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Electronic medical records in solo/small groups: a qualitative study of physician user types.
Stud Health Technol Inform. 2004; 107(Pt 1):658-62.SH

Abstract

BACKGROUND

There is growing recognition that physician use of electronic medical records (EMRs) is critical for improving quality of care in outpatient settings.

METHODS

We inter-viewed EMR physician champions from 20 solo/small group practices to understand different types of EMR users and their EMR-related costs and benefits.

RESULTS

Interviewees differed greatly in the EMR-related benefits they generated. These differences were associated with how they used the EMR, and the amount of effort they invested in making changes to complement EMR use. We defined five types of physician EMR users: Viewers, Basic Users, Strivers, Arrivers, and System Changers. The majority of interviewees were Strivers and Arrivers, physicians who have already invested substantial time in numerous process changes that help generate EMR-related benefits.

CONCLUSIONS

Incentives and comprehensive support services for facilitating complementary process changes could be important for moving physicians from one user group to another. Additional research is needed to verify this user typology and to further define the relationship between user types and EMR-generated financial and quality benefits.

Authors+Show Affiliations

Institute for Health and Aging, University of California-San Francisco, 3333 California Street, Suite 340, San Francisco, CA 94118, USA. millerr@itsa.ucsf.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15360895

Citation

Miller, Robert H., et al. "Electronic Medical Records in Solo/small Groups: a Qualitative Study of Physician User Types." Studies in Health Technology and Informatics, vol. 107, no. Pt 1, 2004, pp. 658-62.
Miller RH, Sim I, Newman J. Electronic medical records in solo/small groups: a qualitative study of physician user types. Stud Health Technol Inform. 2004;107(Pt 1):658-62.
Miller, R. H., Sim, I., & Newman, J. (2004). Electronic medical records in solo/small groups: a qualitative study of physician user types. Studies in Health Technology and Informatics, 107(Pt 1), 658-62.
Miller RH, Sim I, Newman J. Electronic Medical Records in Solo/small Groups: a Qualitative Study of Physician User Types. Stud Health Technol Inform. 2004;107(Pt 1):658-62. PubMed PMID: 15360895.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Electronic medical records in solo/small groups: a qualitative study of physician user types. AU - Miller,Robert H, AU - Sim,Ida, AU - Newman,Jeff, PY - 2004/9/14/pubmed PY - 2005/6/9/medline PY - 2004/9/14/entrez SP - 658 EP - 62 JF - Studies in health technology and informatics JO - Stud Health Technol Inform VL - 107 IS - Pt 1 N2 - BACKGROUND: There is growing recognition that physician use of electronic medical records (EMRs) is critical for improving quality of care in outpatient settings. METHODS: We inter-viewed EMR physician champions from 20 solo/small group practices to understand different types of EMR users and their EMR-related costs and benefits. RESULTS: Interviewees differed greatly in the EMR-related benefits they generated. These differences were associated with how they used the EMR, and the amount of effort they invested in making changes to complement EMR use. We defined five types of physician EMR users: Viewers, Basic Users, Strivers, Arrivers, and System Changers. The majority of interviewees were Strivers and Arrivers, physicians who have already invested substantial time in numerous process changes that help generate EMR-related benefits. CONCLUSIONS: Incentives and comprehensive support services for facilitating complementary process changes could be important for moving physicians from one user group to another. Additional research is needed to verify this user typology and to further define the relationship between user types and EMR-generated financial and quality benefits. SN - 0926-9630 UR - https://www.unboundmedicine.com/medline/citation/15360895/Electronic_medical_records_in_solo/small_groups:_a_qualitative_study_of_physician_user_types_ L2 - http://ebooks.iospress.nl/Extern/EnterMedLine.aspx?ISSN=0926-9630&Volume=107&SPage=658 DB - PRIME DP - Unbound Medicine ER -