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Family practice educators' perceptions of computer-based patient records
C Musham1, S M Ornstein, R G Jenkins
1Department of Family Medicine, Medical University of South Carolina, Charleston, USA.
Family Medicine
|October 1, 1995
Summary
Family medicine educators see benefits in computer-based patient records (CPRs) but have concerns about costs and implementation. Widespread adoption of CPRs depends on addressing these barriers.
Area of Science:
- Medical Informatics
- Family Medicine Education
- Health Information Systems
Background:
- National Institute of Medicine recommends computer-based patient records (CPRs).
- Most family practice residency programs still use paper records.
- Study investigates educators' perceptions of CPRs to understand limited adoption.
Purpose of the Study:
- Examine family medicine educators' perceptions of computer-based patient records (CPRs).
- Identify barriers to the adoption of computerized patient record systems in residency programs.
Main Methods:
- Survey distributed to 247 family practice residency program directors.
- 199 surveys returned (81% response rate).
- Assessed concerns, perceived advantages/disadvantages, and likelihood of CPR implementation.
Main Results:
- Perceived benefits: improved efficiency, accuracy, and quality of patient care.
- Key concerns: cost, system breakdowns, data conversion, training, and physician attitudes.
- Majority anticipate CPR implementation within 5 years.
Conclusions:
- Family medicine educators acknowledge CPR benefits but perceive significant conversion challenges.
- Widespread CPR adoption hinges on vendors addressing cost, technical issues, and transition difficulties.
- Enhanced awareness and knowledge are crucial for overcoming resistance to CPRs.