Healthc (Amst) - EHR adopters vs. non-adopters: Impacts of, barriers to, and federal initiatives for EHR adoption.

Tópicos

{ ehr(2073) health(1662) electron(1139) }
{ use(2086) technolog(871) perceiv(783) }
{ high(1669) rate(1365) level(1280) }
{ health(3367) inform(1360) care(1135) }
{ howev(809) still(633) remain(590) }
{ cost(1906) reduc(1198) effect(832) }
{ drug(1928) target(777) effect(648) }
{ decis(3086) make(1611) patient(1517) }
{ problem(2511) optim(1539) algorithm(950) }
{ method(1557) propos(1049) approach(1037) }
{ method(984) reconstruct(947) comput(926) }
{ use(1733) differ(960) four(931) }
{ can(774) often(719) complex(702) }
{ method(1219) similar(1157) match(930) }
{ network(2748) neural(1063) input(814) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ general(901) number(790) one(736) }
{ studi(1410) differ(1259) use(1210) }
{ research(1085) discuss(1038) issu(1018) }
{ model(2341) predict(2261) use(1141) }
{ blood(1257) pressur(1144) flow(957) }
{ age(1611) year(1155) adult(843) }
{ group(2977) signific(1463) compar(1072) }
{ time(1939) patient(1703) rate(768) }
{ structur(1116) can(940) graph(676) }
{ survey(1388) particip(1329) question(1065) }
{ activ(1452) weight(1219) physic(1104) }
{ method(2212) result(1239) propos(1039) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ framework(1458) process(801) describ(734) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

While adoption of electronic health record (EHR) systems has grown rapidly, little is known about physicians' perspectives on its adoption and use. Nationally representative survey data from 2011 are used to compare the perspectives of physicians who have adopted EHRs with those that have yet to do so across three key areas: the impact of EHRs on clinical care, practice efficiency and operations; barriers to EHR adoption; and factors that influence physicians to adopt EHRs. Despite significant differences in perspectives between adopters and non-adopters, the majority of physicians perceive that EHR use yields overall clinical benefits, more efficient practices and financial benefits. Purchase cost and productivity loss are the greatest barriers to EHR adoption among both adopters and non-adopters; although non-adopters have significantly higher rates of reporting these as barriers. Financial incentives and penalties, technical assistance, and the capability for electronic health information exchange are factors with the greatest influence on EHR adoption among all physicians. However, a substantially higher proportion of non-adopters regard various national health IT policies, and in particular, financial incentives or penalties as a major influence in their decision to adopt an EHR system. Contrasting these perspectives provides a window into how national policies have shaped adoption thus far; and how these policies may shape adoption in the near future.

Resumo Limpo

adopt electron health record ehr system grown rapid littl known physician perspect adopt use nation repres survey data use compar perspect physician adopt ehr yet across three key area impact ehr clinic care practic effici oper barrier ehr adopt factor influenc physician adopt ehr despit signific differ perspect adopt nonadopt major physician perceiv ehr use yield overal clinic benefit effici practic financi benefit purchas cost product loss greatest barrier ehr adopt among adopt nonadopt although nonadopt signific higher rate report barrier financi incent penalti technic assist capabl electron health inform exchang factor greatest influenc ehr adopt among physician howev substanti higher proport nonadopt regard various nation health polici particular financi incent penalti major influenc decis adopt ehr system contrast perspect provid window nation polici shape adopt thus far polici may shape adopt near futur

