Department of Urology, University of Arkansas for Medical Sciences-Arkansas Children's Hospital, Little Rock, Arkansas 72202, USA
J Urol. 2011 Oct;186(4 Suppl):1740-4. doi: 10.1016/j.juro.2011.04.022.
The $19.2 billion Health Information Technology for Economic and Clinical Health Act will have a dramatic effect on the adoption of electronic medical records in the United States by directly reimbursing for the adoption of electronic medical records in the future. We sought to gain an understanding of electronic medical record use in pediatric urology to aid in the transition to electronic medical records.
All Fellows and post-fellowship Fellow Candidates of the American Academy of Pediatrics Section on Urology were recruited to participate in the survey. Electronic and paper versions of this 50-question internal review board approved anonymous survey were sent to potential participants.
Of 286 pediatric urologists 165 completed the survey for a 65% response rate. Of the respondents 67.3% were pediatric urologists in academic or hospital based practice while the remaining 32.7% were in private practice. Overall 78.8% of respondents reported using electronic medical records at the hospital while 67.3% used them at the office/clinic. Of the physicians 12.1% reported that they would retire if electronic medical record use was federally mandated.
Pediatric urologists in the United States appear to have embraced the adoption of electronic medical records. A large number of academic/hospital based and private practice pediatric urologists have begun to use electronic medical records. Most respondents were interested in improving electronic medical record use in our field, believed that physicians would be most capable of developing ideal electronic medical records and would be interested in participating in a national cooperative effort to improve electronic medical record use.
价值 192 亿美元的《健康信息技术经济和临床健康法案》将通过直接报销未来电子病历的采用,对美国电子病历的采用产生巨大影响。我们旨在了解儿科泌尿科电子病历的使用情况,以帮助向电子病历过渡。
招募美国儿科学会泌尿科分会的所有研究员和研究员后候选人参与调查。这项经内部审查委员会批准的匿名调查共有 50 个问题,以电子和纸质形式发送给潜在参与者。
在 286 名儿科泌尿科医生中,有 165 名完成了调查,应答率为 65%。在回答者中,67.3%是在学术或医院工作的儿科泌尿科医生,而其余 32.7%是在私人诊所工作。总体而言,78.8%的受访者报告在医院使用电子病历,而 67.3%在办公室/诊所使用电子病历。在这些医生中,有 12.1%的人表示,如果电子病历的使用被联邦政府强制要求,他们将退休。
美国的儿科泌尿科医生似乎已经接受了电子病历的采用。大量的学术/医院和私人诊所的儿科泌尿科医生已经开始使用电子病历。大多数受访者有兴趣改善我们领域的电子病历使用情况,他们认为医生最有能力开发理想的电子病历,并对参与改善电子病历使用的国家合作项目感兴趣。