Implementing electronic health records (EHRs): health care provider perceptions before and after transition from a local basic EHR to a commercial comprehensive EHR

被引:26
作者
Krousel-Wood, Marie [1 ,2 ,3 ]
McCoy, Allison B. [1 ,4 ]
Ahia, Chad [1 ,6 ]
Holt, Elizabeth W. [5 ]
Trapani, Donnalee N. [1 ]
Luo, Qingyang [1 ]
Price-Haywood, Eboni G. [1 ,6 ]
Thomas, Eric J. [7 ,8 ]
Sittig, Dean F. [8 ,9 ]
Milani, Richard V. [6 ,10 ]
机构
[1] Ochsner Clin Fdn, Ctr Appl Hlth Serv Res, New Orleans, LA USA
[2] Tulane Univ, Sch Med, Dept Med, New Orleans, LA 70112 USA
[3] Tulane Univ, Sch Publ Hlth & Trop Med, Dept Epidemiol, New Orleans, LA USA
[4] Tulane Univ, Sch Publ Hlth & Trop Med, Dept Global Biostat & Data Sci, New Orleans, LA USA
[5] Furman Univ, Dept Hlth Sci, Greenville, SC 29613 USA
[6] Univ Queensland, Sch Med, Ochsner Clin Sch, New Orleans, LA USA
[7] Univ Texas Hlth Sci Ctr Houston, McGovern Med Sch, Dept Internal Med, Houston, TX 77030 USA
[8] Univ Texas Houston, Univ Texas Hlth Sci Ctr Houston, Mem Hermann Ctr Healthcare Qual & Safety, McGovern Med Sch, Houston, TX USA
[9] Univ Texas Houston, Sch Biomed Informat Houston, Houston, TX USA
[10] Ochsner Hlth Syst, Dept Med, Cardiol Sect, New Orleans, LA USA
关键词
electronic health records; healthcare providers; comprehensive EHR; satisfaction; survey; INFORMATION-TECHNOLOGY; NONRESPONSE BIAS; STATEWIDE-SURVEY; AMBULATORY-CARE; MEDICAL-RECORDS; MEANINGFUL USE; RESPONSE BIAS; PHYSICIANS; QUALITY; SATISFACTION;
D O I
10.1093/jamia/ocx094
中图分类号
TP [自动化技术、计算机技术];
学科分类号
0812 ;
摘要
Objective: We assessed changes in the percentage of providers with positive perceptions of electronic health record (EHR) benefit before and after transition from a local basic to a commercial comprehensive EHR. Methods: Changes in the percentage of providers with positive perceptions of EHR benefit were captured via a survey of academic health care providers before (baseline) and at 6-12 months (short term) and 12-24 months (long term) after the transition. We analyzed 32 items for the overall group and by practice setting, provider age, and specialty using separate multivariable-adjusted random effects logistic regression models. Results: A total of 223 providers completed all 3 surveys (30% response rate): 85.6% had outpatient practices, 56.5% were >45 years old, and 23.8% were primary care providers. The percentage of providers with positive perceptions significantly increased from baseline to long-term follow-up for patient communication, hospital transitions - access to clinical information, preventive care delivery, preventive care prompt, preventive lab prompt, satisfaction with system reliability, and sharing medical information (P<.05 for each). The percentage of providers with positive perceptions significantly decreased over time for overall satisfaction, productivity, better patient care, clinical decision quality, easy access to patient information, monitoring patients, more time for patients, coordination of care, computer access, adequate resources, and satisfaction with ease of use (P<0.05 for each). Results varied by subgroup. Conclusion: After a transition to a commercial comprehensive EHR, items with significant increases and significant decreases in the percentage of providers with positive perceptions of EHR benefit were identified, overall and by subgroup.
引用
收藏
页码:618 / 626
页数:9
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