Related Experiment Video
Updated: Sep 21, 2025
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Relationship between electronic health records strategy and user satisfaction: a longitudinal study using clinicians'
Ankita Srivastava1, Surya Ayyalasomayajula2, Chenzhang Bao2
1Department of Information and Process Management, Bentley University, Waltham, Massachusetts, USA.
Objective:
We investigated how the electronic health records (EHRs) strategies concerning EHR sourcing and vendor switching impact user satisfaction over time.
Materials And Methods:
This study used a novel longitudinal dataset created by scraping clinicians' Glassdoor.com reviews on 109 US health systems from 2012 to 2017 and combining it with the Healthcare Information and Management Systems Society (HIMSS) database. We performed sentiment analysis of clinician reviews to construct our main dependent variable, user satisfaction. Our main independent variables, EHR single sourcing and vendor switching, were constructed using the HIMSS database.
Results:
Our fixed effects model showed that as health systems gain more experience with EHR, a single vendor sourcing strategy was associated with higher user satisfaction. Further, there was no significant impact of vendor switching on user satisfaction.
Conclusion:
This work adds to the current understanding of EHR-driven clinician burnout using a novel longitudinal dataset. We show how organizational-level EHR strategy can impact user satisfaction and that providers and EHR vendors can mine clinician reviews online to understand their evolving needs and sentiments.
Related Concept Videos
01:30Methods of Documentation VII: EMR
01:11Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:
01:19Purpose of Health Records II
01:08Role of Communication in the Nursing Process III: Evaluation and Documentation
01:30Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:15Nursing Evaluation