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Trends in primary care clinician perceptions of a new electronic health record.

Publication ,  Journal Article
El-Kareh, R; Gandhi, TK; Poon, EG; Newmark, LP; Ungar, J; Lipsitz, S; Sequist, TD
Published in: Journal of general internal medicine
April 2009

Clinician perceptions of a newly implemented electronic health record play an important role in its success or failure.To measure changes in primary care clinician attitudes toward an electronic health record during the first year following implementation.Longitudinal survey.86 primary care clinicians surveyed between December 2006 and January 2008.Perceived impact on overall quality of care, patient safety, communication, and efficiency at 1, 3, 6, and 12 months following implementation.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.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.

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Published In

Journal of general internal medicine

DOI

EISSN

1525-1497

ISSN

0884-8734

Publication Date

April 2009

Volume

24

Issue

4

Start / End Page

464 / 468

Related Subject Headings

  • Physicians, Family
  • Physician Assistants
  • Nurse Practitioners
  • Medical Records Systems, Computerized
  • Massachusetts
  • Male
  • Humans
  • General & Internal Medicine
  • Female
  • Data Collection
 

Citation

APA
Chicago
ICMJE
MLA
NLM
El-Kareh, R., Gandhi, T. K., Poon, E. G., Newmark, L. P., Ungar, J., Lipsitz, S., & Sequist, T. D. (2009). Trends in primary care clinician perceptions of a new electronic health record. Journal of General Internal Medicine, 24(4), 464–468. https://doi.org/10.1007/s11606-009-0906-z
El-Kareh, Robert, Tejal K. Gandhi, Eric G. Poon, Lisa P. Newmark, Jonathan Ungar, Stuart Lipsitz, and Thomas D. Sequist. “Trends in primary care clinician perceptions of a new electronic health record.Journal of General Internal Medicine 24, no. 4 (April 2009): 464–68. https://doi.org/10.1007/s11606-009-0906-z.
El-Kareh R, Gandhi TK, Poon EG, Newmark LP, Ungar J, Lipsitz S, et al. Trends in primary care clinician perceptions of a new electronic health record. Journal of general internal medicine. 2009 Apr;24(4):464–8.
El-Kareh, Robert, et al. “Trends in primary care clinician perceptions of a new electronic health record.Journal of General Internal Medicine, vol. 24, no. 4, Apr. 2009, pp. 464–68. Epmc, doi:10.1007/s11606-009-0906-z.
El-Kareh R, Gandhi TK, Poon EG, Newmark LP, Ungar J, Lipsitz S, Sequist TD. Trends in primary care clinician perceptions of a new electronic health record. Journal of general internal medicine. 2009 Apr;24(4):464–468.
Journal cover image

Published In

Journal of general internal medicine

DOI

EISSN

1525-1497

ISSN

0884-8734

Publication Date

April 2009

Volume

24

Issue

4

Start / End Page

464 / 468

Related Subject Headings

  • Physicians, Family
  • Physician Assistants
  • Nurse Practitioners
  • Medical Records Systems, Computerized
  • Massachusetts
  • Male
  • Humans
  • General & Internal Medicine
  • Female
  • Data Collection