Kruse Gina R, Hays Howard, Orav E John, Palan Martha, Sequist Thomas D
Harvard Medical School, Boston, MA.
Apex Data Solutions, LLC, Tampa, FL.
Health Serv Res. 2017 Aug;52(4):1349-1363. doi: 10.1111/1475-6773.12531. Epub 2016 Jul 26.
To understand the use of electronic health record (EHR) functionalities by physicians practicing in an underserved setting.
DATA SOURCE/STUDY SETTING: A total of 333 Indian Health Service physicians (55 percent response rate) in August 2012.
Cross-sectional.
The survey assessed routine use of EHR functionalities, perceived usefulness, and barriers to adoption.
Physicians routinely used a median 7 of 10 EHR functionalities targeted by the Meaningful Use program, but only 5 percent used all 10. Most (63 percent) felt the EHR improved quality of care. Many (76 percent) reported increased documentation time and poorer quality patient-physician interactions (45 percent). Primary care specialty and time using the EHR were positively associated with use of EHR functionalities, while perceived productivity loss was negatively associated.
Significant opportunities exist to increase use of EHR functionalities and preserve physician-patient interactions and productivity in a resource-limited environment.
了解在医疗服务欠缺地区执业的医生对电子健康记录（EHR）功能的使用情况。
数据来源/研究背景：2012年8月，共有333名印第安卫生服务医生参与调查（回复率为55%）。
横断面研究。
该调查评估了EHR功能的常规使用情况、感知有用性以及采用的障碍。
医生常规使用了有意义使用计划所针对的10项EHR功能中的中位数7项，但只有5%的医生使用了全部10项。大多数（63%）医生认为EHR提高了医疗质量。许多医生（76%）报告称记录时间增加，医患互动质量变差（45%）。初级保健专业以及使用EHR的时间与EHR功能的使用呈正相关，而感知到的生产力损失则呈负相关。
在资源有限的环境中，存在增加EHR功能使用并保持医患互动及生产力的重大机会。
