Physicians and ambulatory electronic health records.

  title={Physicians and ambulatory electronic health records.},
  author={D. Bates},
  journal={Health affairs},
  volume={24 5},
  • D. Bates
  • Published 1 September 2005
  • Medicine
  • Health affairs
Few U.S. physicians use outpatient electronic health records (EHRs), although it appears that most would like to begin. The main barriers are not technical, because adoption rates in other countries are high. The biggest barrier is reimbursement, because physicians must pay for EHRs, but most of the benefits accrue to payers and purchasers. The lack of interoperability is also pivotal. Others include capital and risk tolerance; physicians' resistance related to time concerns, fears about… 

Research challenges for electronic health records.

Office-based physicians are responding to incentives and assistance by adopting and using electronic health records.

The majority of physicians who adopted the EHR capabilities required to obtain federal financial incentives used the capabilities routinely, with few differences across physician groups.

The Use of Governance Tools in Promotion of Health Care Information Technology Adoption by Physicians

Some governance tools that are frequently used to alleviate the financial concerns of physicians to purchase electronic health records and other types of health care information technology are detailed.

Electronic health records in ambulatory care--a national survey of physicians.

Physicians who use electronic health records believe such systems improve the quality of care and are generally satisfied with the systems, but as of early 2008, electronic systems had been adopted by only a small minority of U.S. physicians, who may differ from later adopters of these systems.

Imminent adopters of electronic health records in ambulatory care.

Compared to non-users, imminent adopters of EHRs were younger, more experienced with technology, and more often in practices engaged in quality improvement, and financial considerations appear to play a major role in adoption decisions.

Adoption of Electronic Health Records by Physicians for Use in Their Practices

Though small and medium/large practices increased their use of EHRs over the period, small practices increased at a lower rate, thus gap in EHR adoption rates between small andmedium/ large practices increased over the study period.

Predictors of Physician Satisfaction among Electronic Health Record System Users

Physicians with more robust EHRs, and those who adopted their system two or more years ago, were more likely to be satisfied, and several individual EHR functionalities were independently related to improved satisfaction.

The relationship between physician practice characteristics and physician adoption of electronic health records.

BACKGROUND Health information technologies, such as electronic health records (EHRs), can potentially improve patient safety in our health care system. The potential advantages include increased

Electronic Health Record Adoption - Maybe It's not about the Money: Physician Super-Users, Electronic Health Records and Patient Care.

Difficulties related to physician acceptance reflect real concerns about EHR impact on patient care, and Physicians are optimistic about the future benefits of EHR systems, but are frustrated with the non-intuitive interfaces and cumbersome data searches of existing EHRs.



Barriers to proliferation of electronic medical records.

To characterise users and non-users of EHR/EMR software, identify potential barriers to proliferation, examine the extent of standardisation across reported EHR-EMR and suggest possible solutions to identified barriers, a secondary analysis of member survey data collected by the American Academy of Family Physicians was performed.

Position Paper: A Proposal for Electronic Medical Records in U.S. Primary Care

It is argued that providers' and patients' information and decision support needs can be satisfied only if primary care providers use electronic medical records (EMRs), and that implementing specific policies can accelerate utilization of EMRs in the U.S.

Information technologies: when will they make it into physicians' black bags?

Physicians' current use of, future plans for, and perceived barriers to adopting electronic medical records, computerized prescribing and order entry, clinical decision support systems, and electronic communication with other physicians and with patients are investigated.

Measure, learn, and improve: physicians' involvement in quality improvement.

Accelerating physicians' adoption of and participation in QI requires building the infrastructure to support quality and paying attention to professionalism, knowledge, and skills.

Effects of computerized guidelines for managing heart disease in primary care

Care suggestions generated by a sophisticated electronic medical record system failed to improve adherence to accepted practice guidelines or outcomes for patients with heart disease.

A Comparative Study of Computerised Medical Records Usage Among General Practitioners in Australia and Sweden

This comparative study is based on a major empirical study of the state of adoption of Computerised Medical Records among General Practitioners in Australia and Sweden and adds to the existing body of CMR literature by providing a cross cultural perspective on GP adoption states.

Commentary: Quality, Costs, Privacy and Electronic Medical Data

  • D. Bates
  • Medicine
    Journal of Law, Medicine & Ethics
  • 1997
While agreeing that proper confidentiality measures are necessary when handling patient records, author discusses finding a balance between privacy and the benefits of using patient data to improve

The unreliability of individual physician "report cards" for assessing the costs and quality of care of a chronic disease.

Use of individual physician profiles may foster an environment in which physicians can most easily avoid being penalized by avoiding or deselecting patients with high prior cost, poor adherence, or response to treatments.