The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.
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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In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
Citations
Cites
Physicians’ Use Of Electronic Medical Records: Barriers And Solutions
Miller, R. H., & Sim, I. (2004) · Health Affairs · doi:10.1377/hlthaff.23.2.116 · Cited by 869
A cost-benefit analysis of electronic medical records in primary care
Wang, S. J., Middleton, B., Prosser, L. A., Bardon, C. G., Spurr, C. D., Carchidi, P. J., Kittler, A. F., Goldszer, R. C., Fairchild, D. G., Sussman, A. J., et al. (2003) · The American Journal of Medicine · doi:10.1016/s0002-9343(03)00057-3 · Cited by 740
Self-citationHofer, T. P. (1999) · JAMA · doi:10.1001/jama.281.22.2098 · Cited by 502
Position Paper: A Proposal for Electronic Medical Records in U.S. Primary Care
Bates, D., Ebell, M., Gotlieb, E., Zapp, J., & Mullins, H. C. (2003) · J. Am. Medical Informatics Assoc. · doi:10.1197/jamia.m1097 · Cited by 411
Self-citationPizziferri, L., Kittler, A. F., Volk, L. A., Honour, M. M., Gupta, S., Wang, S. J., Wang, T., Lippincott, M. F., Li, Q., & Bates, D. W. (2004) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2004.11.009 · Cited by 283
Self-citationMeasure, Learn, And Improve: Physicians’ Involvement In Quality Improvement
Audet, A.-M. J., Doty, M. M., Shamasdin, J., & Schoenbaum, S. C. (2005) · Health Affairs · doi:10.1377/hlthaff.24.3.843 · Cited by 219
Effects of computerized guidelines for managing heart disease in primary care
Tierney, W. M., Overhage, J. M., Murray, M. D., Harris, L. E., Zhou, X., Eckert, G. J., Smith, F. E., Nienaber, N. A., McDonald, C. J., & Wolinsky, F. D. (2003) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2003.30635.x · Cited by 195
Information technologies: when will they make it into physicians' black bags?
Audet, A., Doty, M. M., Peugh, J., Shamasdin, J., Zapert, K., & Schoenbaum, S. C. (2004) · PubMed · Cited by 151
Barriers to proliferation of electronic medical records
Valdes, I., Kibbe, D. C., Tolleson, G., Kunik, M., & Petersen, L. (2004) · Journal of Innovation in Health Informatics · doi:10.14236/jhi.v12i1.102 · Cited by 133
Bomba, D. (1998) · PubMed · Cited by 16
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The Development and Progress of Health Information Technology in Iran
Balaghafari, A., & Siamian, H. (2025) · Health Science Reports · doi:10.1002/hsr2.71106
Intelligent healthcare: Progress in healthcare informatics solutions
Eappen, P., Vajjhala, N. R., Philip, F., Almukhtar, Z., & Fasanmi, A. O. (2026) · AIP conference proceedings · doi:10.1063/5.0322417
Wilkinson, T. M. (2010) · Humana Press eBooks · doi:10.1007/978-1-60761-606-1_6
Metadata
- 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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