PubMed · 2016 · 63 citations · 31 references
ComputingBiomedical InformaticsHealth InformaticsClinical Information SystemsElectronic Health RecordsHealth Information SystemsElectronic Health Record IntegrationHealthcare Information Systems ManagementImplementation ConsiderationsEhr AdoptionEhr System ImplementationElectronic Health Record UseElectronic Medical RecordsHealth Information System AdoptionHealth Technology AdoptionMultiple-case Study Design
Electronic health record (EHR) adoption among office-based physician practices in the United States has increased significantly in the past decade. However, the challenges of using EHRs have resulted in growing dissatisfaction with the systems among many of these physicians. The purpose of this qualitative multiple-case study was to increase understanding of physician perceptions regarding the value of using EHR technology. Important findings included the belief among physicians that EHR systems need to be more user-friendly and adaptable to individual clinic workflow preferences, physician beliefs that lack of interoperability among EHRs is a major barrier to meaningful use of the systems, and physician beliefs that EHR use does not improve the quality of care provided to patients. These findings suggest that although government initiatives to encourage EHR adoption among office-based physician practices have produced positive results, additional support may be required in the future to maintain this momentum.
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