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. 2011 Nov 9;2(4):460-71.
doi: 10.4338/ACI-2011-05-RA-0033. Print 2011.

Electronic Health Record Adoption - Maybe It's not about the Money: Physician Super-Users, Electronic Health Records and Patient Care

L Grabenbauer  1 , A Skinner, J Windle
Affiliations

Electronic Health Record Adoption - Maybe It's not about the Money: Physician Super-Users, Electronic Health Records and Patient Care

L Grabenbauer et al. Appl Clin Inform. .

Abstract

Objective: The slow adoption of electronic health record (EHR) systems has been linked to physician resistance to change and the expense of EHR adoption. This qualitative study was conducted to evaluate benefits, and clarify limitations of two mature, robust, comprehensive EHR Systems by tech-savvy physicians where resistance and expense are not at issue.

Methods: Two EHR systems were examined - the paperless VistA / Computerized Patient Record System used at the Veterans' Administration, and the General Electric Centricity Enterprise system used at an academic medical center. A series of interviews was conducted with 20 EHR-savvy multiinstitutional internal medicine (IM) faculty and house staff. Grounded theory was used to analyze the transcribed data and build themes. The relevance and importance of themes were constructed by examining their frequency, convergence, and intensity.

Results: Despite eliminating resistance to both adoption and technology as drivers of acceptance, these two robust EHR's are still viewed as having an adverse impact on two aspects of patient care, physician workflow and team communication. Both EHR's had perceived strengths but also significant limitations and neither were able to satisfactorily address all of the physicians' needs.

Conclusion: Difficulties related to physician acceptance reflect real concerns about EHR impact on patient care. Physicians are optimistic about the future benefits of EHR systems, but are frustrated with the non-intuitive interfaces and cumbersome data searches of existing EHRs.

Keywords: Adoption; electronic health record.

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Figures

Fig. 1
Fig. 1
Drivers for EHR system adoption and usage
See this image and copyright information in PMC

References

    1. The White House – Press Office – Remarks of President Barack Obama – Address to Joint Session of Congress [Internet]. Washington: The White House; [updated 2009 Feb 24; cited 2011 Jul 11]. Available fromhttp://www.whitehouse.gov/the_press_office/Remarks-of-President-Barack-O...
    1. Executive Order 13410: Promoting Quality and Efficient Health Care in Federal Government Administered or Sponsored Health Care Programs [Internet]. Washington: Federal Register; [updated 2006 Aug 26; cited 2011 Jul 11]. Available fromhttp://edocket.access.gpo.gov/2006/pdf/06–7220.pdf
    1. Koshy R.Navigating the information technology highway: computer solutions to reduce errors and enhance patient safety. Transfusion 2005; 45(4 Suppl): 189S-205S - PubMed
    1. Safety,Committee on Data Standards for Patient Patient Safety: Achieving a new standard for care. 1st ed.: National Academies Press; 2004. - PubMed
    1. National Academy of Sciences Key capabilities of an electronic health record. 2003. - PubMed