Resumos Similares

Perspect Health Inf Manag - EHR acceptance factors in ambulatory care: a survey of physician perceptions. ( 0,934049645863155 )
J Med Syst - Critical factors influencing hospitals' adoption of HL7 version 2 standards: an empirical investigation. ( 0,918315374642727 )
Comput Methods Programs Biomed - The relationship between usage intention and adoption of electronic health records at primary care clinics. ( 0,88600181027658 )
J. Med. Internet Res. - A comparison of physician pre-adoption and adoption views on electronic health records in Canadian medical practices. ( 0,868971401058561 )
J Am Med Inform Assoc - Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use? ( 0,866337247186336 )
J Am Med Inform Assoc - Behavioral health providers' beliefs about health information exchange: a statewide survey. ( 0,86340726669772 )
BMC Med Inform Decis Mak - General practitioners' attitudes and preparedness towards Clinical Decision Support in e-Prescribing (CDS-eP) adoption in the West of Ireland: a cross sectional study. ( 0,862624058920357 )
BMC Med Inform Decis Mak - Users' perspectives of key factors to implementing electronic health records in Canada: a Delphi study. ( 0,839317514259249 )
Appl Clin Inform - Physician beliefs about the impact of meaningful use of the EHR: a cross-sectional study. ( 0,834942890852344 )
J Am Med Inform Assoc - ICU nurses' acceptance of electronic health records. ( 0,83116256018321 )
Appl Clin Inform - Electronic Health Record Adoption - Maybe It's not about the Money: Physician Super-Users, Electronic Health Records and Patient Care. ( 0,830339022845462 )
J. Med. Internet Res. - Development of a health information technology acceptance model using consumers' health behavior intention. ( 0,813753146247419 )
Perspect Health Inf Manag - Hospital characteristics related to the intention to apply for meaningful use incentive payments. ( 0,808980878139404 )
J Am Med Inform Assoc - When does adoption of health information technology by physician practices lead to use by physicians within the practice? ( 0,808002086693275 )
J Am Med Inform Assoc - Exploring the sociotechnical intersection of patient safety and electronic health record implementation. ( 0,791774139811397 )
J Am Med Inform Assoc - Blue Button use by patients to access and share health record information using the Department of Veterans Affairs' online patient portal. ( 0,789742101686616 )
Appl Clin Inform - Drivers and barriers in health IT adoption: a proposed framework. ( 0,789665696694855 )
J Med Syst - Benefits and challenges of electronic health record system on stakeholders: a qualitative study of outpatient physicians. ( 0,788309179866071 )
Int J Med Inform - Rates, levels, and determinants of electronic health record system adoption: a study of hospitals in Riyadh, Saudi Arabia. ( 0,783280966204908 )
J Am Med Inform Assoc - Factors associated with difficult electronic health record implementation in office practice. ( 0,782019734211383 )
Appl Clin Inform - The impact of geography on hospital electronic health records implementation in alabama: implications for meaningful use. ( 0,763372547293853 )
Appl Clin Inform - Clinician perceptions of pediatric growth chart use and electronic health records in Kentucky. ( 0,75937156514164 )
J Am Med Inform Assoc - Phased implementation of electronic health records through an office of clinical transformation. ( 0,758680732009044 )
J Biomed Inform - Electronic health record acceptance by physicians: testing an integrated theoretical model. ( 0,749962874043984 )
BMC Med Inform Decis Mak - Healthcare professional acceptance of telemonitoring for chronic care patients in primary care. ( 0,746210164119218 )
J Am Med Inform Assoc - Health-information exchange: why are we doing it, and what are we doing? ( 0,746149772815188 )
Int J Med Inform - Understanding physicians' acceptance of the Medline system for practicing evidence-based medicine: a decomposed TPB model. ( 0,727674954523525 )
J Am Med Inform Assoc - Changes to the electronic health records market in light of health information technology certification and meaningful use. ( 0,726676224867372 )
J Am Med Inform Assoc - A typology of electronic health record workarounds in small-to-medium size primary care practices. ( 0,721787208956759 )
Methods Inf Med - Why the hell do we need electronic health records?. EHR acceptance among physicians in private practice in Austria: a qualitative study. ( 0,716757385079486 )
Perspect Health Inf Manag - Adoption and utilization of electronic health record systems by long-term care facilities in Texas. ( 0,716745711448782 )
Healthc (Amst) - A novel community-based delivery model to combat cancer disparities. ( 0,716545223968113 )
Perspect Health Inf Manag - Family physician perceptions of personal health records. ( 0,715401495826487 )
