Electronic health records: which practices have them, and how are clinicians using them?

Journal of Evaluation in Clinical Practice
Steven R SimonDavid W Bates

Abstract

Limited data exist to estimate the use of electronic health records (EHRs) in ambulatory care practices in the United States. We surveyed a stratified random sample of 1829 office practices in Massachusetts in 2005. The one-page survey measured use of health information technology, plans for EHR adoption and perceived barriers to adoption. A total of 847 surveys were returned, for a response rate of 46%. Overall, 18% of office practices reported having an EHR. Primary-care-only and mixed practices reported similar adoption rates (23% and 25%, respectively, P = 0.70). The adoption rate in specialty practices (14%) was lower compared with both primary-care-only (P < 0.01) and mixed (P < 0.05) practices. The number of clinicians in the practice strongly correlated with EHR adoption (P < 0.001), with fewer small practices adopting EHRs. Among practices that have EHRs with laboratory and radiology result retrieval capabilities, at least 87% of practices report that a majority of their clinicians actively use these functionalities, while 74% of practices with electronic decision support report that the majority of clinicians actively use it. Among the practices without an EHR, 13% plan to implement one within the next 12 months, 24% ...Continue Reading

References

Sep 16, 2005·Health Affairs·David W Bates
Sep 16, 2005·Health Affairs·Catharine W Burt, Jane E Sisk

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