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. ABFM Research Read all 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 2015 Smaller Practices Are Less Likely to Report PCMH Certification Go to Smaller Practices Are Less Likely to Report PCMH Certification 2022 Barriers to care for perinatal patients with opioid use disorder: family physician perspectives Go to Barriers to care for perinatal patients with opioid use disorder: family physician perspectives 2024 Small Independent Primary Care Practices Serving Socially Vulnerable Urban Populations Go to Small Independent Primary Care Practices Serving Socially Vulnerable Urban Populations
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 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 2015 Smaller Practices Are Less Likely to Report PCMH Certification Go to Smaller Practices Are Less Likely to Report PCMH Certification 2022 Barriers to care for perinatal patients with opioid use disorder: family physician perspectives Go to Barriers to care for perinatal patients with opioid use disorder: family physician perspectives 2024 Small Independent Primary Care Practices Serving Socially Vulnerable Urban Populations Go to Small Independent Primary Care Practices Serving Socially Vulnerable Urban Populations
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
2015 Smaller Practices Are Less Likely to Report PCMH Certification Go to Smaller Practices Are Less Likely to Report PCMH Certification
2022 Barriers to care for perinatal patients with opioid use disorder: family physician perspectives Go to Barriers to care for perinatal patients with opioid use disorder: family physician perspectives
2024 Small Independent Primary Care Practices Serving Socially Vulnerable Urban Populations Go to Small Independent Primary Care Practices Serving Socially Vulnerable Urban Populations
