The Electronic Health Record: Should Small Practices Adopt this Technology?

Main Article Content

Natasha Salmen
Robert Brodell
Lindsey Brodell Dolohanty

Keywords

Electronic Health Record, HITECH, MACRA, MIPS

Abstract

Electronic health records (EHRs) were integrated into the medical field to increase interoperability, enhance patient care and safety, and improve charting methods. Unfortunately, EHRs brought about new problems, including the expensive cost of the hardware and the maintenance, medical and legal problems from cloned notes, increased physician burnout, decreased efficiency, privacy issues, information overload, and an interruption in the doctor-patient relationship. While most hospitals and large practices across the United States have obtained and utilize an EHR, EHRs may not be a feasible or reasonable solution for small or rural practices. 

References

1. Rotenstein LS, Apathy N, Landon B, Bates DW. Assessment of Satisfaction With the
Electronic Health Record Among Physicians in Physician-Owned vs Non–Physician-Owned
Practices. JAMA Netw Open. 2022 Apr 21;5(4):e228301.

2. Adler-Milstein, J., & Jha, A. K. (2017, August). Hitech Act Drove Large Gains in Hospital Electronic Adoptions. https://www.healthaffairs.org/doi/10.1377/hlthaff.2016.1651.

3. National Trends in Hospital and Physician Adoption of Electronic Health Records. National Trends in Hospital and Physician Adoption of Electronic Health Records | HealthIT.gov. (n.d.). https://www.healthit.gov/data/quickstats/national-trends-hospital-and-physician-adoption-electronic-health-records.

4. 2019 American Academy of Dermatology Practice Profile Survey, P.O. Box 1968, Des Plaines, IL 60017.

5. Palabindala, V., Pamarthy, A., & Jonnalagadda, N. R. (2016). Adoption of electronic health records and barriers. Journal of community hospital internal medicine perspectives, 6(5), 32643. https://doi.org/10.3402/jchimp.v6.32643.

6. Sinsky C, Colligan L, Li L, Prgomet M, Reynolds S, Goeders L, et al. Allocation of Physician
Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties. Ann Intern Med.
2016 Dec 6;165(11):753–60.

7. Brunk, D. (2021, March 17). Survey explores impact of pandemic on dermatologist happiness, Burnout. MDedge Dermatology. https://www.mdedge.com/dermatology/article/237355/business-medicine/survey-explores-impact-pandemic-dermatologist-happiness.
7

Most read articles by the same author(s)