Perceptions of Electronic Health Record Implementation: A Statewide Survey of Physicians in Rhode Island |
| |
| Affiliation: | 1. Brown University School of Public Health, Providence, RI;2. Healthcentric Advisors, Providence, RI;3. Warren Alpert Medical School of Brown University, Providence, RI;1. Department of Internal Medicine, University of Arizona, Tucson;2. Division of Cardiovascular Diseases, Sarver Heart Center, University of Arizona, Tucson;1. Unité de Gynécologie endocrinienne, Université Paris Descartes, APHP, Port Royal Cochin, Paris, France;2. Centre de référence associé sur les angiœdèmes à kinines (CRéAk), Hopital Jean Verdier, APHP, Bondy, France;3. Service de Médecine Interne, Hopital Jean Verdier, APHP, Bondy, France;4. Service de Médecine Interne, CHU de Grenoble, Grenoble, France;1. Public Health Unit, Northern Sydney Local Health District, Sydney, Australia;2. Northern Clinical School, Hornsby Hospital, University of Sydney, Australia;3. Rheumatology and Musculoskeletal Medicine, Northern Clinical School, Royal North Shore Hospital, University of Sydney, Australia;1. Department of Dermatology, University Medical Center, Johannes Gutenberg University, Mainz, Germany;2. Department of Medical Psychology and Medical Sociology, Johannes Gutenberg University, Mainz, Germany;1. Department of Cardiology, Aalborg AF Study Group, Aalborg University Hospital, Denmark;2. Aalborg Thrombosis Research Unit, Department of Clinical Medicine, Faculty of Health, Aalborg University, Denmark;3. Division of Pharmacovigilance and Medical Devices, Danish Health and Medicines Authority, Copenhagen, Denmark;4. Centre for Cardiovascular Sciences, University of Birmingham City Hospital, UK |
| |
| Abstract: | ObjectivesAlthough electronic health record use improves healthcare delivery, adoption into clinical practice is incomplete. We sought to identify the extent of adoption in Rhode Island and the characteristics of physicians and electronic health records associated with positive experience.MethodsWe performed a cross-sectional study of data collected by the Rhode Island Department of Health for the Health Information Technology Survey 2009 to 2013. Survey questions included provider and practice demographics, health record information, and Likert-type scaled questions regarding how electronic health record use affected clinical practice.ResultsThe survey response rate ranged from 50% to 65%, with 62% in 2013. Increasing numbers of physicians in Rhode Island use an electronic health record. In 2013, 81% of physicians used one, and adoption varied by clinical subspecialty. Most providers think that electronic health record use improves billing and quality improvement but has not improved job satisfaction. Physicians with longer and more sophisticated electronic health record use report positive effects of introduction on all aspects of practice examined (P < .001). Older physician age is associated with worse opinion of electronic health record introduction (P < .001). Of the 18 electronic health record vendors most frequently used in Rhode Island, 5 were associated with improved job satisfaction.ConclusionsWe report the largest statewide study of electronic health record adoption to date. We found increasing physician use in Rhode Island, and the extent of adoption varies by subspecialty. Although older physicians are less likely to be positive about electronic health record adoption, longer and more sophisticated use are associated with more positive opinions, suggesting acceptance will grow over time. |
| |
| Keywords: | Electronic health record Electronic medical record Physician experience |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
