Document Detail


The role of information technology usage in physician practice satisfaction.
MedLine Citation:
PMID:  19858921     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Despite the growing use of information technology (IT) in medical practices, little is known about the relationship between IT and physician satisfaction. PURPOSE: The objective of this study was to examine the relationship between physician IT adoption (of various applications) and overall practice satisfaction, as well as satisfaction with the level of computerization at the practice. METHODS: Data from a Florida survey examining physicians' use of IT and satisfaction were analyzed. Odds ratios (ORs), adjusted for physician demographics and practice characteristics, were computed utilizing logistic regressions to study the independent relationship of electronic health record (EHR) usage, PDA usage, use of e-mail with patients, and the use of disease management software with satisfaction. In addition, we examined the relationship between satisfaction with IT and overall satisfaction with the current medical practice. RESULTS: In multivariate analysis, EHR users were 5 times more likely to be satisfied with the level of computerization in their practice (OR = 4.93, 95% CI = 3.68-6.61) and 1.8 times more likely to be satisfied with their overall medical practice (OR = 1.77, 95% CI = 1.35-2.32). PDA use was also associated with an increase in satisfaction with the level of computerization (OR = 1.23, 95% CI = 1.02-1.47) and with the overall medical practice (OR = 1.30, 95% CI = 1.07-1.57). E-mail use with patients was negatively related to satisfaction with the level of computerization in the practice (OR = 0.69, 95% CI = 0.54-0.90). Last, physicians who were satisfied with IT were 4 times more likely to be satisfied with the current state of their medical practice (OR = 3.97, 95% CI = 3.29-4.81). IMPLICATIONS: Physician users of IT applications, especially EHRs, are generally satisfied with these technologies. Potential adopters and/or policy makers interested in influencing IT adoption should consider the positive impact that computer automation can have on medical practice.
Authors:
Nir Menachemi; Thomas L Powers; Robert G Brooks
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Health care management review     Volume:  34     ISSN:  1550-5030     ISO Abbreviation:  Health Care Manage Rev     Publication Date:    2009 Oct-Dec
Date Detail:
Created Date:  2009-10-27     Completed Date:  2010-01-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7611530     Medline TA:  Health Care Manage Rev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  364-71     Citation Subset:  IM    
Affiliation:
Department of Health Care Organization and Policy, University of Alabama at Birmingham, USA. nmenachemi@uab.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Attitude of Health Personnel*
Computers, Handheld / utilization
Disease Management
Electronic Mail / utilization
Female
Florida
Health Care Surveys
Humans
Job Satisfaction*
Male
Medical Records Systems, Computerized / utilization
Middle Aged
Odds Ratio
Office Automation / utilization*
Physician's Practice Patterns / utilization
Regression Analysis
Software
Utilization Review

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


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