Appl Clin Inform - Physician beliefs about the impact of meaningful use of the EHR: a cross-sectional study.

Tópicos

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Resumo

CKGROUND: As adoption and use of electronic health records (EHRs) grows in the United States, there is a growing need in the field of applied clinical informatics to evaluate physician perceptions and beliefs about the impact of EHRs. The meaningful use of EHR incentive program provides a suitable context to examine physician beliefs about the impact of EHRs.OBJECTIVE: Contribute to the sparse literature on physician beliefs about the impact of EHRs in areas such as quality of care, effectiveness of care, and delivery of care.METHODS: A cross-sectional online survey of physicians at two academic medical centers (AMCs) in the northeast who were preparing to qualify for the meaningful use of EHR incentive program.RESULTS: Of the 1,797 physicians at both AMCs who were preparing to qualify for the incentive program, 967 completed the survey for an overall response rate of 54%. Only 23% and 27% of physicians agreed or strongly agreed that meaningful use of the EHR will help them improve the care they personally deliver and improve quality of care respectively. Physician specialty was significantly associated with beliefs; e.g., 35% of primary care physicians agreed or strongly agreed that meaningful use will improve quality of care compared to 26% of medical specialists and 21% of surgical specialists (p=0.009). Satisfaction with outpatient EHR was also significantly related to all belief items.CONCLUSIONS: Only about a quarter of physicians in our study responded positively that meaningful use of the EHR will improve quality of care and the care they personally provide. These findings are similar to and extend findings from qualitative studies about negative perceptions that physicians hold about the impact of EHRs. Factors outside of the regulatory context, such as physician beliefs, need to be considered in the implementation of the meaningful use of the EHR incentive program.

Resumo Limpo

ckground adopt use electron health record ehr grow unit state grow need field appli clinic informat evalu physician percept belief impact ehr meaning use ehr incent program provid suitabl context examin physician belief impact ehrsobject contribut spars literatur physician belief impact ehr area qualiti care effect care deliveri caremethod crosssect onlin survey physician two academ medic center amc northeast prepar qualifi meaning use ehr incent programresult physician amc prepar qualifi incent program complet survey overal respons rate physician agre strong agre meaning use ehr will help improv care person deliv improv qualiti care respect physician specialti signific associ belief eg primari care physician agre strong agre meaning use will improv qualiti care compar medic specialist surgic specialist p satisfact outpati ehr also signific relat belief itemsconclus quarter physician studi respond posit meaning use ehr will improv qualiti care care person provid find similar extend find qualit studi negat percept physician hold impact ehr factor outsid regulatori context physician belief need consid implement meaning use ehr incent program

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