title: It Ain't Necessarily So: The Electronic Health Record And The Unlikely Prospect Of Reducing Health Care Costs.
abstract: Electronic health record (EHR) advocates argue that EHRs lead to reduced errors and reduced costs. Many reports suggest otherwise. The EHR often leads to higher billings and declines in provider productivity with no change in provider-to-patient ratios. Error reduction is inconsistent and has yet to be linked to savings or malpractice premiums. As interest in patient-centeredness, shared decision making, teaming, group visits, open access, and accountability grows, the EHR is better viewed as an insufficient yet necessary ingredient. Absent other fundamental interventions that alter medical practice, it is unlikely that the U.S. health care bill will decline as a result of the EHR alone.
authors.affiliation: Department of General Internal Medicine, Geisinger Medical Center, Danville, Pennsylvania, USA. jsidorov@geisinger.edu
authors.forename: Jaan
authors.initials: J
authors.lastname: Sidorov
mesh_terms: D017046:Cost Savings; D003657:Decision Making; D017598:Efficiency, Organizational; D017048:Health Care Costs; D006801:Humans; D019300:Medical Errors / Q000191:economics / Q000517:prevention & control*; D016347:Medical Records Systems, Computerized / Q000191:economics* / Q000706:statistics & numerical data; D010348:Patient Care Team; D018802:Patient-Centered Care; D012051:Reimbursement Mechanisms; D012941:Social Responsibility; D014481:United States