Factors associated with difficult electronic health record implementation in office practice
| Autor: | Steven R. Simon, Chelsea A. Jenter, Marshall Fleurant, Lynn A. Volk, Rachel Kell, David W. Bates, Fang Zhang |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Multivariate analysis health care facilities manpower and services MEDLINE Health Informatics Ambulatory Care Information Systems Health records Brief Communication Logistic regression Clinical support Electronic health record health services administration medicine Electronic Health Records Humans Pilot program Practice Patterns Physicians' health care economics and organizations Office practice Attitude to Computers business.industry Health Plan Implementation social sciences Middle Aged Logistic Models Massachusetts Health Care Surveys Family medicine Multivariate Analysis Female business |
| Zdroj: | Journal of the American Medical Informatics Association. 19:541-544 |
| ISSN: | 1527-974X 1067-5027 |
| DOI: | 10.1136/amiajnl-2011-000689 |
| Popis: | Little is known about physicians' perception of the ease or difficulty of implementing electronic health records (EHR). This study identified factors related to the perceived difficulty of implementing EHR. 163 physicians completed surveys before and after the implementation of EHR in an externally funded pilot program in three Massachusetts communities. Ordinal hierarchical logistic regression was used to identify baseline factors that correlated with physicians' report of difficulty with EHR implementation. Compared with physicians with ownership stake in their practices, physician employees were less likely to describe EHR implementation as difficult (adjusted OR 0.5, 95% CI 0.3 to 1.0). Physicians who perceived their staff to be innovative were also less likely to view EHR implementation as difficult (adjusted OR 0.4, 95% CI 0.2 to 0.8). Physicians who own their practice may need more external support for EHR implementation than those who do not. Innovative clinical support staff may ease the EHR implementation process and contribute to its success. |
| Databáze: | OpenAIRE |
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