作者
Steven R Simon, Rainu Kaushal, Paul D Cleary, Chelsea A Jenter, Lynn A Volk, Eric G Poon, E John Orav, Helen G Lo, Deborah H Williams, David W Bates
发表日期
2007/1/1
期刊
Journal of the American Medical Informatics Association
卷号
14
期号
1
页码范围
110-117
出版商
BMJ Group
简介
Objective: Despite emerging evidence that electronic health records (EHRs) can improve the efficiency and quality of medical care, most physicians in office practice in the United States do not currently use an EHR. We sought to measure the correlates of EHR adoption.
Design: Mailed survey to a stratified random sample of all medical practices in Massachusetts in 2005, with one physician per practice randomly selected for survey.
Measurements: EHR adoption rates.
Results: The response rate was 71% (1345/1884). Overall, while 45% of physicians were using an EHR, EHRs were present in only 23% of practices. In multivariate analysis, practice size was strongly correlated with EHR adoption; 52% of practices with 7 or more physicians had an EHR, as compared with 14% of solo practices (adjusted odds ratio, 3.66; 95% confidence interval, 2.28–5.87). Hospital-based …
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