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Area of Science:

  • Health Informatics
  • Health Services Research
  • Primary Care Medicine

Background:

  • Improving electronic health record (EHR) interoperability is a key healthcare policy objective.
  • Interoperability is essential for enabling high-quality, continuous patient care.

Purpose of the Study:

  • To assess primary care physicians' experiences with EHR interoperability.
  • To simulate the impact of interventions aimed at enhancing EHR interoperability.

Main Methods:

  • A cross-sectional survey of 8122 family physicians was conducted using the 2024 American Board of Family Medicine Continuous Certification Questionnaire.
  • Data analysis included descriptive statistics, multivariate regression, and simulations of hypothetical interventions.
  • Exposures included practice characteristics such as size, ownership, EHR system, and patient demographics.

Main Results:

  • Physicians reported varying levels of ideal interoperability, with only 19% for encounter documents and 8% for external test results.
  • Simulations indicated modest gains in ideal interoperability with targeted interventions.
  • Physicians serving a high proportion of vulnerable patients were less likely to report ideal interoperability for certain data types.

Conclusions:

  • Current policies have not fully achieved widespread EHR interoperability for all use cases.
  • Collaborative efforts focusing on simplifying interoperability and enhancing data standardization are necessary.
  • System-wide improvements in EHR interoperability require ongoing attention and strategic initiatives.