J Am Med Inform Assoc - Factors associated with difficult electronic health record implementation in office practice.

Tópicos

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Resumo

Little is known about physicians' perception of the ease or difficulty of implementing electronic health records (EHR). This study identified factors related to the perceived difficulty of implementing EHR. 163 physicians completed surveys before and after the implementation of EHR in an externally funded pilot program in three Massachusetts communities. Ordinal hierarchical logistic regression was used to identify baseline factors that correlated with physicians' report of difficulty with EHR implementation. Compared with physicians with ownership stake in their practices, physician employees were less likely to describe EHR implementation as difficult (adjusted OR 0.5, 95% CI 0.3 to 1.0). Physicians who perceived their staff to be innovative were also less likely to view EHR implementation as difficult (adjusted OR 0.4, 95% CI 0.2 to 0.8). Physicians who own their practice may need more external support for EHR implementation than those who do not. Innovative clinical support staff may ease the EHR implementation process and contribute to its success.

Resumo Limpo

littl known physician percept eas difficulti implement electron health record ehr studi identifi factor relat perceiv difficulti implement ehr physician complet survey implement ehr extern fund pilot program three massachusett communiti ordin hierarch logist regress use identifi baselin factor correl physician report difficulti ehr implement compar physician ownership stake practic physician employe less like describ ehr implement difficult adjust ci physician perceiv staff innov also less like view ehr implement difficult adjust ci physician practic may need extern support ehr implement innov clinic support staff may eas ehr implement process contribut success

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