Which physicians and practices are using electronic medical records?

Health Affairs

Volumn 24, Issue 5, 2005, Pages 1334-1343

  Burt, Catharine W ^a   Sisk, Jane E ^a  

^a NATIONAL CENTER FOR HEALTH STATISTICS   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; GROUP PRACTICE; INFORMATION PROCESSING; MEDICAL RECORD; PHYSICIAN; PRIVATE PRACTICE; UNITED STATES; UTILIZATION REVIEW;

DATA COLLECTION; GROUP PRACTICE; MEDICAL RECORDS SYSTEMS, COMPUTERIZED; PHYSICIANS; PRIVATE PRACTICE; UNITED STATES;

EID: 27644557408     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.24.5.1334     Document Type: Article

References (18)

1. U.S. Congress, Office of Technology Assessment, Policy Implications of Medical Information Systems (Washington: U.S. Government Printing Office, 1977);
2. and Institute of Medicine, Crossing the Quality Chasm: A New Health System for the Twenty-first Century (Washington: National Academies Press, 2001).
3. J. Goldsmith, D. Blumenthal, and W. Rishel, "Federal Health Information Policy: A Case of Arrested Development," Health Affairs 22, no. 4 (2003): 44-55.
4. A.G. Bower, The Diffusion and Value of Healthcare Information Technology, Pub. no. M6-272-HLTH (Santa Monica, Calif.: RAND, 2005).
5. D.J. Brailer, The Decade of Health Information Technology: Delivering Consumer-Centric and Information-Rich Health Care, Report to the Secretary of the Department of Health and Human Services, 21 July 2004, www.hhs.gov/healthit/ documents/hitframework.pdf (28 July 2005).
6. C.W. Burt and E. Hing, "Use of Computerized Clinical Support Systems in Medical Settings: United States 2001-2003," Advance Data from Vital and Health Statistics no. 353 (Hyattsville, Md.: National Center for Health Statistics, 2005).
7. Characteristics from the NAMCS sampling frame were compared for responding and nonresponding physicians: geographic region, location in an MSA, physician age and sex, major specialty categories, medical doctor versus doctor of osteopathy, and primary present employment. Chi-square analysis between responding and nonresponding physician distributions found that only region, MSA status, and major specialty were likely to represent different distributions (p < .01). The nonresponse adjustment took differential survey participation patterns for region, MSA status, and physician specialty into account.
8. E. Bryant and I. Shimizu, "Sample Design, Sampling Variance, and Estimation Procedures for the National Ambulatory Medical Care Survey," Vital and Health Statistics 2, no. 108 (Hyattsville, Md.: NCHS, 1988);
9. D.A. Cherry, C.W. Burt, and D.A. Woodwell, "National Ambulatory Medical Care Survey: 2001 Summary," Advance Data from Vital and Health Statistics no. 337 (Hyattsville, Md.: NCHS, 2003);
10. and D.A. Woodwell and D.A. Cherry, "National Ambulatory Medical Care Survey: 2002 Summary," Advance Data from Vital and Health Statistics no. 346 (Hyattsville, Md.: NCHS, 2004).
11. Research Triangle Institute, SUDAAN, Release 9.0 (Research Triangle Park, N.C.: RTI, 2004).
12. For example, in 2004 the Agency for Healthcare Research and Quality awarded contracts to develop five statewide networks that would allow major providers, purchasers, and payers to use health information technology to share information; see AHRQ, "AHRQ Health Information Technology Programs," www.ahrq.gov/research/hitfact.htm (14 March 2005).
13. Several local initiatives starting in 2004 have the goal of increasing use, such as the Massachusetts e-Health Collaborative ("Massachusetts eHealth Collaborative Launches Project to Wire Health Care in the State," Press Release, 6 December 2004, www.maehc.org/documents/MAeHC_PR-6_Dec_04.pdf [14 March 2005])
14. and WellPoint Health Networks (see "Technology Initiatives," 2005, www.wellpoint.com/business/health_initiatives.asp [14 March 2005]). Such efforts provide funding or equipment for using health information technology for patient care. The WellPoint initiative provides almost 19,000 network physicians in California, Georgia, Missouri, and Wisconsin with new technologies designed to increase the quality of care, reduce administrative costs, and improve physicians' communication with patients and pharmacists.
15. A.M. Audet et al., "Information Technologies: When Will They Make It into Physicians' Black Bags?" Medscape General Medicine 6, no. 4 (2004), www.medscape.com/viewarticle/493210 (6 March 2005, registration required).
16. A.M. Audet et al., "Measure, Learn, and Improve: Physicians' Involvement in Quality Improvement," Health Affairs 24, no. 3 (2005): 843-853.
17. M.C. Reed and J.M. Grossman, "Limited Information Technology for Patient Care in Physician Offices," Issue Brief no. 89, September 2004, www.hschange.org/CONTENT/708 (6 May 2005).
18. Brailer, The Decade of Health Information Technology.