Physicians' Use of Key Functions in Electronic Health Records from 2005 to 2007: A Statewide Survey
Open accessAbstract
OBJECTIVE Electronic health records (EHRs) have potential to improve quality and safety, but many physicians do not use these systems to full capacity. The objective of this study was to determine whether this usage gap is narrowing over time. DESIGN Follow-up mail survey of 1,144 physicians in Massachusetts who completed a 2005 survey. MEASUREMENTS Adoption of EHRs and availability and use of 10 EHR functions. RESULTS The response rate was 79.4%. In 2007, 35% of practices had EHRs, up from 23% in 2005. Among practices with EHRs, there was little change between 2005 and 2007 in the availability of nine of ten EHR features; the notable exception was electronic prescribing, reported as available in 44.7% of practices with EHRs in 2005 and 70.8% in 2007. Use of EHR functions changed inconsequentially, with more than one out of five physicians not using each available function regularly in both 2005 and 2007. Only electronic prescribing increased substantially: in 2005, 19.9% of physicians with this function available used it most or all the time, compared with 42.6% in 2007 (p < 0.001). CONCLUSIONS By 2007, more than one third of practices in Massachusetts reported having EHRs; the availability and use of electronic prescribing within these systems has increased. In contrast, physicians reported little change in the availability and use of other EHR functions. System refinements, certification efforts, and health policies, including standards development, should address the gaps in both EHR adoption and the use of key functions.
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Prior work suggests that uptake of key system functionality has been highly variable among adopters of electronic health records.
“though prior work suggests that uptake of such functionality has been highly variable among adopters of electronic health records.7”
From Overrides of medication-related clinical decision support alerts in outpatients (2014) · cites this paper as [7]
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- Authors
- Simon, S. R., Soran, C. S., Kaushal, R., Jenter, C. A., Volk, L. A., Burdick, E., Cleary, P. D., Orav, E. J., Poon, E. G., & Bates, D. W.
- Affiliations
- Harvard University (US)
- Weill Cornell Medicine (US)
- Brigham and Women's Hospital (US)
- Yale University (US)
- Corresponding author
- Simon, S. R.
- Venue
- Journal of the American Medical Informatics Association
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-07-01
- Volume
- 16
- Issue
- 4
- Pages
- 465-470
- ISSN
- 1067-5027 (ISSN-L)
- 1527-974X
- PMC
- PMC2705248
- OpenAlex
- W2153818693
- Cited by
- 61
- References
- 19
- Citations by year
- 2025: 1 · 2022: 1 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 3 · 2016: 3 · 2015: 3 · 2014: 8 · 2013: 5 · 2012: 11
- FWCI
- 23.22
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of the American Medical Informatics Association (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Agency for Healthcare Research and Quality (UC1 HS015397)
- 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, electronic prescribing, Massachusetts physicians
- MeSH terms
- Adult, Ambulatory Care, Diffusion of Innovation, Female, Follow-Up Studies, Humans, Male, Massachusetts, Middle Aged, Practice Patterns, Physicians', Surveys and Questionnaires, Medical Records Systems, Computerized, Health Care Surveys
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