jeff J Guo; Dennis J Hanseman; Pamela C Heaton
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Publication Detail:
Type:  Journal Article; Multicenter Study     Date:  2012-10-09
Journal Detail:
Title:  Journal of the American Medical Informatics Association : JAMIA     Volume:  20     ISSN:  1527-974X     ISO Abbreviation:  J Am Med Inform Assoc     Publication Date:    2013 Mar-Apr
Date Detail:
Created Date:  2013-02-12     Completed Date:  2013-08-12     Revised Date:  2014-03-11    
Medline Journal Info:
Nlm Unique ID:  9430800     Medline TA:  J Am Med Inform Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  268-76     Citation Subset:  IM    
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MeSH Terms
Decision Making, Computer-Assisted
Guideline Adherence*
Health Care Surveys
Health Education / utilization
Mass Screening / utilization
Medical Records Systems, Computerized*
Outcome Assessment (Health Care)*
Poisson Distribution
Preventive Health Services / utilization*
Regression Analysis
Reminder Systems
United States
Women's Health*

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

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