Perceptions of electronic health record implementation: a statewide survey of physicians in Rhode Island
Abstract
Objectives Although electronic health record use improves healthcare delivery, adoption into clinical practice is incomplete. We sought to identify the extent of adoption in Rhode Island and the characteristics of physicians and electronic health records associated with positive experience. Methods We performed a cross-sectional study of data collected by the Rhode Island Department of Health for the Health Information Technology Survey 2009 to 2013. Survey questions included provider and practice demographics, health record information, and Likert-type scaled questions regarding how electronic health record use affected clinical practice. Results The survey response rate ranged from 50% to 65%, with 62% in 2013. Increasing numbers of physicians in Rhode Island use an electronic health record. In 2013, 81% of physicians used one, and adoption varied by clinical subspecialty. Most providers think that electronic health record use improves billing and quality improvement but has not improved job satisfaction. Physicians with longer and more sophisticated electronic health record use report positive effects of introduction on all aspects of practice examined (P Conclusions We report the largest statewide study of electronic health record adoption to date. We found increasing physician use in Rhode Island, and the extent of adoption varies by subspecialty. Although older physicians are less likely to be positive about electronic health record adoption, longer and more sophisticat…
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Younger age is a characteristic of early adoption in the use of digital health tools.
“Several studies have suggested younger age as a characteristic of early adoption in the use of digital health tools.27,28”
From Clinician Adoption of an Artificial Intelligence Algorithm to Detect Left Ventricular Systolic Dysfunction in Primary Care. (2022) · cites this paper as [28]
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- Authors
- Wylie, M. C., Baier, R. R., & Gardner, R. L.
- Affiliations
- Brown University (US)
- Corresponding author
- Wylie, Matthew C.
- Venue
- The American Journal of Medicine
- Publisher
- Elsevier BV
- Published
- 2014-10
- Volume
- 127
- Issue
- 10
- Pages
- 1010.e21-1010.e27
- ISSN
- 0002-9343 (ISSN-L)
- OpenAlex
- W2089107105
- Cited by
- 35
- References
- 26
- Citations by year
- 2024: 2 · 2023: 3 · 2022: 4 · 2021: 3 · 2020: 5 · 2019: 2 · 2018: 9 · 2017: 3 · 2016: 2 · 2015: 2
- FWCI
- 4.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Rhode Island's Healthcare Quality Reporting Program
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
- Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Diagnosis and Documentation
- Keywords
- electronic health records, EHR adoption, physician perceptions, job satisfaction, clinical practice, health information technology, EHR vendors, physician age, Rhode Island, billing, quality improvement
- MeSH terms
- Age Factors, Attitude of Health Personnel, Cross-Sectional Studies, Health Plan Implementation, Humans, Job Satisfaction, Middle Aged, Patient Credit and Collection, Physicians, Quality of Health Care, Rhode Island, Specialization, Time Factors, United States, Health Care Surveys, American Recovery and Reinvestment Act, Workflow, Electronic Health Records
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