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Home Research Research Library Factors influencing family physician adoption of electronic health records (EHRs) Factors influencing family physician adoption of electronic health records (EHRs) 2013 Topic(s) Role of Primary Care Keyword(s) Health Information Technology (HIT) Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine BACKGROUND: Physician and practice characteristics associated with family physician adoption of electronic health records (EHRs) remain largely unexplored but may be important for tailoring policies and interventions. METHODS: This was a cross-sectional study of EHR adoption using American Board of Family Medicine certification census data (2006-2011) for over 41,000 family physicians to test associations between demographic, geographic, and practice characteristics and EHR adoption. RESULTS: EHR adoption rates for family physicians grew from 37% in 2006 to 68% in 2011. No significant association was found with rural status (odds ration [OR], 0.985; 95% confidence interval [CI], 0.932-1.042). Practicing in a medically underserved location (OR, 0.868; 95% CI, 0.822-0.917) or geographic health professional shortage areas (OR, 0.904; 95% CI, 0.831-0.984), or being an international medical graduate (OR, 0.769; 95% CI, 0.748-0.846) were negatively associated with adoption. Compared with physicians in group practices, physicians in solo practices (OR, 0.465; 95% CI, 0.439-0.493) and small practices (OR, 0.769; 95% CI, 0.720-0.820) were less likely to adopt EHRs, whereas those in health maintenance organizations (OR, 5.482; 95% CI, 4.657-6.454) or with faculty status (OR, 1.527; 95% CI, 1.386-1.684) were more likely. CONCLUSIONS: Variation in EHR adoption is associated with physician and practice characteristics that may help guide intervention. These findings may be important to other specialties and could instruct interventions to improve adoption. Certification boards could play an important role in tracking EHR adoption and help target resources and facilitation. Read More ABFM Research Read all 2016 “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health Go to “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health 2014 Cost, utilization and quality of care: An evaluation of Illinois Medicaid Primary Care Case Management Program Go to Cost, utilization and quality of care: An evaluation of Illinois Medicaid Primary Care Case Management Program 2019 Declining Presence of Family Physicians in Hospital-Based Care: A Major Concern or Totally Makes Sense? Go to Declining Presence of Family Physicians in Hospital-Based Care: A Major Concern or Totally Makes Sense? 2014 Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module Go to Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module
Topic(s) Role of Primary Care Keyword(s) Health Information Technology (HIT) Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine
ABFM Research Read all 2016 “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health Go to “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health 2014 Cost, utilization and quality of care: An evaluation of Illinois Medicaid Primary Care Case Management Program Go to Cost, utilization and quality of care: An evaluation of Illinois Medicaid Primary Care Case Management Program 2019 Declining Presence of Family Physicians in Hospital-Based Care: A Major Concern or Totally Makes Sense? Go to Declining Presence of Family Physicians in Hospital-Based Care: A Major Concern or Totally Makes Sense? 2014 Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module Go to Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module
2016 “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health Go to “Community vital signs”: incorporating geocoded social determinants into electronic records to promote patient and population health
2014 Cost, utilization and quality of care: An evaluation of Illinois Medicaid Primary Care Case Management Program Go to Cost, utilization and quality of care: An evaluation of Illinois Medicaid Primary Care Case Management Program
2019 Declining Presence of Family Physicians in Hospital-Based Care: A Major Concern or Totally Makes Sense? Go to Declining Presence of Family Physicians in Hospital-Based Care: A Major Concern or Totally Makes Sense?
2014 Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module Go to Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module
