Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care

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Introduction

The authors study the differences in individual physicians' Electronic Health Record(EHR) use patterns and identify perceptions of uncertainty as an important new variable in understanding EHR use. [1]

Abstract

This study was done by interviews and direct observation of Physicians. Area the study preformed was in an outpatient care organization.

Measurement

  • Primary care physicians
  • Sub-specialists - endocrinologists, gastroenterologists, rheumatologists, neurologists, and podiatrists.
  • Spent 4 weeks in each practice interviewing and observing physicians during normal work activities

HealthGroup implemented its EHR 7 years prior to data collection.

Results

Physicians' perceptions of uncertainty

  • Uncertain reduction
  • Uncertain adoption
  • Uncertain Hybrid

Conclusions

This study contributes new understanding of the differences in how individual physicians use an EHR.

  • Findings
  1. how they perceive uncertainty
  2. how they view the role of information in managing uncertainty as they care for patients
  3. evidence linking individual physicians' perceptions of uncertainty with their EHR use patterns.
  • Implications
  1. health IT design
  2. Implementation initiatives

References

  1. Lanham, H. J., Sittig, D. F., Leykum, L. K., Parchman, M. L., Pugh, J. A., & McDaniel, R. R. (2014). Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care. Journal of the American Medical Informatics Association, 21(1), 73-81. http://jamia.oxfordjournals.org/content/21/1/73.full.