Clinical Benefits of Electronic Health Record Use: National Findings

Abstract

Physicians reported EHR use enhanced patient care overall. Clinical benefits were most likely to be reported by physicians using EHRs meeting Meaningful Use criteria and longer EHR experience.

Learning from Primary Care Meaningful Use Exemplars

“…To our knowledge it is the first study assessing the association between measured CQM performance and organizational factors related to EHR imple-mentation in a broad set of primary care practices. A recent national study suggesting that physicians using EHRs that meet MU criteria, particularly those with longer EHR experience, have improved clinical care was based on survey data, not clinical data, 33 as was an earlier study finding no association between EHR use and quality. 8 Other studies examining the associations between EHR use and quality have been limited to 1 primary care practice, 34 1 state, 9,35 and the use of administrative data to assess quality.…”

Understanding continuance intentions of physicians with electronic medical records (EMR): An expectancy-confirmation perspective

“…Negative impacts on physician adaptation of EMR systems were also uncovered, including the negative effects on productivity, as well as the mismatch between work practices and processes. King et al [30] studied the impact on physician's perceptions on clinical benefits and patient care in the context of using EMR systems with meaningful use standards. They found that physicians that used EMR systems that met the meaningful use standards and had a few years experience with them had clinical benefits [30].…”

Impact of Scribes on Physician Satisfaction, Patient Satisfaction, and Charting Efficiency: A Randomized Controlled Trial

“…3,4 Electronic health records hold promise to improve patient safety, quality of care, physician efficiency and performance, patient-physician communication, patient participation, cost of care, and health outcomes. [5][6][7][8][9] There is also growing evidence, however, that in their current state, EHRs are associated with decreased physician productivity and revenue, 10 negative patient-physician interactions and relationships, 11 and widespread physician dissatisfaction. [12][13][14] More than one-half of all US physicians experience burnout, with primary care physicians having one of the highest rates.…”