J Am Med Inform Assoc - When does adoption of health information technology by physician practices lead to use by physicians within the practice?

Tópicos

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Resumo

JECTIVE: We sought to determine the extent to which adoption of health information technology (HIT) by physician practices may differ from the extent of use by individual physicians, and to examine factors associated with adoption and use.MATERIALS AND METHODS: Using cross-sectional survey data from the National Study of Small and Medium-Sized Physician Practices (July 2007-March 2009), we examined the extent to which organizational capabilities and external incentives were associated with the adoption of five key HIT functionalities by physician practices and with use of those functionalities by individual physicians.RESULTS: The rate of physician practices adopting any of the five HIT functionalities was 34.1%. When practices adopted HIT functionalities, on average, about one in seven physicians did not use those functionalities. One physician in five did not use prompts and reminders following adoption by their practice. After controlling for other factors, both adoption of HIT by practices and use of HIT by individual physicians were higher in primary care practices and larger practices. Practices reporting an emphasis on patient-centered management were not more likely than others to adopt, but their physicians were more likely to use HIT.DISCUSSION: Larger practices were most likely to have adopted HIT, but other factors, including specialty mix and self-reported patient-centered management, had a stronger influence on the use of HIT once adopted.CONCLUSIONS: Adoption of HIT by practices does not mean that physicians will use the HIT.

Resumo Limpo

jectiv sought determin extent adopt health inform technolog hit physician practic may differ extent use individu physician examin factor associ adopt usemateri method use crosssect survey data nation studi small mediums physician practic juli march examin extent organiz capabl extern incent associ adopt five key hit function physician practic use function individu physiciansresult rate physician practic adopt five hit function practic adopt hit function averag one seven physician use function one physician five use prompt remind follow adopt practic control factor adopt hit practic use hit individu physician higher primari care practic larger practic practic report emphasi patientcent manag like other adopt physician like use hitdiscuss larger practic like adopt hit factor includ specialti mix selfreport patientcent manag stronger influenc use hit adoptedconclus adopt hit practic mean physician will use hit

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