Promoting Health Information Technology: Is There A Case For More-Aggressive Government Action?

Taylor, Roger S.; Bower, Anthony G.; Girosi, Federico; Bigelow, James H.; Fonkych, Katya; Hillestad, Richard

doi:10.1377/hlthaff.24.5.1234

Cited by 92 publications

(55 citation statements)

References 2 publications

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“…6,13,29 In addition, the estimated cost of our pilot study and calculations on the return on investment, according to international experience, clearly shows that the implementation of a universal EMR system in the Cyprus public primary healthcare system will effectively drive down the cost of health care, while it would likely also reduce costly and preventable medical errors. [30][31][32] Furthermore, the role of facilitators in our study proved to be very helpful and was also rated high on the quantitative evaluation, 33 suggesting that efforts to implement EMR in previously computer-naïve environments require outside promoters, in contrast to other countries where experienced and computer-literate insiders play the most important role in similar processes. 34 In addition, user satisfaction rating (physician and nurses) for the EMR implementation was relatively high: an encouraging sign, supporting future EMR implementation in subsequent years in Cyprus.…”

Section: Discussionmentioning

confidence: 88%

Implementation of an electronic medical record system in previously computer-naïve primary care centres: a pilot study from Cyprus

Samoutis¹,

Soteriades²,

Kounalakis³

et al. 2008

Journal of Innovation in Health Informatics

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Background The computer-based electronic medical record (EMR) is an essential new technology in health care, contributing to high-quality patient care and efficient patient management. The majority of southern European countries, however, have not yet implemented universal EMR systems and many efforts are still ongoing. We describe the development of an EMR system and its pilot implementation and evaluation in two previously computernaïve public primary care centres in Cyprus. Methods One urban and one rural primary care centre along with their personnel (physicians and nurses) were selected to participate. Both qualitative and quantitative evaluation tools were used during the implementation phase. Qualitative data analysis was based on the framework approach, whereas quantitative assessment was based on a nine-item questionnaire and EMR usage parameters. Results Two public primary care centres participated, and a total of ten health professionals served

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Section: Discussionmentioning

confidence: 88%

Implementation of an electronic medical record system in previously computer-naïve primary care centres: a pilot study from Cyprus

Samoutis¹,

Soteriades²,

Kounalakis³

et al. 2008

Journal of Innovation in Health Informatics

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“…IT improves efficiency of physicians and reduces medical errors in clinical practice. [23][24][25][26] Widespread use of IT in medical schools may have had an indirect impact on medical school physicians' career satisfaction. Future research needs to examine this in detail.…”

Section: Discussionmentioning

confidence: 99%

Career Satisfaction of Surgical Specialties

Deshpande

2011

Annals of Surgery

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“…32 Other benefits include increased safety via alerts and warnings provided by computerized prescription systems, recommending risk factors and preventive services, avoidance of duplicative and unnecessary testing, and other efficiencies. [32][33][34][35] Although these steps benefit health care organizations and the Perceived Threat of Malpractice Lawsuits 61…”

Section: Discussionmentioning

confidence: 99%

Factors Impacting Perceived Threat of Malpractice Lawsuits by Various Medical Specialists

Deshpande

2011

The Health Care Manager

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A study was undertaken to examine perceived threat of malpractice lawsuits affecting different physician specialties and to examine factors that impact such perceptions of those specialties. The study used data collected by the Center for Studying Health System Change's 2008 Health Tracking Physician (HTP) Survey. The 2008 HTP data set consisted of 4720 physicians belonging to the American Medical Association. Primary care physicians, medical specialists, surgical specialists, psychiatrists, and obstetricians/gynecologists (ObGyns) physicians participated in the 2008 HTP Survey. The order (from high to low) of perceived threat of malpractice lawsuits for various specialists is surgical specialists (3.87), ObGyns (3.81), medical specialists (3.60), primary care physicians (3.55), and psychiatrists (3.12). Regression results indicate that patient interaction, insufficient care quality, competition, medical school, age, and career satisfaction impacted perceived threat of malpractice lawsuits for most of the specialties. For ObGyns, white non-Hispanic was the only factor that impacted perceived threat of malpractice lawsuits. The perceived threat of malpractice lawsuits varies by specialists. Patient interaction, insufficient care quality, competition, medical school, and career satisfaction are major predictors of such threats for most physician specialties.

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Promoting Health Information Technology: Is There A Case For More-Aggressive Government Action?

Cited by 92 publications

References 2 publications

Implementation of an electronic medical record system in previously computer-naïve primary care centres: a pilot study from Cyprus

Implementation of an electronic medical record system in previously computer-naïve primary care centres: a pilot study from Cyprus

Career Satisfaction of Surgical Specialties

Factors Impacting Perceived Threat of Malpractice Lawsuits by Various Medical Specialists

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