Imminent adopters of electronic health records in ambulatory care

Background Health information technology (HIT) has the potential to improve clinical outcomes, increase health provider productivity and reduce healthcare costs. Over half of all patient care is delivered in physician practice organisations, yet adoption and utilisation of HIT in these groups lags behind inpatient facilities. Objective To better understand current utilisation rates along with benefits and barriers to HIT adoption in physician practice organisations. Methods Published literature on the adoption and use of HIT in physician practice organisations within the USA between 12 January 2004 and 12 January 2009 and indexed in MEDLINE and EMBASE was included in the systematic review. Grey literature was also searched. Studies related to the adoption and use of HIT in hospitals and community health centres were excluded. Results A total of 119 articles were eligible for inclusion in the review. Adoption rates across physician groups remain low, with between 9% and 29%

Section: Comparison With the Literaturesupporting

confidence: 88%

Adoption and use of health information technology in physician practice organisations: systematic review

Foster¹,

Wong²

2010

“…Kaushal et al administered a survey to populations of physicians to compare characteristics of those who use EHRs, those who do not, and those who plan to adopt EHRs within 12 months ('imminent adopters'). 22 They found imminent adopters were more experienced in the use of technology, a construct similar to finesse. Other investigators have used an a priori framework to assess physicians' expectations, demands, acceptability, experience and knowledge of computer-based consultation systems.…”

Section: Comparison With the Literaturementioning

confidence: 99%

“…[11][12][13][14][15][16][17][18] A few studies investigate attitudes toward EHR adoption in inpatient 19 and academic ambulatory care settings. 20 Some have investigated adoption readiness using statewide survey samples of medical practices, [21][22][23][24] others have assessed physicians' perceptions of quality of care. 25 We know of no reports describing the attitudes and behaviours that predict EHR adoption, specifically e-prescribing adoption, in the primary care setting of an independent medical group.…”

Section: Introductionmentioning

confidence: 99%

Assessing attitudes toward electronic prescribing adoption in primary care: a survey of prescribers and staff

Devine¹,

Patel²,

Dixon³

et al. 2010

Background Using survey instruments to assess physicians' attitudes toward electronic health record (EHR) adoption has been an ongoing area of research. No instrument has emerged for widespread use. Objective We used a theoretically-based, 37-question survey instrument to assess attitudes toward electronic (e-) prescribing adoption in the context of an existing EHR. Our objective was to elicit information to inform strategies to maximise adoption. Methods The instrument assesses attitudes in four domains: finesse, intent to use technology, perceived usefulness and perceived ease of use. Two additional questions ask about computer use at home and self-assessed computer knowledge. We administered the instrument to prescribers and staff at three primary care sites between 2005 and 2007. Each site represented a unique transition from paper-based or partial (Phase 1) to full (Phase 2) e-prescribing use.

“…To accomplish this, the ambulatory care side of the process may need to become proactive by implementing systems for obtaining the information they require. With the expansion of EMR implementations in ambulatory care, 23,[30][31][32] it is possible to assemble the components required to support more rapid and complete flow of information during discharges of patients. Like the medical group in which this intervention was implemented, many provider groups with EMRs already use interface engines to allow direct receipt of ADT and ORU messages and are using these in some applications.…”

Section: Discussionmentioning

confidence: 99%

Technological resources and personnel costs required to implement an automated alert system for ambulatory physicians when patients are discharged from hospitals to home

Garber

Gagne²,

Tjia

et al. 2013

Background With the adoption of electronic medical records by medical group practices, there are opportunities to improve the quality of care for patients discharged from hospitals. However, there is little guidance for medical groups outside integrated hospital systems to automate the flow of patient information during transitions in care. Objective To describe the technological resources, expertise and time needed to develop an automated system providing information to ambulatory