Healthc (Amst) - Do family physicians electronic health records support meaningful use?

Tópicos

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Resumo

CKGROUND: Spurred by government incentives, the use of electronic health records (EHRs) in the United States has increased; however, whether these EHRs have the functionality necessary to meet meaningful use (MU) criteria remains unknown. Our objective was to characterize family physician access to MU functionality when using a MU-certified EHR.METHODS: Data were obtained from a convenience survey of family physicians accessing their American Board of Family Medicine online portfolio in 2011. A brief survey queried MU functionality. We used descriptive statistics to characterize the responses and bivariate statistics to test associations between MU and patient communication functions by presence of a MU-certified EHR.RESULTS: Out of 3855 respondents, 60% reported having an EHR that supports MU. Physicians with MU-certified EHRs were more likely than physicians without MU-certified EHRs to report patient registry activities (49.7% vs. 32.3%, p-value<0.01), tracking quality measures (74.1% vs. 56.4%, p-value<0.01), access to labs or consultation notes, and electronic prescribing; but electronic communication abilities were low regardless of EHR capabilities.CONCLUSIONS: Family physicians with MU-certified EHRs are more likely to report MU functionality; however, a sizeable minority does not report MU functions.IMPLICATIONS: Many family physicians with MU-certified EHRs may not successfully meet the successively stringent MU criteria and may face significant upgrade costs to do so.LEVEL OF EVIDENCE: Cross sectional survey.

Resumo Limpo

ckground spur govern incent use electron health record ehr unit state increas howev whether ehr function necessari meet meaning use mu criteria remain unknown object character famili physician access mu function use mucertifi ehrmethod data obtain conveni survey famili physician access american board famili medicin onlin portfolio brief survey queri mu function use descript statist character respons bivari statist test associ mu patient communic function presenc mucertifi ehrresult respond report ehr support mu physician mucertifi ehr like physician without mucertifi ehr report patient registri activ vs pvalu track qualiti measur vs pvalu access lab consult note electron prescrib electron communic abil low regardless ehr capabilitiesconclus famili physician mucertifi ehr like report mu function howev sizeabl minor report mu functionsimpl mani famili physician mucertifi ehr may success meet success stringent mu criteria may face signific upgrad cost solevel evid cross section survey

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