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Physicians' use of key functions in electronic health records from 2005 to 2007: a statewide survey.

Publication ,  Journal Article
Simon, SR; Soran, CS; Kaushal, R; Jenter, CA; Volk, LA; Burdick, E; Cleary, PD; Orav, EJ; Poon, EG; Bates, DW
Published in: Journal of the American Medical Informatics Association : JAMIA
July 2009

OBJECTIVE Electronic health records (EHRs) have potential to improve quality and safety, but many physicians do not use these systems to full capacity. The objective of this study was to determine whether this usage gap is narrowing over time. DESIGN Follow-up mail survey of 1,144 physicians in Massachusetts who completed a 2005 survey. MEASUREMENTS Adoption of EHRs and availability and use of 10 EHR functions. RESULTS The response rate was 79.4%. In 2007, 35% of practices had EHRs, up from 23% in 2005. Among practices with EHRs, there was little change between 2005 and 2007 in the availability of nine of ten EHR features; the notable exception was electronic prescribing, reported as available in 44.7% of practices with EHRs in 2005 and 70.8% in 2007. Use of EHR functions changed inconsequentially, with more than one out of five physicians not using each available function regularly in both 2005 and 2007. Only electronic prescribing increased substantially: in 2005, 19.9% of physicians with this function available used it most or all the time, compared with 42.6% in 2007 (p < 0.001). CONCLUSIONS By 2007, more than one third of practices in Massachusetts reported having EHRs; the availability and use of electronic prescribing within these systems has increased. In contrast, physicians reported little change in the availability and use of other EHR functions. System refinements, certification efforts, and health policies, including standards development, should address the gaps in both EHR adoption and the use of key functions.

Duke Scholars

Published In

Journal of the American Medical Informatics Association : JAMIA

DOI

EISSN

1527-974X

ISSN

1067-5027

Publication Date

July 2009

Volume

16

Issue

4

Start / End Page

465 / 470

Related Subject Headings

  • Surveys and Questionnaires
  • Practice Patterns, Physicians'
  • Middle Aged
  • Medical Records Systems, Computerized
  • Medical Informatics
  • Massachusetts
  • Male
  • Humans
  • Health Care Surveys
  • Follow-Up Studies
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Simon, S. R., Soran, C. S., Kaushal, R., Jenter, C. A., Volk, L. A., Burdick, E., … Bates, D. W. (2009). Physicians' use of key functions in electronic health records from 2005 to 2007: a statewide survey. Journal of the American Medical Informatics Association : JAMIA, 16(4), 465–470. https://doi.org/10.1197/jamia.m3081
Simon, Steven R., Christine S. Soran, Rainu Kaushal, Chelsea A. Jenter, Lynn A. Volk, Elisabeth Burdick, Paul D. Cleary, E John Orav, Eric G. Poon, and David W. Bates. “Physicians' use of key functions in electronic health records from 2005 to 2007: a statewide survey.Journal of the American Medical Informatics Association : JAMIA 16, no. 4 (July 2009): 465–70. https://doi.org/10.1197/jamia.m3081.
Simon SR, Soran CS, Kaushal R, Jenter CA, Volk LA, Burdick E, et al. Physicians' use of key functions in electronic health records from 2005 to 2007: a statewide survey. Journal of the American Medical Informatics Association : JAMIA. 2009 Jul;16(4):465–70.
Simon, Steven R., et al. “Physicians' use of key functions in electronic health records from 2005 to 2007: a statewide survey.Journal of the American Medical Informatics Association : JAMIA, vol. 16, no. 4, July 2009, pp. 465–70. Epmc, doi:10.1197/jamia.m3081.
Simon SR, Soran CS, Kaushal R, Jenter CA, Volk LA, Burdick E, Cleary PD, Orav EJ, Poon EG, Bates DW. Physicians' use of key functions in electronic health records from 2005 to 2007: a statewide survey. Journal of the American Medical Informatics Association : JAMIA. 2009 Jul;16(4):465–470.
Journal cover image

Published In

Journal of the American Medical Informatics Association : JAMIA

DOI

EISSN

1527-974X

ISSN

1067-5027

Publication Date

July 2009

Volume

16

Issue

4

Start / End Page

465 / 470

Related Subject Headings

  • Surveys and Questionnaires
  • Practice Patterns, Physicians'
  • Middle Aged
  • Medical Records Systems, Computerized
  • Medical Informatics
  • Massachusetts
  • Male
  • Humans
  • Health Care Surveys
  • Follow-Up Studies