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Barriers to EMR adoption in internal medicine and pediatric outpatient practices.
Tenn Med. 2004 Oct; 97(10):457-60.TM

Abstract

BACKGROUND

Although electronic medical records (EMRs) are widely regarded as valuable tools in patient care, physicians in outpatient practices have been slow to adopt them. We sought to determine the current use of EMRs in area practices and identify physician attitudes related to their adoption.

METHODS

Fax and mail survey of randomly selected physician representatives of all outpatient practices of Internal Medicine (n=51) and Pediatrics (n=24) in Shelby County, Tenn. Scores on eight physician attitudes regarding barriers to EMR adoption were obtained using a Likert scale.

RESULTS

Survey response rate was 55%, with 18% reporting current EMR use. This corresponds to an EMR penetration of 20% for Shelby County. Current users were significantly less likely (P=0.005) than non-users to feel that an EMR interferes with doctor-patient interaction and less likely (P=0.019) to have EMR privacy concerns. While differences noted in other attitudes did not reach statistical significance, a trend was seen toward EMR users being less concerned (P=.0502) about reliability of an EMR. Large practices were no more likely than smaller ones to be using an EMR. Internal Medicine and Pediatric participants responded similarly to all items. The number of years in practice had no demonstrable impact on physician responses to these survey items.

CONCLUSIONS

In this West Tennessee physician population, EMR user and non-user attitudes markedly differed about impact on doctor-patient interaction and patient privacy. If such concerns could be addressed to the satisfaction of physicians considering EMRs in their practice, adoption rates might be increased.

Authors+Show Affiliations

Division of General Internal Medicine, University of Tennessee Health Science Center, Memphis 38105, USA.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15536973

Citation

Russell, Scott C., and S Andrew Spooner. "Barriers to EMR Adoption in Internal Medicine and Pediatric Outpatient Practices." Tennessee Medicine : Journal of the Tennessee Medical Association, vol. 97, no. 10, 2004, pp. 457-60.
Russell SC, Spooner SA. Barriers to EMR adoption in internal medicine and pediatric outpatient practices. Tenn Med. 2004;97(10):457-60.
Russell, S. C., & Spooner, S. A. (2004). Barriers to EMR adoption in internal medicine and pediatric outpatient practices. Tennessee Medicine : Journal of the Tennessee Medical Association, 97(10), 457-60.
Russell SC, Spooner SA. Barriers to EMR Adoption in Internal Medicine and Pediatric Outpatient Practices. Tenn Med. 2004;97(10):457-60. PubMed PMID: 15536973.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Barriers to EMR adoption in internal medicine and pediatric outpatient practices. AU - Russell,Scott C, AU - Spooner,S Andrew, PY - 2004/11/13/pubmed PY - 2004/12/29/medline PY - 2004/11/13/entrez SP - 457 EP - 60 JF - Tennessee medicine : journal of the Tennessee Medical Association JO - Tenn Med VL - 97 IS - 10 N2 - BACKGROUND: Although electronic medical records (EMRs) are widely regarded as valuable tools in patient care, physicians in outpatient practices have been slow to adopt them. We sought to determine the current use of EMRs in area practices and identify physician attitudes related to their adoption. METHODS: Fax and mail survey of randomly selected physician representatives of all outpatient practices of Internal Medicine (n=51) and Pediatrics (n=24) in Shelby County, Tenn. Scores on eight physician attitudes regarding barriers to EMR adoption were obtained using a Likert scale. RESULTS: Survey response rate was 55%, with 18% reporting current EMR use. This corresponds to an EMR penetration of 20% for Shelby County. Current users were significantly less likely (P=0.005) than non-users to feel that an EMR interferes with doctor-patient interaction and less likely (P=0.019) to have EMR privacy concerns. While differences noted in other attitudes did not reach statistical significance, a trend was seen toward EMR users being less concerned (P=.0502) about reliability of an EMR. Large practices were no more likely than smaller ones to be using an EMR. Internal Medicine and Pediatric participants responded similarly to all items. The number of years in practice had no demonstrable impact on physician responses to these survey items. CONCLUSIONS: In this West Tennessee physician population, EMR user and non-user attitudes markedly differed about impact on doctor-patient interaction and patient privacy. If such concerns could be addressed to the satisfaction of physicians considering EMRs in their practice, adoption rates might be increased. SN - 1088-6222 UR - https://www.unboundmedicine.com/medline/citation/15536973/Barriers_to_EMR_adoption_in_internal_medicine_and_pediatric_outpatient_practices_ L2 - https://medlineplus.gov/childrenshealth.html DB - PRIME DP - Unbound Medicine ER -