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Electronic Health Record Use and Perceptions among Urologic Surgeons.

Publication ,  Journal Article
Tan, H-J; Chung, AE; Gotz, D; Deal, AM; Heiling, HM; Teal, R; Vu, MB; Meeks, WD; Fang, R; Bennett, AV; Nielsen, ME; Basch, E
Published in: Appl Clin Inform
March 2023

OBJECTIVE: Electronic health records (EHRs) have become widely adopted with increasing emphasis on improving care delivery. Improvements in surgery may be limited by specialty-specific issues that impact EHR usability and engagement. Accordingly, we examined EHR use and perceptions in urology, a diverse surgical specialty. METHODS: We conducted a national, sequential explanatory mixed methods study. Through the 2019 American Urological Association Census, we surveyed urologic surgeons on EHR use and perceptions and then identified associated characteristics through bivariable and multivariable analyses. Using purposeful sampling, we interviewed 25 urologists and applied coding-based thematic analysis, which was then integrated with survey findings. RESULTS: Among 2,159 practicing urologic surgeons, 2,081 (96.4%) reported using an EHR. In the weighted sample (n = 12,366), over 90% used the EHR for charting, viewing results, and order entry with most using information exchange functions (59.0-79.6%). In contrast, only 35.8% felt the EHR increases clinical efficiency, whereas 43.1% agreed it improves patient care, which related thematically to information management, administrative burden, patient safety, and patient-surgeon interaction. Quantitatively and qualitatively, use and perceptions differed by years in practice and practice type with more use and better perceptions among more recent entrants into the urologic workforce and those in academic/multispecialty practices, who may have earlier EHR exposure, better infrastructure, and more support. CONCLUSION: Despite wide and substantive usage, EHRs engender mixed feelings, especially among longer-practicing surgeons and those in lower-resourced settings (e.g., smaller and private practices). Beyond reducing administrative burden and simplifying information management, efforts to improve care delivery through the EHR should focus on surgeon engagement, particularly in the community, to boost implementation and user experience.

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Published In

Appl Clin Inform

DOI

EISSN

1869-0327

Publication Date

March 2023

Volume

14

Issue

2

Start / End Page

279 / 289

Location

Germany

Related Subject Headings

  • Urologic Surgical Procedures
  • Surveys and Questionnaires
  • Surgeons
  • Patient Care
  • Humans
  • Electronic Health Records
  • Delivery of Health Care
  • 4203 Health services and systems
  • 1103 Clinical Sciences
  • 0806 Information Systems
 

Citation

APA
Chicago
ICMJE
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Tan, H.-J., Chung, A. E., Gotz, D., Deal, A. M., Heiling, H. M., Teal, R., … Basch, E. (2023). Electronic Health Record Use and Perceptions among Urologic Surgeons. Appl Clin Inform, 14(2), 279–289. https://doi.org/10.1055/s-0043-1763513
Tan, Hung-Jui, Arlene E. Chung, David Gotz, Allison M. Deal, Hillary M. Heiling, Randall Teal, Maihan B. Vu, et al. “Electronic Health Record Use and Perceptions among Urologic Surgeons.Appl Clin Inform 14, no. 2 (March 2023): 279–89. https://doi.org/10.1055/s-0043-1763513.
Tan H-J, Chung AE, Gotz D, Deal AM, Heiling HM, Teal R, et al. Electronic Health Record Use and Perceptions among Urologic Surgeons. Appl Clin Inform. 2023 Mar;14(2):279–89.
Tan, Hung-Jui, et al. “Electronic Health Record Use and Perceptions among Urologic Surgeons.Appl Clin Inform, vol. 14, no. 2, Mar. 2023, pp. 279–89. Pubmed, doi:10.1055/s-0043-1763513.
Tan H-J, Chung AE, Gotz D, Deal AM, Heiling HM, Teal R, Vu MB, Meeks WD, Fang R, Bennett AV, Nielsen ME, Basch E. Electronic Health Record Use and Perceptions among Urologic Surgeons. Appl Clin Inform. 2023 Mar;14(2):279–289.
Journal cover image

Published In

Appl Clin Inform

DOI

EISSN

1869-0327

Publication Date

March 2023

Volume

14

Issue

2

Start / End Page

279 / 289

Location

Germany

Related Subject Headings

  • Urologic Surgical Procedures
  • Surveys and Questionnaires
  • Surgeons
  • Patient Care
  • Humans
  • Electronic Health Records
  • Delivery of Health Care
  • 4203 Health services and systems
  • 1103 Clinical Sciences
  • 0806 Information Systems