Opioid prescribing by physicians with and without electronic health records
| Autor: | Heidi Kinsell, Jeffrey S. Harman, Robert L. Cook, Christopher A. Harle |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Cross-sectional study health care facilities manpower and services Primary health care Medicine (miscellaneous) Health Informatics Primary care Health records Opioid prescribing Health informatics Drug Prescriptions Article Health Information Management Residence Characteristics health services administration Medicine Electronic Health Records Humans Practice Patterns Physicians' health care economics and organizations Primary Health Care business.industry Chronic pain social sciences Middle Aged medicine.disease United States Analgesics Opioid Cross-Sectional Studies Socioeconomic Factors Family medicine Health Care Surveys Female Chronic Pain business Opioid analgesics Information Systems |
| Zdroj: | Journal of medical systems. 38(11) |
| ISSN: | 1573-689X |
| Popis: | Physicians in the U.S. are adopting electronic health records (EHRs) at an unprecedented rate. However, little is known about how EHR use relates to physicians' care decisions. Using nationally representative data, we estimated how using practice-based EHRs relates to opioid prescribing in primary care.This study analyzed 33,090 visits to primary care physicians (PCPs) in the 2007-2010 National Ambulatory Medical Care Survey. We used logistic regression to compare opioid prescribing by PCPs with and without EHRs.Thirteen percent of all visits and 33 % of visits for chronic noncancer pain resulted in an opioid prescription. Compared to visits without EHRs, visits to physicians with EHRs had 1.38 times the odds of an opioid prescription (95 % CI, 1.22-1.56). Among visits for chronic noncancer pain, physicians with EHRs had significantly higher odds of an opioid prescription (adj. OR = 1.39; 95 % CI, 1.03-1.88). Chronic pain visits involving electronic clinical notes were also more likely to result in an opioid prescription compared to chronic pain visits without (adj. OR = 1.51; 95 % CI, 1.10-2.05). Chronic pain visits involving electronic test ordering were also more likely to result in an opioid prescription compared to chronic pain visits without (adj. OR = 1.31; 95 % CI, 1.01-1.71).We found higher levels of opioid prescribing among physicians with EHRs compared to those without. These results highlight the need to better understand how using EHR systems may influence physician prescribing behavior so that EHRs can be designed to reliably guide physicians toward high quality care. |
| Databáze: | OpenAIRE |
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