Family Physicians Provide Feedback On Electronic Health Records In FPM'S User Satisfaction Survey

Abstract

NAPCRG's 2012 Annual Meeting took place in New Orleans, Louisiana the fi rst week of December and was a celebration of NAPCRG's 40th anniversary. The fi rst day's plenary session by T. R. Reid, American author, well-known reporter, documentary fi lmmaker, and commentator on National Public Radio's Morning Edition was both lighthearted and thought-provoking. Reid recounted his experiences obtaining health care in various industrialized nations in which he lived with his family while completing his book, The Healing of America and PBS documentary, Sick Around the World. Reid compared 4 different health care models used in industrialized nations, including: the Beveridge model, the Bismarck model, the National Health Insurance or Tommy Douglas model, and the out-of-pocket model. Designed by National Health Service creator Lord William Beveridge, the Beveridge model provides health care for all citizens and is fi nanced by the government through tax payments. This "socialized medicine" model is currently found in Great Britain, Spain, and New Zealand. The Bismarck model uses an insurance system and is usually fi nanced jointly by employers and employees through payroll deduction. Unlike with the US insurance industry, Bismarck-type health insurance plans do not make a profi t and must include all citizens. Doctors and hospitals tend to be private in Bismarck countries. This model is found in Germany, France, Belgium, the Netherlands, Japan, and Switzerland. The National Health Insurance model has elements of both the Beveridge and Bismarck models. It uses private-sector providers, but payment comes from a government-run insurance program that all citizens fund through a premium or tax. These universal insurance programs tend to be less expensive and have lower administrative costs than American-style for-profi t insurance plans. National Health Insurance plans also control costs by limiting the medical services they pay for and/or requiring patients wait to be treated. The classic National Health Insurance system can be found in Canada. The fi nal model, the out-of-pocket model, is what is

Meaningful Use of Electronic Health Records for Physician Collaboration: A Patient Centered Health Care Perspective

“…Physicians have experienced highly demanding educational and specialized training and are considered field experts. Findings from prior research suggest that physicians are reluctant to give a positive response to an implementation of an IS (information system) that interferes with their existing routines [32]. A key element in understanding physician use of EHRs is the critical role played by expertise and values in their work processes.…”

“…Costs are spiraling out of control, due in part to huge amounts of redundancy and waste [17,18,28]. Research has shown that the healthcare industry is plagued by rapidly increasing costs, poor quality of service, lack of integration of patient care, and lack of information accessible via EHR [14,19,32]. Medical errors arise because of process failures, ineffective communication and lack of information.…”

Physician Perception of the Role of the Patient Portal in Pediatric Health

“…While it has been established that physicians have struggled with EHR implementation and the use of the EHR with patient care, resulting in dissatisfaction (Weeks, Keeney, Evans, Moore, and Conrad, 2014;Porter, 2013;Meigs and Solomon, 2016), little is known regarding attitudes of physicians toward electronic portals, with almost no information gathered in the pediatric environment (Keplinger et al, 2013). Since physician perception of and attitude toward the portal plays a crucial role in patient adoption of the portal, it is important to measure these perceptions (Keplinger et al, 2013), and to identify potential concerns or reluctance to adopt the portal within clinical workflow.…”