Inform Health Soc Care - Attitudes of health professionals towards electronic health records in primary health care settings: a questionnaire survey. ( 0,715063098963832 )
J Med Syst - Organization's quality maturity as a vehicle for EHR success. ( 0,714793448591652 )
J Med Syst - Usability evaluation of paper-based Hajji Health Record format. ( 0,713874706627341 )
Appl Clin Inform - Predictors of success for electronic health record implementation in small physician practices. ( 0,713552787077534 )
Perspect Health Inf Manag - Electronic health record adoption and use by Nebraska pharmacists. ( 0,713401215524512 )
Appl Clin Inform - Physician specialty and variations in adoption of electronic health records. ( 0,712120905595406 )
Appl Clin Inform - Capturing information needs of care providers to support knowledge sharing and distributed decision making. ( 0,711410012808323 )
Perspect Health Inf Manag - Use of health information technology by office-based physicians: comparison of two contemporaneous public-use physician surveys. ( 0,710516838189433 )
AMIA Annu Symp Proc - Assessing readiness for meeting meaningful use: identifying electronic health record functionality and measuring levels of adoption. ( 0,708193881031422 )
AMIA Annu Symp Proc - Leveraging standards to support patient-centric interdisciplinary plans of care. ( 0,70777572006499 )
Int J Med Inform - Comparison of the middle-aged and older users' adoption of mobile health services in China. ( 0,706073484816097 )
Int J Med Inform - Do integrated record systems lead to integrated services? An observational study of a multi-professional system in a diabetes service. ( 0,705463557514215 )
J Am Med Inform Assoc - Assessing the process of designing and implementing electronic health records in a statewide public health system: the case of Colima, Mexico. ( 0,702843466259959 )
BMC Med Inform Decis Mak - A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review. ( 0,702105858079316 )
J Am Med Inform Assoc - Electronic health record use and preventive counseling for US children and adolescents. ( 0,699786771021727 )
J Am Med Inform Assoc - Evaluating and classifying the readiness of technology specifications for national standardization. ( 0,699182618929456 )
Int J Med Inform - Adoption of electronic health records in Korean tertiary teaching and general hospitals. ( 0,698530234797109 )
J Am Med Inform Assoc - Implications of an emerging EHR monoculture for hospitals and healthcare systems. ( 0,696431836053831 )
Perspect Health Inf Manag - Health information technology: integration of clinical workflow into meaningful use of electronic health records. ( 0,695783843394788 )
AMIA Annu Symp Proc - An empirical study of opinion leader effects on mobile information technology adoption in healthcare. ( 0,694753562026618 )
Int J Med Inform - Physician experiences transitioning between an older versus newer electronic health record for electronic prescribing. ( 0,693056509178784 )
J Biomed Inform - Implementations of the HL7 Context-Aware Knowledge Retrieval (Infobutton) Standard: challenges, strengths, limitations, and uptake. ( 0,691129236172869 )
Healthc (Amst) - Electronic health records and technical assistance to improve quality of primary care: Lessons for regional extension centers. ( 0,69072616849331 )
Perspect Health Inf Manag - Leveraging the cloud for electronic health record access. ( 0,689547066567774 )
J Am Med Inform Assoc - Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care. ( 0,688783347360669 )
Health Info Libr J - Do quality improvement systems improve health library services? A systematic review. ( 0,688681164680087 )
J Am Med Inform Assoc - Sequencing of EHR adoption among US hospitals and the impact of meaningful use. ( 0,684920880275395 )
J Am Med Inform Assoc - Electronic health record functionality needed to better support primary care. ( 0,68236036164524 )
Healthc (Amst) - Health information exchange among U.S. hospitals: who's in, who's out, and why? ( 0,680299191280454 )
Appl Clin Inform - Lessons Learned from Implementation of Information and Communication Technologies in Spain's Healthcare Services: Issues and Opportunities. ( 0,67968291774702 )
Telemed J E Health - New technologies and nursing: use and perception of primary healthcare nurses about electronic health record in Catalonia, Spain. ( 0,67749845402586 )
J Biomed Inform - Translating standards into practice: experience and lessons learned at the Department of Veterans Affairs. ( 0,677426380861852 )
BMC Med Inform Decis Mak - Differentiating innovation priorities among stakeholder in hospital care. ( 0,677096391388899 )
Int J Med Inform - Physicians' potential use and preferences related to health information exchange. ( 0,675869893512791 )
J Am Med Inform Assoc - Organizational complements to electronic health records in ambulatory physician performance: the role of support staff. ( 0,675494478475736 )
