Meaningful use care coordination criteria: Perceived barriers and benefits among primary care providers

被引:17
作者
Cohen, Genna R. [1 ]
Adler-Milstein, Julia [1 ,2 ]
机构
[1] Univ Michigan, Sch Publ Hlth Hlth Management & Policy, 1415 Washington Hts,M3025 SPH 2, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Sch Informat, Ann Arbor, MI 48109 USA
基金
美国医疗保健研究与质量局;
关键词
meaningful use; electronic health records; care coordination; primary care; health information exchange; HEALTH INFORMATION EXCHANGE; MEDICARE; JOURNEY;
D O I
10.1093/jamia/ocv147
中图分类号
TP [自动化技术、计算机技术];
学科分类号
0812 ;
摘要
Methods A stratified random sample of primary care practices in Michigan (n = 328) that had already met Stage 1 meaningful use criteria was surveyed, in order to identify the anticipated barriers to meeting these criteria as well as the expected impact on patient care coordination from doing so. Results The top three barriers, as identified by > 65% of the primary care providers surveyed, were difficulty sending and receiving patient information electronically, a lack of provider and practice staff time, and the complex workflow changes required. Despite these barriers, primary care providers expressed strong agreement that meeting the proposed Stage 3 care coordination criteria would improve their patients' treatment and ensure they know about their patients' visits to other providers. Conclusion The survey results suggest the need to enhance policy approaches and organizational strategies to address the key barriers identified by providers and practices in order to realize important care coordination benefits.
引用
收藏
页码:E146 / E151
页数:6
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