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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 Author(s) Xierali, Imam M, Phillips, Robert L, Green, Larry A, Bazemore, Andrew W, and Puffer, James C 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 2013 Most family physicians work routinely with nurse practitioners, physician assistants, or certified nurse midwives Go to Most family physicians work routinely with nurse practitioners, physician assistants, or certified nurse midwives 2020 Oral corticosteroid use, obesity, and ethnicity in children with asthma Go to Oral corticosteroid use, obesity, and ethnicity in children with asthma 2018 Higher Primary Care Physician Continuity is Associated With Lower Costs and Hospitalizations Go to Higher Primary Care Physician Continuity is Associated With Lower Costs and Hospitalizations 2004 The Future of Family Medicine: a collaborative project of the family medicine community Go to The Future of Family Medicine: a collaborative project of the family medicine community
Author(s) Xierali, Imam M, Phillips, Robert L, Green, Larry A, Bazemore, Andrew W, and Puffer, James C 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 2013 Most family physicians work routinely with nurse practitioners, physician assistants, or certified nurse midwives Go to Most family physicians work routinely with nurse practitioners, physician assistants, or certified nurse midwives 2020 Oral corticosteroid use, obesity, and ethnicity in children with asthma Go to Oral corticosteroid use, obesity, and ethnicity in children with asthma 2018 Higher Primary Care Physician Continuity is Associated With Lower Costs and Hospitalizations Go to Higher Primary Care Physician Continuity is Associated With Lower Costs and Hospitalizations 2004 The Future of Family Medicine: a collaborative project of the family medicine community Go to The Future of Family Medicine: a collaborative project of the family medicine community
2013 Most family physicians work routinely with nurse practitioners, physician assistants, or certified nurse midwives Go to Most family physicians work routinely with nurse practitioners, physician assistants, or certified nurse midwives
2020 Oral corticosteroid use, obesity, and ethnicity in children with asthma Go to Oral corticosteroid use, obesity, and ethnicity in children with asthma
2018 Higher Primary Care Physician Continuity is Associated With Lower Costs and Hospitalizations Go to Higher Primary Care Physician Continuity is Associated With Lower Costs and Hospitalizations
2004 The Future of Family Medicine: a collaborative project of the family medicine community Go to The Future of Family Medicine: a collaborative project of the family medicine community