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Physicians’ Use Of Electronic Medical Records: Barriers And Solutions
Abstract
The electronic medical record (EMR) is an enabling technology that allows physician practices to pursue more powerful quality improvement programs than is possible with paper-based records. However, achieving quality improvement through EMR use is neither low-cost nor easy. Based on a qualitative study of physician practices that had implemented an EMR, we found that quality improvement depends heavily on physicians' use of the EMR-and not paper-for most of their daily tasks. We identified key barriers to physicians' use of EMRs. We then suggest policy interventions to overcome these barriers, including providing work/practice support systems, improving electronic clinical data exchange, and providing financial rewards for quality improvement.
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Cited by
Chaudhry, B., Wang, J., Wu, S., Maglione, M., Mojica, W., Roth, E., Morton, S. C., & Shekelle, P. G. (2006) · Annals of Internal Medicine · doi:10.7326/0003-4819-144-10-200605160-00125 · Cited by 3,159
Hillestad, R., Bigelow, J., Bower, A., Girosi, F., Meili, R., Scoville, R., & Taylor, R. (2005) · Health Affairs · doi:10.1377/hlthaff.24.5.1103 · Cited by 1,675
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Hashimoto, D. A., Rosman, G., Rus, D., & Meireles, O. R. (2018) · Annals of Surgery · doi:10.1097/sla.0000000000002693 · Cited by 1,468
Poissant, L. (2005) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1700 · Cited by 901
Boonstra, A., & Broekhuis, M. (2010) · BMC Health Services Research · doi:10.1186/1472-6963-10-231 · Cited by 851
Metadata
- Authors
- Miller, R. H., & Sim, I.
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2004-03
- Volume
- 23
- Issue
- 2
- Pages
- 116-126
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W2029966033
- Cited by
- 866
- References
- 0
- FWCI
- 85.26
- Type
- journal article
- Language
- en
- Open access
- closed
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
