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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, I 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 26(4):388-393 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 Family physicians are essential for mental health care delivery Go to Family physicians are essential for mental health care delivery 2019 PURSUING PRACTICAL PROFESSIONALISM: FORM FOLLOWS FUNCTION Go to PURSUING PRACTICAL PROFESSIONALISM: FORM FOLLOWS FUNCTION 1996 Streptococcal diagnostic testing and antibiotics prescribed for pediatric tonsillopharyngitis Go to Streptococcal diagnostic testing and antibiotics prescribed for pediatric tonsillopharyngitis 2016 Solo and Small Practices: A Vital, Diverse Part of Primary Care Go to Solo and Small Practices: A Vital, Diverse Part of Primary Care
Author(s) Xierali, I 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 26(4):388-393 Source Journal of the American Board of Family Medicine
ABFM Research Read all 2013 Family physicians are essential for mental health care delivery Go to Family physicians are essential for mental health care delivery 2019 PURSUING PRACTICAL PROFESSIONALISM: FORM FOLLOWS FUNCTION Go to PURSUING PRACTICAL PROFESSIONALISM: FORM FOLLOWS FUNCTION 1996 Streptococcal diagnostic testing and antibiotics prescribed for pediatric tonsillopharyngitis Go to Streptococcal diagnostic testing and antibiotics prescribed for pediatric tonsillopharyngitis 2016 Solo and Small Practices: A Vital, Diverse Part of Primary Care Go to Solo and Small Practices: A Vital, Diverse Part of Primary Care
2013 Family physicians are essential for mental health care delivery Go to Family physicians are essential for mental health care delivery
2019 PURSUING PRACTICAL PROFESSIONALISM: FORM FOLLOWS FUNCTION Go to PURSUING PRACTICAL PROFESSIONALISM: FORM FOLLOWS FUNCTION
1996 Streptococcal diagnostic testing and antibiotics prescribed for pediatric tonsillopharyngitis Go to Streptococcal diagnostic testing and antibiotics prescribed for pediatric tonsillopharyngitis
2016 Solo and Small Practices: A Vital, Diverse Part of Primary Care Go to Solo and Small Practices: A Vital, Diverse Part of Primary Care