J Med Syst - Health information technology adoption in U.S. acute care hospitals. ( 0,675442582275677 )
AMIA Annu Symp Proc - Initial Steps toward Validating and Measuring the Quality of Computerized Provider Documentation. ( 0,674933275105991 )
Int J Med Inform - Electronic health records implementation: an evaluation of information system impact and contingency factors. ( 0,674348735935742 )
J Am Med Inform Assoc - Data standards to support health information exchange between poison control centers and emergency departments. ( 0,671066237790489 )
Int J Med Inform - Modeling factors explaining the acceptance, actual use and satisfaction of nurses using an Electronic Patient Record in acute care settings: an extension of the UTAUT. ( 0,670860517363449 )
Int J Med Inform - Transitioning from a computerized provider order entry and paper documentation system to an electronic health record: expectations and experiences of hospital staff. ( 0,669813115053274 )
Telemed J E Health - Impact of information technology reliance and innovativeness on rural healthcare services: study of dindigul district in Tamilnadu, India. ( 0,666124744700291 )
J Am Med Inform Assoc - Consumer experience with and attitudes toward health information technology: a nationwide survey. ( 0,663362664124431 )
J Am Med Inform Assoc - Area-level factors associated with electronic health record adoption and meaningful use in the Regional Extension Center Program. ( 0,662883239496178 )
J Am Med Inform Assoc - Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. ( 0,661615704716105 )
J Am Med Inform Assoc - Re-examining health IT policy: what will it take to derive value from our investment? ( 0,661502814571224 )
J Am Med Inform Assoc - The long-term financial impact of electronic health record implementation. ( 0,660917574065444 )
AMIA Annu Symp Proc - Progress and challenge in meeting meaningful use at an integrated delivery network. ( 0,66065773806464 )
J Am Med Inform Assoc - Factors affecting home care patients' acceptance of a web-based interactive self-management technology. ( 0,657585934888363 )
J Biomed Inform - Implementing standards for the interoperability among healthcare providers in the public regionalized Healthcare Information System of the Lombardy Region. ( 0,655560688224537 )
J Med Syst - Threat modeling for electronic health record systems. ( 0,653748920768865 )
J Med Syst - Factors related to health information exchange participation and use. ( 0,652598848986651 )
Int J Med Inform - Contingency planning for electronic health record-based care continuity: a survey of recommended practices. ( 0,652514680491898 )
Int J Med Inform - EHR adoption across China's tertiary hospitals: a cross-sectional observational study. ( 0,65241137084879 )
Appl Clin Inform - The association between health information exchange and measures of patient satisfaction. ( 0,651799718145031 )
Perspect Health Inf Manag - Exploring patient satisfaction before and after electronic health record (EHR) implementation: the Kuwait experience. ( 0,650962869023012 )
J Am Med Inform Assoc - Barriers and facilitators to implementing electronic prescription: a systematic review of user groups' perceptions. ( 0,648145434046204 )
Int J Med Inform - Do hospital physicians' attitudes change during PACS implementation? A cross-sectional acceptance study. ( 0,646277228366321 )
Int J Med Inform - The implementation of electronic health records: a case study of bush computing the Ngaanyatjarra lands. ( 0,63956325940564 )
AMIA Annu Symp Proc - Implementing the IT infrastructure for health reform: adoption of health IT among patient-centered medical home practices. ( 0,638437388231146 )
BMC Med Inform Decis Mak - Use and satisfaction with key functions of a common commercial electronic health record: a survey of primary care providers. ( 0,634965997945486 )
Inform Health Soc Care - Nurses' use of an integrated electronic health record: results of a case site analysis. ( 0,633882784701318 )
BMC Med Inform Decis Mak - User acceptance of a picture archiving and communication system (PACS) in a Saudi Arabian hospital radiology department. ( 0,633851429272316 )
Int J Med Inform - Physicians' acceptance of electronic medical records exchange: an extension of the decomposed TPB model with institutional trust and perceived risk. ( 0,633068784127232 )
AMIA Annu Symp Proc - Adoption of clinical data exchange in community settings: a comparison of two approaches. ( 0,632885690872564 )
Int J Med Inform - Do service innovations influence the adoption of electronic health records in long-term care organizations? Results from the U.S. National Survey of Residential Care Facilities. ( 0,630340319365791 )
Methods Inf Med - SS-MIX: a ministry project to promote standardized healthcare information exchange. ( 0,629936853296984 )