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Physicians And Ambulatory Electronic Health Records

Bates, David W.·2005·Health Affairs

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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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10.1016/j.jbi.2004.11.009 · DOI
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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
DOI: 10.1377/hlthaff.24.5.1180
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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