Perspect Health Inf Manag - Use of health information technology by office-based physicians: comparison of two contemporaneous public-use physician surveys.

Tópicos

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Resumo

This study exploited the unique opportunity to compare estimates of electronic health record (EHR) and specific health information technology (HIT) use for clinical activities by office-based physicians using data from two contemporaneous, nationally representative physician surveys: the 2008 National Ambulatory Medical Care Survey (NAMCS) and the 2008 Health Tracking Physician Survey (HTPS). Survey respondents included 4,117 physicians from the HTPS and 1,187 physicians from the NAMCS. We compared the survey designs and national estimates of EHR and specific HIT use for clinical activities in the two surveys and conducted multivariate analyses examining physician and practice characteristics associated with the adoption of "basic" or "fully functional" systems. The surveys asked nearly identical questions on EHR use. Questions on specific HIT use for clinical activities overlapped but with differences. National estimates of all-EHR use were similar (HTPS 24.31 percent, 95 percent confidence interval [CI]: 22.99-25.69 percent vs. NAMCS 27.24 percent, 95 percent CI: 23.53-31.29 percent), but partial EHR use (i.e., part paper and part electronic) was higher in the HTPS than in the NAMCS (23.93 percent, 95 percent CI: 22.61-25.30 percent vs. 18.40 percent, 95 percent CI: 15.62-21.54 percent in the NAMCS). Both surveys reported low use of "fully functional" systems (HTPS 7.84 percent, 95 percent CI: 7.03-8.73 percent vs. NAMCS 4.56 percent, 95 percent CI 3.09-6.68 percent), but the use of "basic" systems was much higher in the HTPS than in the NAMCS (22.29 percent vs. 11.16 percent). Using multivariate analyses, we found common physician or practice characteristics in the two surveys, although the magnitude of the estimated effects differed. In conclusion, use of a "fully functional" EHR system by office-based physicians was low in both surveys. It may be a daunting task for physicians, particularly those in small practices, to adopt and achieve "meaningful use" in the next two years.

Resumo Limpo

studi exploit uniqu opportun compar estim electron health record ehr specif health inform technolog hit use clinic activ officebas physician use data two contemporan nation repres physician survey nation ambulatori medic care survey namc health track physician survey htps survey respond includ physician htps physician namc compar survey design nation estim ehr specif hit use clinic activ two survey conduct multivari analys examin physician practic characterist associ adopt basic fulli function system survey ask near ident question ehr use question specif hit use clinic activ overlap differ nation estim allehr use similar htps percent percent confid interv ci percent vs namc percent percent ci percent partial ehr use ie part paper part electron higher htps namc percent percent ci percent vs percent percent ci percent namc survey report low use fulli function system htps percent percent ci percent vs namc percent percent ci percent use basic system much higher htps namc percent vs percent use multivari analys found common physician practic characterist two survey although magnitud estim effect differ conclus use fulli function ehr system officebas physician low survey may daunt task physician particular small practic adopt achiev meaning use next two year

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