title: Electronic medical records for otolaryngology office-based practice.
abstract: OBJECTIVE
  Pressure is mounting on physicians to adopt electronic medical records. The field of health information technology is evolving rapidly with innovations and policies often outpacing science. We sought to review research and discussions about electronic medical records from the past year to keep abreast of these changes.
  
  
  RESULTS
  Original scientific research, especially from otolaryngologists, is lacking in this field. Adoption rates are slowly increasing, but more of the burden is shouldered by physicians despite policy efforts and the clear benefits to third-party payers. Scientific research from the past year suggests lack of improvements and even decreasing quality of healthcare with electronic medical record adoption in the ambulatory care setting. The increasing prevalence and standardization of electronic medical record systems results in a new set of problems including rising costs, audits, difficulties in transition and public concerns about security of information.
  
  
  CONCLUSIONS
  As major players in healthcare continue to push for adoption, increased effort must be made to demonstrate actual improvements in patient care in the ambulatory care setting. More scientific studies are needed to demonstrate what features of electronic medical records actually improve patient care. Otolaryngologists should help each other by disseminating research about improvement in patient outcomes with their systems since current adoption and outcomes policies do not apply to specialists.
authors.affiliation: Sage Otolaryngology-Head and Neck Surgery, Private Practice, Powderly, Kentucky 42367, USA. bchernobilsky@gmail.com
authors.forename: Boris
authors.initials: B
authors.lastname: Chernobilsky
authors.forename: Marina
authors.initials: M
authors.lastname: Boruk
mesh_terms: D000555:Ambulatory Care Information Systems; D006801:Humans; D016347:Medical Records Systems, Computerized; D010036:Otolaryngology