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31
July, 2014
Thursday

Imminent adopters of electronic health records in ambulatory care

Abstract

Background:
Although evidence suggests electronic health records (EHRs) can improve quality and efficiency, provider adoption rates in the US ambulatory setting are relatively low. Prior studies have identified factors correlated with EHR use, but less is known about characteristics of physicians on the verge of adoption.

Objective:
To compare characteristics of physicians who are imminent adopters of EHRs with EHR users and non-users.

Design and participants:
A survey was mailed (June – November 2005) to a stratified random sample of all medical practices in Massachusetts. One physician from each practice (n=1884) was randomly selected to participate. Overall, 1345 physicians (71.4%) responded to the survey, with 1082 eligible for analysis due to exclusion criteria. ‘Imminent adopters’ were those planning to adopt EHRs within 12 months.

Measurements:
We assessed physician and practice characteristics, availability of technology, barriers to adoption or expansion of health information technology (HIT), computer proficiency, and financial considerations.

Results:
Compared to non-users, imminent adopters were younger, more experienced with technology, and more often in practices engaged in quality improvement. More imminent adopters owned or partly owned their practices (57.4%) than users (33.5%; p<0.001), but fewer imminent adopters owned their practices than non-users (65.7%; p<0.001). Additionally, more imminent adopters (26.0%) reported personal financial incentives for HIT use than users (14.8%; p<0.001) and non-users (10.8%; p<0.001).

Conclusions:
Imminent adopters of EHRs differed from users and non-users. Financial considerations appear to play a major role in adoption decisions. Knowledge of these differences may assist policy-makers and healthcare leaders as they work to increase EHR adoption rates.

Kaushal, Rainu, David W. Bates, Chelsea A. Jenter, Shannon A. Mills, Lynn A. Volk, Elisabeth Burdick, Micky Tripathi, and Steven R. Simon. "Imminent adopters of electronic health records in ambulatory care." Informatics in Primary Care 17, no. 1 (May 2009): 7-15.  

10 July 2009

Bibliographic Data

Title:

Imminent adopters of electronic health records in ambulatory care

Author(s):

Kaushal, Rainu; Bates, David W.; Jenter, Chelsea A.; Mills, Shannon A.; Volk, Lynn A.; Burdick, Elisabeth; Tripathi, Micky; Simon, Steven R.

Journal

Informatics in Primary Care, 17(1), pp. 7-15
(2009-05)

URL:

Abstract

PMID:

19490768

Keyword(s):

Adoption, Ambulatory Care, Barriers, Electronic Health Records, Health Information Technology, United States

Citation:

Kaushal, Rainu, David W. Bates, Chelsea A. Jenter, Shannon A. Mills, Lynn A. Volk, Elisabeth Burdick, Micky Tripathi, and Steven R. Simon. "Imminent adopters of electronic health records in ambulatory care." Informatics in Primary Care 17, no. 1 (May 2009): 7-15.  

Other Publications

In ICMCC Database

All Informatics in Primary Care articles (26).

Other article(s) by

Rainu Kaushal (19).

Steven R. Simon (18).

Elisabeth Burdick (3).

Micky Tripathi (3).

Lynn A. Volk (15).

David W. Bates (61).

Chelsea A. Jenter (11).

Discussion




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Miscellaneous

Affiliated University Institutes

Harvard Medical School - Department of Ambulatory Care and Prevention, USA

Weill Cornell Medical College - Departments of Pediatrics and Public Health, USA

Brigham and Women's Hospital - Department of Medicine - Division of General Internal Medicine, USA

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PubMed

Rainu Kaushal
Steven R. Simon
Elisabeth Burdick
Micky Tripathi
Shannon A. Mills
Lynn A. Volk
David W. Bates
Chelsea A. Jenter

Google Scholar

Rainu Kaushal
Steven R. Simon
Elisabeth Burdick
Micky Tripathi
Shannon A. Mills
Lynn A. Volk
David W. Bates
Chelsea A. Jenter

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