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J Gen Intern Med. 2009 Apr;24(4):464-8. doi: 10.1007/s11606-009-0906-z.

Trends in primary care clinician perceptions of a new electronic health record.

Author information

1
Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA 02120, USA.

Abstract

BACKGROUND:

Clinician perceptions of a newly implemented electronic health record play an important role in its success or failure.

OBJECTIVE:

To measure changes in primary care clinician attitudes toward an electronic health record during the first year following implementation.

DESIGN:

Longitudinal survey.

PARTICIPANTS:

86 primary care clinicians surveyed between December 2006 and January 2008.

MEASUREMENTS:

Perceived impact on overall quality of care, patient safety, communication, and efficiency at 1, 3, 6, and 12 months following implementation.

RESULTS:

Response rates for months 1, 3, 6, and 12 were 92%, 95%, 90%, and 82%, respectively. The proportion of clinicians agreeing that the EHR improved the overall quality of care (63% to 86%; p < 0.001), reduced medication-related errors (72% to 81%; p = 0.03), improved follow-up of test results (62% to 87%; p < 0.001), and improved communication among clinicians (72% to 93%; p < 0.001) increased from month 1 to month 12. During the same time period, a decreasing proportion of clinicians agreed that the EHR reduced the quality of patient interactions (49% to 33%; p = 0.001), resulted in longer patient visits (68% to 51%; p = 0.001), and increased time spent on medical documentation (78% to 68%; p = 0.006). Significant improvements in perceptions related to test result follow-up were first detected at 6 months, while those related to overall quality, efficiency, and communication were first identified at 12 months.

CONCLUSIONS:

Primary care clinicians report increasingly positive perceptions of a new electronic health record within 1 year of implementation across a spectrum of domains of care.

PMID:
19156468
PMCID:
PMC2659149
DOI:
10.1007/s11606-009-0906-z
[Indexed for MEDLINE]
Free PMC Article

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