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- Title
Trends in primary care clinician perceptions of a new electronic health record.
- Authors
El-Kareh, Robert; Gandhi, Tejal K.; Poon, Eric G.; Newmark, Lisa P.; Ungar, Jonathan; Lipsitz, Stuart D; Sequist, Thomas D.; Lipsitz, Stuart
- Abstract
<bold>Background: </bold>Clinician perceptions of a newly implemented electronic health record play an important role in its success or failure.<bold>Objective: </bold>To measure changes in primary care clinician attitudes toward an electronic health record during the first year following implementation.<bold>Design: </bold>Longitudinal survey.<bold>Participants: </bold>86 primary care clinicians surveyed between December 2006 and January 2008.<bold>Measurements: </bold>Perceived impact on overall quality of care, patient safety, communication, and efficiency at 1, 3, 6, and 12 months following implementation.<bold>Results: </bold>Response rates for months 1, 3, 6, and 12 were 92%, 95%, 90%, and 82%, respectively. The proportion of clinicians agreeing that the EHR improved the overall quality of care (63% to 86%; p < 0.001), reduced medication-related errors (72% to 81%; p = 0.03), improved follow-up of test results (62% to 87%; p < 0.001), and improved communication among clinicians (72% to 93%; p < 0.001) increased from month 1 to month 12. During the same time period, a decreasing proportion of clinicians agreed that the EHR reduced the quality of patient interactions (49% to 33%; p = 0.001), resulted in longer patient visits (68% to 51%; p = 0.001), and increased time spent on medical documentation (78% to 68%; p = 0.006). Significant improvements in perceptions related to test result follow-up were first detected at 6 months, while those related to overall quality, efficiency, and communication were first identified at 12 months.<bold>Conclusions: </bold>Primary care clinicians report increasingly positive perceptions of a new electronic health record within 1 year of implementation across a spectrum of domains of care.
- Subjects
MASSACHUSETTS; PRIMARY care; ELECTRONIC records; MEDICAL records; ATTITUDE (Psychology); GENERAL practitioners; LONGITUDINAL method; RESEARCH; MEDICAL databases; INFORMATION storage &; retrieval systems; RESEARCH methodology; ACQUISITION of data; EVALUATION research; MEDICAL cooperation; COMPARATIVE studies; PSYCHOSOCIAL factors; RESEARCH funding
- Publication
JGIM: Journal of General Internal Medicine, 2009, Vol 24, Issue 4, p464
- ISSN
0884-8734
- Publication type
journal article
- DOI
10.1007/s11606-009-0906-z