Physicians' use of electronic medical records: barriers and solutions.

@article{Miller2004PhysiciansUO,
  title={Physicians' use of electronic medical records: barriers and solutions.},
  author={Robert H. Miller and Ida Sim},
  journal={Health affairs},
  year={2004},
  volume={23 2},
  pages={
          116-26
        }
}
The electronic medical record (EMR) is an enabling technology that allows physician practices to pursue more powerful quality improvement programs than is possible with paper-based records. However, achieving quality improvement through EMR use is neither low-cost nor easy. Based on a qualitative study of physician practices that had implemented an EMR, we found that quality improvement depends heavily on physicians' use of the EMR-and not paper-for most of their daily tasks. We identified key… 
View on PubMed
cs.uwm.edu
875 Citations
Highly Influential Citations
52
Background Citations
350
Methods Citations
27
Results Citations
16

875 Citations

Citation Type

Citation Type

Use of Electronic Medical Records in Oman and Physician Satisfaction
TLDR
Survey research highlights factors that affect physician satisfaction and utilizing of this new technology in a hospital setting and outcome survey data suggests areas for improvement.
Perspectives on electronic medical records adoption: electronic medical records (EMR) in outcomes research
TLDR
The literature is reviewed and the current status of and forces influencing the adoption of EMR in the office-based practice are presented, and the benefits, limitations, and overall value of ERT is identified in the conduct of outcomes research in the US.
Barriers for Adopting Electronic Health Records (EHRs) by Physicians
  • S. Ajami, Tayyebe Bagheri-Tadi
  • Medicine
    Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH
  • 2013
TLDR
This study was non-systematic reviewed and the literature was searched on barriers perceived by physicians to the adoption of Electronic Health Records (EHRs) with the help of library, books, conference proceedings, data bank, and also searches engines available at Google, Google scholar.
The Electronic Medical Record (EMR)
TLDR
If EMR system is implemented and used properly, it will help in the improvement of community health and in this way help in referrals and improving the access to healthcare.
Healthcare professionals use Electronic Medical Records System (EMRs) in Jordan Hospitals
TLDR
This paper addresses post-implementation usage behavior of Electronic Medic Records system among healthcare professional in healthcare organization by applying the Technology Acceptance Model (TAM).
An examination of the financial feasibility of Electronic Medical Records (EMRs): a case study of tangible and intangible benefits
TLDR
This study demonstrates that an EMR can provide both tangible (monetary) and intangible (clinical/quality of care) returns for the healthcare provider.
Physicians’ perception and attitude toward electronic medical record
TLDR
Understanding physician perceptions and attitude will allow for the development of targeted education to demonstrate the advantages and implementation of EMRs in further and improve physician perceptions of ERs.
How Can Physician's Knowledge Be Activated to Provide Better Healthcare? Explaining Electronic Health Record Adaptation by Physicians
TLDR
This research shows how a collaborative technology architecture can enable the physicians to better interact with their partners using the E.H.R technology for the purpose of improving healthcare provision.
Physician Interaction with Electronic Health Records: The Influences on Digital Natives and Digital Immigrants
TLDR
The key contribution of this research is explaining how physicians interact with EHR in terms of concepts that are grounded in the real world experiences of physicians.
Medical groups' adoption of electronic health records and information systems.
TLDR
Adoption of electronic health records (EHRs) is progressing slowly, at least in smaller practices, although a number of group practices plan to implement an EHR within the next two years.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 39 REFERENCES
Computerized physician order entry systems in hospitals: mandates and incentives.
TLDR
It is argued that government, employers, and insurers should share the costs of CPOE and should fund further research into its benefits and means of implementation.
Viewpoint: The Barriers to Electronic Medical Record Systems and How to Overcome Them
  • C. McDonald
  • Computer Science
    J. Am. Medical Informatics Assoc.
  • 1997
TLDR
To accelerate EMR deployment, the interface solutions in the form of standards: IP, HL7/ASTM, DICOM, LOINC, SNOMED, and others developed by the medical informatics community are needed.
Effects of Computer-Based Clinical Decision Support Systems on Physician Performance and Patient Outcomes
TLDR
The CDSSs can enhance clinical performance for drug dosing, preventive care, and other aspects of medical care, but not convincingly for diagnosis.
Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review.
TLDR
The CDSSs can enhance clinical performance for drug dosing, preventive care, and other aspects of medical care, but not convincingly for diagnosis.
An evaluation of patient access to their electronic medical records via the World Wide Web
TLDR
Initial experience with the Web-based Patient Clinical Information System suggests that PatCIS has good usability and utility, and initial caution with the patient enrollment process has limited recruitment and, consequently, usage.
Physician use of IT: results from the Deloitte Research Survey.
TLDR
The results indicate that some public/private policies aimed at increasing physician IT use for clinical management should be tailored to specific segments of the physician IT user spectrum, rather than using a "one-size-fits-all" policy approach.
Review Paper: Handheld Computing in Medicine
TLDR
The authors concluded that only a small number of articles provide evidence-based information about the use of PDAs in medicine and that the majority of articles provided descriptive information, which is nevertheless of value.
Research Paper: Giving Patients Access to Their Medical Records via the Internet: The PCASSO Experience
TLDR
The PCASSO project is designed to apply state-of-the-art-security to the communication of clinical information over the Internet, and results of its use by providers and patients are reported.
Large employers' new strategies in health care.
TLDR
Several large employers formed a group that compiles and disseminates information about the quality of hospitals, with the goal of steering employees toward higher-quality care.
Research Paper: Clinician Use of a Palmtop Drug Reference Guide
TLDR
Self-reported perceptions by responding clinicians endorse improved access to drug information and improved practice efficiency associated with the use of handheld devices as wireless communication becomes more ubiquitous and as more applications become available.
...
1
2
3
4
...