Progress and Challenges in Electronic Health Record Adoption: Findings From a National Survey of Physicians
Authors: Catherine DesRoches
Journal: Annals of Internal Medicine (2015)

Letters3 March 2015Progress and Challenges in Electronic Health Record Adoption: Findings From a National Survey of PhysiciansCatherine DesRoches, PhDCatherine DesRoches, PhDFrom Mathematica Policy Research, Cambridge, Massachusetts.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5060 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: The United States is modernizing the information technology infrastructure of its health care system. The provisions of the American Recovery and Reinvestment Act that are known as the Health Information Technology for Economic and Clinical Health (HITECH) Act provide substantial economic incentives for physicians to implement and use electronic health records (EHRs) (1, 2). Since the passage of the HITECH Act, studies have consistently found EHR use increasing steadily among office-based physicians (3, 4). However, recent studies report that a substantial proportion of physicians are unsure about or are not planning to participate in the program (5). Understanding which ...References1. The American Recovery and Reinvestment Act, Pub L. No. 111-5, Stat. 123 (2009). Google Scholar2. Blumenthal D. Wiring the health system—origins and provisions of a new federal program. N Engl J Med. 2011;365:2323-9. [PMID: 22168647] doi:10.1056/NEJMsr1110507 CrossrefMedlineGoogle Scholar3. Furukawa MF, King J, Patel V, Hsiao CJ, Adler-Milstein J, Jha AK. Despite substantial progress in EHR adoption, health information exchange and patient engagement remain low in office settings. Health Aff (Millwood). 2014;33:1672-9. [PMID: 25104827] doi:10.1377/hlthaff.2014.0445 CrossrefMedlineGoogle Scholar4. Audet AM, Squires D, Doty MM. Where are we on the diffusion curve? Trends and drivers of primary care physicians' use of health information technology. Health Serv Res. 2014;49:347-60. [PMID: 24358958] doi:10.1111/1475-6773.12139 CrossrefMedlineGoogle Scholar5. Hsiao C, Hing E. Use and Characteristics of Electronic Health Record Systems Among Office-based Physician Practices: United States, 2001-2013. NCHS Data Brief no. 143. Hyattsville, MD: National Center for Health Statistics; 2014. Google Scholar Author, Article, and Disclosure InformationAffiliations: From Mathematica Policy Research, Cambridge, Massachusetts.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L14-0466. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByProvider Practice Competition and Adoption of Medicare’s Oncology Care ModelA time-aware searchable encryption scheme for EHRsEffect of computer use on physician-patient communication using interviews: A patient perspectiveCross sectional study to assess the accuracy of electronic health record data to identify patients in need of lung cancer screeningSelection and Implementation of an Electronic Health RecordPatient portals and personal health information online: perception, access, and use by US adultsDesigning an Electronic Patient Management System for Multiple Sclerosis: Building a Next Generation Multiple Sclerosis Documentation System 3 March 2015Volume 162, Issue 5Page: 396KeywordsDisclosureElectronic medical recordsHealth careHealth economicsHealth information technologyHealth surveysInformation technologyMotivation ePublished: 3 March 2015 Issue Published: 3 March 2015 CopyrightCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...