title: A proposal for electronic medical records in U.S. primary care.
abstract: Delivery of excellent primary care-central to overall medical care-demands that providers have the necessary information when they give care. This paper, developed by the National Alliance for Primary Care Informatics, a collaborative group sponsored by a number of primary care societies, argues that providers' and patients' information and decision support needs can be satisfied only if primary care providers use electronic medical records (EMRs). Although robust EMRs are now available, only about 5% of U.S. primary care providers use them. Recently, with only modest investments, Australia, New Zealand, and England have achieved major breakthroughs in implementing EMRs in primary care. Substantial benefits realizable through routine use of electronic medical records include improved quality, safety, and efficiency, along with increased ability to conduct education and research. Nevertheless, barriers to adoption exist and must be overcome. Implementing specific policies can accelerate utilization of EMRs in the U.S.
authors.affiliation: Center for Applied Medical Information Systems, Partners Healthcare System, Harvard Medical School, Boston, Massachusetts, USA. dbates@partners.org
authors.forename: David W
authors.initials: DW
authors.lastname: Bates
authors.forename: Mark
authors.initials: M
authors.lastname: Ebell
authors.forename: Edward
authors.initials: E
authors.lastname: Gotlieb
authors.forename: John
authors.initials: J
authors.lastname: Zapp
authors.forename: H C
authors.initials: HC
authors.lastname: Mullins
mesh_terms: D000553:Ambulatory Care; D005380:Financing, Government; D006801:Humans; D016347:Medical Records Systems, Computerized / Q000191:economics; D011320:Primary Health Care; D014481:United States