Correlates of electronic health record adoption in office practices: a statewide survey.

Correlates of electronic health record adoption in office practices: a statewide survey. Research Abstract Details 

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Correlates of electronic health record adoption in office practices: a statewide survey. Abstract Text:

Steven R Simon,Rainu Kaushal,Paul D Cleary,Chelsea A Jenter,Lynn A Volk,Eric G Poon,E John Orav,Helen G Lo,Deborah H Williams,David W Bates,

OBJECTIVE: Despite emerging evidence that electronic health records (EHRs) can improve the efficiency and quality of medical care, most physicians in office practice in the United States do not currently use an EHR. We sought to measure the correlates of EHR adoption. DESIGN: Mailed survey to a stratified random sample of all medical practices in Massachusetts in 2005, with one physician per practice randomly selected for survey. MEASUREMENTS: EHR adoption rates. RESULTS: The response rate was 71% (1345/1884). Overall, while 45% of physicians were using an EHR, EHRs were present in only 23% of practices. In multivariate analysis, practice size was strongly correlated with EHR adoption; 52% of practices with 7 or more physicians had an EHR, as compared with 14% of solo practices (adjusted odds ratio, 3.66; 95% confidence interval, 2.28-5.87). Hospital-based practices (adjusted odds ratio, 2.44; 95% confidence interval, 1.53-3.91) and practices that teach medical students or residents (adjusted odds ratio, 2.30; 95% confidence interval, 1.60-3.31) were more likely to have an EHR. The most frequently cited barriers to adoption were start-up financial costs (84%), ongoing financial costs (82%), and loss of productivity (81%). CONCLUSIONS: While almost half of physicians in Massachusetts are using an EHR, fewer than one in four practices in Massachusetts have adopted EHRs. Adoption rates are lower in smaller practices, those not affiliated with hospitals, and those that do not teach medical students or residents. Interventions to expand EHR use must address both financial and non-financial barriers, especially among smaller practices.

Correlates of electronic health record adoption in office practices: a statewide survey. Publishing Authors By Initials

SR Simon,R Kaushal,PD Cleary,CA Jenter,LA Volk,EG Poon,EJ Orav,HG Lo,DH Williams,DW Bates,

For similar investigative techniques: epidemiologic methods: data collection: questionnaires research abstracts see: investigative techniques: epidemiologic methods: data collection: questionnaires research

PUBMED ID PMID:

MEDLINE DATE: 2007 Jan-Feb

Correlates of electronic health record adoption in office practices: a statewide survey. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Journal of the American Medical Informatics Associ

VOLUME: 14

Page Numbers: 110-7

Journal Abbreviation:

ISSN: 1067-5027

DAY: 26

MONTH: 10

YEAR: 2006

Correlates of electronic health record adoption in office practices: a statewide survey. Information

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LANGUAGE: eng

NlmUniqueID: 9430800

Correlates of electronic health record adoption in office practices: a statewide survey. Keywords Mesh Terms:

KEYWORDS: Questionnaires

MESH TERMS: organization & administration

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Grant and Affiliation Information for Correlates of electronic health record adoption in office practices: a statewide survey.

AFFILIATION: Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, Sixth Floor, Boston, MA 02215, USA. steven_simon@hphc.org

Country: United States

AGENCY: United States AHRQ

GRANT: 1 UC1 HS015397

ACRONYM: HS

MEDLINETA: J Am Med Inform Assoc

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