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Related Experiment Videos

Which physicians and practices are using electronic medical records?

Catharine W Burt1, Jane E Sisk

  • 1Division of Health Care Statistics, National Center for Health Statistics, Hyattsville, Maryland, USA. cburt@cdc.gov

Health Affairs (Project Hope)
|September 16, 2005
PubMed
Summary

Electronic medical records (EMRs) adoption remains low among physicians, with no increase observed between 2001-2003. Larger practices and those owned by HMOs were more likely to use EMRs.

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Area of Science:

  • Health Informatics
  • Medical Practice Management
  • Public Health Policy

Background:

  • Electronic medical records (EMRs) are recognized for their potential to enhance healthcare quality.
  • Increased EMR adoption is a stated goal of U.S. administration policy.
  • Physician adoption rates for EMRs have remained stagnant, indicating a significant gap between policy goals and practice implementation.

Purpose of the Study:

  • To assess the adoption rates of electronic medical records (EMRs) among office-based physicians in the U.S.
  • To identify practice-level and physician-level factors associated with EMR adoption.
  • To analyze trends in EMR adoption over a defined period.

Main Methods:

  • Utilized data from the National Ambulatory Medical Care Survey.

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  • Analyzed physician self-reported EMR use in office-based practices.
  • Examined variations in adoption based on practice size, ownership (HMOs), physician characteristics, services offered, and revenue sources.

    • Main Results:

    • In 2001-2003, an average of only 17.6% of physicians reported using EMRs.
    • No significant increase in EMR adoption rates was observed during this period.
    • Practices with more physicians and those owned by health maintenance organizations (HMOs) showed significantly higher EMR adoption rates.
    • EMR use showed minimal variation based on individual physician characteristics, practice services, or revenue streams.

    Conclusions:

    • EMR adoption in U.S. office-based practices remained low and static from 2001-2003.
    • Practice size and HMO ownership are key correlates of EMR adoption.
    • Further research and targeted interventions are needed to understand and overcome barriers to widespread EMR implementation.