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Computer-based patient records and changing physicians' practice patterns.

J G Anderson1

  • 1Department of Sociology and Anthropology, Purdue University, West Lafayette, IN.

Topics in Health Information Management
|July 7, 1994
PubMed
Summary
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Computer-based patient records (CPRs) offer significant advantages over paper records for managing clinical information and patient care. However, physician adoption remains a challenge, necessitating strategies to facilitate their development and implementation.

Area of Science:

  • Health Informatics
  • Medical Information Systems
  • Clinical Practice Management

Background:

  • Computer-based patient records (CPRs) have evolved over 25 years.
  • CPRs offer improvements in information management, clinical decision support, and care coordination compared to paper records.

Purpose of the Study:

  • To review research on the functions of CPRs.
  • To discuss barriers to physician acceptance and practice behavior change.
  • To review empirical studies on using opinion leaders for system adoption.
  • To outline strategies for facilitating CPR development and adoption.

Main Methods:

  • Literature review of research on CPR functions.
  • Analysis of studies on physician acceptance barriers.

Related Experiment Videos

  • Review of empirical studies employing physician opinion leaders.
  • Synthesis of strategies for CPR implementation.
  • Main Results:

    • CPRs enhance reporting, organization, and retrieval of clinical data.
    • CPRs provide valuable clinical decision support and care coordination capabilities.
    • Despite benefits, physician acceptance of CPRs is limited.
    • Physician opinion leaders can influence the adoption of medical information systems.

    Conclusions:

    • Facilitating CPR development and adoption requires addressing physician barriers.
    • Strategies involving opinion leaders show promise for increasing CPR use.
    • Further research and targeted interventions are needed to maximize CPR benefits.