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If electronic medical records are so great, why aren't family physicians using them?
J Fam Pract. 2002 Jul; 51(7):636-41.JF

Abstract

OBJECTIVE

The chasm theory of marketing states that fundamental differences exist between early adopters of technology and the mainstream marketplace, making it difficult for technology to transition to the mainstream market. We investigated possible differences in attitudes and beliefs about electronic medical records (EMRs) between current EMR users (early market) and nonusers (mainstream market).

STUDY DESIGN

Cross-sectional mail survey.

POPULATION

Active members in the Indiana Academy of Family Physicians 2000-2001 membership database (N = 1328).

OUTCOMES MEASURED

Differences in attitudes, beliefs, and demographic characteristics of EMR users and nonusers.

RESULTS

The overall return rate was 51.7%; 14.4% of respondents currently use an EMR. Electronic medical record users were more likely to practice in urban areas or to be hospital-based and reported seeing fewer patients. Nonusers were less likely to believe that (1) physicians should computerize their medical records; (2) current EMRs are a useful tool for physicians; (3) EMRs improve quality of medical records and decrease errors; and (4) it is easy to enter data into current EMRs. Nonusers were more likely to believe that paper records are more secure and more confidential than EMRs. Both users and nonusers believed that current EMRs are too expensive.

CONCLUSIONS

A chasm exists between EMR users and nonusers regarding issues that affect EMR implementation, including necessity, usefulness, data entry, cost, security and confidentiality. To reach full implementation of EMRs in family medicine, organizations should use these data to target their research, education, and marketing efforts.

Authors+Show Affiliations

St. Francis Family Practice Residency Program, Beech Grove, IN 46107, USA. gloomis@iquest.netNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

12160503

Citation

Loomis, Glenn A., et al. "If Electronic Medical Records Are so Great, Why Aren't Family Physicians Using Them?" The Journal of Family Practice, vol. 51, no. 7, 2002, pp. 636-41.
Loomis GA, Ries JS, Saywell RM, et al. If electronic medical records are so great, why aren't family physicians using them? J Fam Pract. 2002;51(7):636-41.
Loomis, G. A., Ries, J. S., Saywell, R. M., & Thakker, N. R. (2002). If electronic medical records are so great, why aren't family physicians using them? The Journal of Family Practice, 51(7), 636-41.
Loomis GA, et al. If Electronic Medical Records Are so Great, Why Aren't Family Physicians Using Them. J Fam Pract. 2002;51(7):636-41. PubMed PMID: 12160503.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - If electronic medical records are so great, why aren't family physicians using them? AU - Loomis,Glenn A, AU - Ries,J Scott, AU - Saywell,Robert M,Jr AU - Thakker,Nitesh R, PY - 2002/8/6/pubmed PY - 2002/8/22/medline PY - 2002/8/6/entrez SP - 636 EP - 41 JF - The Journal of family practice JO - J Fam Pract VL - 51 IS - 7 N2 - OBJECTIVE: The chasm theory of marketing states that fundamental differences exist between early adopters of technology and the mainstream marketplace, making it difficult for technology to transition to the mainstream market. We investigated possible differences in attitudes and beliefs about electronic medical records (EMRs) between current EMR users (early market) and nonusers (mainstream market). STUDY DESIGN: Cross-sectional mail survey. POPULATION: Active members in the Indiana Academy of Family Physicians 2000-2001 membership database (N = 1328). OUTCOMES MEASURED: Differences in attitudes, beliefs, and demographic characteristics of EMR users and nonusers. RESULTS: The overall return rate was 51.7%; 14.4% of respondents currently use an EMR. Electronic medical record users were more likely to practice in urban areas or to be hospital-based and reported seeing fewer patients. Nonusers were less likely to believe that (1) physicians should computerize their medical records; (2) current EMRs are a useful tool for physicians; (3) EMRs improve quality of medical records and decrease errors; and (4) it is easy to enter data into current EMRs. Nonusers were more likely to believe that paper records are more secure and more confidential than EMRs. Both users and nonusers believed that current EMRs are too expensive. CONCLUSIONS: A chasm exists between EMR users and nonusers regarding issues that affect EMR implementation, including necessity, usefulness, data entry, cost, security and confidentiality. To reach full implementation of EMRs in family medicine, organizations should use these data to target their research, education, and marketing efforts. SN - 0094-3509 UR - https://www.unboundmedicine.com/medline/citation/12160503/If_electronic_medical_records_are_so_great_why_aren't_family_physicians_using_them L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=12160503.ui DB - PRIME DP - Unbound Medicine ER -