Physicians And Ambulatory Electronic Health Records
Abstract
Few U.S. physicians use outpatient electronic health records (EHRs), although it appears that most would like to begin. The main barriers are not technical, because adoption rates in other countries are high. The biggest barrier is reimbursement, because physicians must pay for EHRs, but most of the benefits accrue to payers and purchasers. The lack of interoperability is also pivotal. Others include capital and risk tolerance; physicians' resistance related to time concerns, fears about privacy, system maintenance, the number of vendors in the marketplace, and the transience of vendors. The key initial policy changes will be those addressing financial incentives and interoperability.
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Many medical practices underperform due to financial constraints in system maintenance.
“Due to financial constraints, system maintenance represents a vulnerable spot for the entire effort of eHealth and many practices underperform [130].”
From Health Care Provider Adoption of eHealth: Systematic Literature Review (2013) · cites this paper as [130]
Even if physicians started to use an EHR system, they might still be unable to seamlessly share some other patient information for clinical decisions.
“Even if physicians started to use an EHR system, they might still be unable to seamlessly share some other patient information (such as laboratory and radiology results stored in Laboratory Information Systems, LIS, and Picture Archiving and Communication Systems, PACS) for clinical decisions [130].”
From Health Care Provider Adoption of eHealth: Systematic Literature Review (2013) · cites this paper as [130]
Due to financial constraints, system maintenance represents a vulnerable spot for the entire effort of eHealth.
“Due to financial constraints, system maintenance represents a vulnerable spot for the entire effort of eHealth and many practices underperform [130].”
From Health Care Provider Adoption of eHealth: Systematic Literature Review (2013) · cites this paper as [130]
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- Authors
- Bates, D. W.
- Affiliations
- Brigham and Women's Hospital (US)
- Corresponding author
- Bates, David W.
- ORCID
- Bates, David W.
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2005-09
- Volume
- 24
- Issue
- 5
- Pages
- 1180-1189
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W2074633442
- Cited by
- 204
- References
- 11
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 4 · 2023: 3 · 2022: 4 · 2020: 4 · 2019: 5 · 2018: 2 · 2017: 1 · 2016: 7 · 2015: 10 · 2014: 12 · 2013: 19 · 2012: 24
- FWCI
- 31.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Keywords
- electronic health records, outpatient care, reimbursement, interoperability, financial incentives, health policy, physician resistance, privacy concerns, EHR vendors
- MeSH terms
- Ambulatory Care, Attitude of Health Personnel, Diffusion of Innovation, Humans, Physicians, United States, Medical Records Systems, Computerized
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