title: Variability in Electronic Health Record Usage and Perceptions among Specialty vs. Primary Care Physicians.
abstract: Despite federal incentives for adoption of electronic health records (EHRs), surveys have shown that EHR use is less common among specialty physicians than generalists. Concerns have been raised that current-generation EHR systems are inadequate to meet the unique information gathering needs of specialists. This study sought to identify whether information gathering needs and EHR usage patterns are different between specialists and generalists, and if so, to characterize their precise nature. We found that specialists and generalists have significantly different perceptions of which elements of the EHR are most important and how well these systems are suited to displaying clinical information. Resolution of these disparities could have implications for clinical productivity and efficiency, patient and physician satisfaction, and the ability of clinical practices to achieve Meaningful Use incentives.
authors.affiliation: Department of Ophthalmology, Critical Care Medicine Oregon Health & Science University, Portland, OR; Department of Medicine, Legacy Medical Group, Portland, OR.
authors.forename: Travis K
authors.initials: TK
authors.lastname: Redd
authors.affiliation: Department of Medical Informatics & Clinical Epidemiology, Critical Care Medicine Oregon Health & Science University, Portland, OR.
authors.forename: Julie W
authors.initials: JW
authors.lastname: Doberne
authors.affiliation: Department of Ophthalmology, Critical Care Medicine Oregon Health & Science University, Portland, OR.
authors.forename: Daniel
authors.initials: D
authors.lastname: Lattin
authors.affiliation: Department of Medical Informatics & Clinical Epidemiology, Critical Care Medicine Oregon Health & Science University, Portland, OR.
authors.forename: Thomas R
authors.initials: TR
authors.lastname: Yackel
authors.affiliation: Department of Pediatrics, Critical Care Medicine Oregon Health & Science University, Portland, OR.
authors.forename: Carl O
authors.initials: CO
authors.lastname: Eriksson
authors.affiliation: Department of Medical Informatics & Clinical Epidemiology, Critical Care Medicine Oregon Health & Science University, Portland, OR.
authors.forename: Vishnu
authors.initials: V
authors.lastname: Mohan
authors.affiliation: Department of Medical Informatics & Clinical Epidemiology, Critical Care Medicine Oregon Health & Science University, Portland, OR; Pulmonary and Critical Care Medicine Oregon Health & Science University, Portland, OR.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Gold
authors.affiliation: Department of Medical Informatics & Clinical Epidemiology, Critical Care Medicine Oregon Health & Science University, Portland, OR.
authors.forename: Joan S
authors.initials: JS
authors.lastname: Ash
authors.affiliation: Department of Ophthalmology, Critical Care Medicine Oregon Health & Science University, Portland, OR; Department of Medical Informatics & Clinical Epidemiology, Critical Care Medicine Oregon Health & Science University, Portland, OR.
authors.forename: Michael F
authors.initials: MF
authors.lastname: Chiang
mesh_terms: D001292:Attitude to Computers; D057286:Electronic Health Records; D006801:Humans; D062527:Meaningful Use; D008511:Medicine; D010820:Physicians; D058007:Physicians, Primary Care