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Related Experiment Videos

Information technologies: when will they make it into physicians' black bags?

Anne-Marie Audet1, Michelle M Doty, Jordon Peugh

  • 1The Commonwealth Fund, New York, NY, USA.

Medgenmed : Medscape General Medicine
|March 19, 2005
PubMed
Summary

Physician adoption of health information technology (IT) like electronic medical records (EMRs) is slow, with cost being a major barrier. Uneven adoption creates a digital divide, highlighting the need for accessible and affordable IT solutions.

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Area of Science:

  • Health Informatics
  • Medical Practice Management
  • Health Information Technology Adoption

Background:

  • Physician adoption of health information technology (IT) in the U.S. lags despite documented clinical benefits.
  • Limited understanding exists regarding IT utilization by individual physicians compared to institutional settings.

Purpose of the Study:

  • Investigate current use, future plans, and barriers to adopting electronic medical records (EMRs).
  • Examine adoption of computerized prescribing, clinical decision support systems, and electronic communication (physician-patient).

Main Methods:

  • A national random sample of 1837 practicing physicians completed self-administered mail surveys.
  • Response rate was 52.8%, with data collected between March and May 2003.

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Main Results:

  • Billing is the most common IT use; computerized lab results access is most prevalent for clinical management (59%).
  • Routine EMR use (27%), electronic prescribing (27%), and electronic prescribing alerts (12%) are less common.
  • Physicians in large groups (50+) are significantly more likely to use IT tools and practice in high-tech settings (OR=7.7).
  • Top barriers include start-up costs (56%), lack of uniform standards (44%), and time constraints (39%).

Conclusions:

  • Widespread adoption of EMRs and related technologies among physicians is not yet realized.
  • A significant technological divide exists, influenced by practice environment and compensation.
  • Addressing cost barriers and developing supportive policies/business models are crucial for equitable IT accessibility.