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Prevalence of basic information technology use by U.S. physicians.

Richard W Grant1, Eric G Campbell, Russell L Gruen

  • 1General Medicine Division, The Department of Health Policy & Management, Harvard School of Public Health, Boston, MA, USA. Rgrant@partners.org

Journal of General Internal Medicine
|August 2, 2006
PubMed
Summary
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In 2004, most physicians rarely used basic information technology (IT) tools like email or computerized decision support. Adoption barriers at the practice level hinder IT integration in clinical medicine.

Area of Science:

  • Health Informatics
  • Medical Practice Management
  • Physician Technology Adoption

Background:

  • Information technology (IT) is recognized for its potential to enhance clinical medicine.
  • Understanding physician adoption of IT tools is crucial for effective implementation.

Purpose of the Study:

  • To assess the prevalence of non-electronic health record (EHR) IT use among U.S. physicians in 2004.
  • To identify physician, practice, and patient characteristics associated with IT adoption.

Main Methods:

  • A national survey of 1,662 U.S. physicians across primary and non-primary care specialties was conducted in early 2004.
  • Self-reported data on e-mail use, online access to medical education/journals, and computerized decision support (CDS) were collected.
  • Survey results were weighted and linked to area socioeconomic data.

Related Experiment Videos

Main Results:

  • The response rate was 52.5%. Frequent use was highest for CDS (40.8%) and online journal access (39.0%).
  • Ten percent of physicians reported no use of any IT tools. Primary care and academic settings showed higher IT use.
  • Factors negatively associated with IT use included time since medical school graduation and solo/small practice settings.

Conclusions:

  • In early 2004, a majority of physicians did not regularly utilize basic IT tools in clinical practice.
  • Addressing practice-level barriers is essential for increasing the adoption of IT in medicine.