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Primary Care Physicians' Satisfaction With Interoperable Health Information Technology.

Jordan Everson¹, Nathaniel Hendrix^2,3, Robert L Phillips^2,3

¹Office of the National Coordinator for Health Information Technology, Washington, DC.

JAMA Network Open

|March 26, 2024

Summary

Physician satisfaction with health IT interoperability shows modest gains, with significant variation based on data type, EHR, and practice setting. Diverse strategies are needed to enhance seamless health information exchange.

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Area of Science:

Health Information Technology
Clinical Informatics
Health Policy

Background:

Widespread interoperability of health information technology systems is a key public policy objective.
Assessing clinicians' experiences with health IT is crucial for evaluating policy impact.

Purpose of the Study:

To evaluate primary care physicians' perspectives on the current state of health IT interoperability.
To understand physician satisfaction with accessing and using external health information.

Main Methods:

A cross-sectional survey was administered to US family medicine physicians via the Continuous Certification Questionnaire (CCQ).
The survey included 18 items assessing the experience of accessing and using various external health information types.
Data were collected from 2088 physicians who completed the CCQ interoperability questions in 2022.

Main Results:

Only 11% of physicians reported being very satisfied with accessing all 10 types of external information; 70% were at least somewhat satisfied.
Ease of use varied, with 23% finding external information very easy to use.
Interoperability between different electronic health record (EHR) systems was challenging, with only 8% finding it very easy compared to 38% for the same EHR developer's product.

Conclusions:

Physician experience with interoperability indicates modest and uneven progress.
Significant heterogeneity exists in satisfaction levels across different information types, data sources, EHRs, and practice settings.
Tailored policies and strategies are essential to improve health IT interoperability effectively.