Surgeons' Perspective of a Newly Initiated Electronic Medical Record

Frazee, Richard C.; Harmon, Laura; Papaconstantinou, Harry T.

doi:10.1080/08998280.2016.11929344

Cited by 4 publications

(3 citation statements)

References 13 publications

(13 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar results were obtained in an NCHS Data Brief [16] and an ONC Data Brief [43] of the US, wherein the HIS adoption rate varied with the number of physicians in a medical institution; these findings indicate that there is a difference in HIS adoption rate according to the scale of the medical institution. Meanwhile, our result of a higher proportion for utilization and helpfulness of HISs among surgeons was supported by Frazee et al [18]. They also found positive recognition of electronic health records (a type of HIS) usage among surgeons, although their study did not involve group comparison.…”

Section: Discussionsupporting

confidence: 78%

“…Moreover, HISs were not utilized, or used very little, despite widespread recognition of the importance of medical informatization at that time [14]. However, recent empirical evidence has confirmed that medical informatization due to HIS adoption and utilization has had a positive effect on the care delivery process and medical service outcomes, as well as overall hospital management performance [15,16,17,18]. Unlike the above-mentioned, some studies have identified the negative impact of the HISs adoption.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Current Status of the Adoption, Utilization and Helpfulness of Health Information Systems in Korea

Seo¹,

Kim²,

Kim

2019

IJERPH

View full text Add to dashboard Cite

As interest in medical informatization has been increasing steadily worldwide, the adoption of health information systems (HISs) in medical institutions is essential. In this study, we intended to identify users’ adoption, utilization and helpfulness derived from HISs to determine the status of medical informatization by using 2016 Korean Physician Survey data. A total of 8564 members responded to the 2016 survey, we extracted the data of 6949 HISs related part for this study. As a result, about 68% of the self-employed physicians adopted the Order Communication System and Electronic Medical Records, while only one-third adopted the Picture Archiving and Communication System. Overall, the proportions of utilization and helpfulness of HISs were higher for females; for employed physicians or professors; for physicians working in hospitals; and for those specializing in surgical medicine. As applying information technology to the medical environment becomes more important, HIS will become a necessary requirement and the demand for information systems considering user and patient oriented information environments will be increasing. Therefore, it is necessary to discuss the HISs use environment considering not only technical aspects but also users’ or patients’ viewpoints. In that respect, this study will give a meaningful evidence of HIS related policies.

show abstract

Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Current Status of the Adoption, Utilization and Helpfulness of Health Information Systems in Korea

Seo¹,

Kim²,

Kim

2019

IJERPH

View full text Add to dashboard Cite

show abstract

“…9,[15][16][17][18][19][20][21][22][23] Very few though have investigated surgeon perceptions of the EHR or the underlying reasons (e.g., clinical practice, culture) for their experience. 24,25 Objective Therefore, efforts to improve quality and efficiency in surgery through the EHR require greater contextual detail. Accordingly, we conducted a mixed methods study in urology-a diverse surgical specialty that covers the breadth of modern surgical care (e.g., office-based, endoscopy, ambulatory, minimally invasive, and open surgery)-to characterize current usage patterns and uncover underlying perceptions.…”

Section: Background and Significancementioning

confidence: 99%

Electronic Health Record Use and Perceptions among Urologic Surgeons

et al. 2023

View full text Add to dashboard Cite

Objective Electronic health records (EHRs) have become widely adopted with increasing emphasis on improving care delivery. Improvements in surgery may be limited by specialty-specific issues that impact EHR usability and engagement. Accordingly, we examined EHR use and perceptions in urology, a diverse surgical specialty. Methods We conducted a national, sequential explanatory mixed methods study. Through the 2019 American Urological Association Census, we surveyed urologic surgeons on EHR use and perceptions and then identified associated characteristics through bivariable and multivariable analyses. Using purposeful sampling, we interviewed 25 urologists and applied coding-based thematic analysis, which was then integrated with survey findings. Results Among 2,159 practicing urologic surgeons, 2,081 (96.4%) reported using an EHR. In the weighted sample (n = 12,366), over 90% used the EHR for charting, viewing results, and order entry with most using information exchange functions (59.0–79.6%). In contrast, only 35.8% felt the EHR increases clinical efficiency, whereas 43.1% agreed it improves patient care, which related thematically to information management, administrative burden, patient safety, and patient–surgeon interaction. Quantitatively and qualitatively, use and perceptions differed by years in practice and practice type with more use and better perceptions among more recent entrants into the urologic workforce and those in academic/multispecialty practices, who may have earlier EHR exposure, better infrastructure, and more support. Conclusion Despite wide and substantive usage, EHRs engender mixed feelings, especially among longer-practicing surgeons and those in lower-resourced settings (e.g., smaller and private practices). Beyond reducing administrative burden and simplifying information management, efforts to improve care delivery through the EHR should focus on surgeon engagement, particularly in the community, to boost implementation and user experience.

show abstract

Trends and Perceptions of Electronic Health Record Usage among Plastic Surgeons

Seu

Cho

Pigott³

et al. 2020

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Background: Electronic health records (EHRs) should help physicians stay organized, improve patient safety, and facilitate communication with both patients and fellow healthcare providers. However, few studies have directly evaluated physician satisfaction with EHR and its perceived impact on patient care. This study assessed trends and perceptions of EHR within the American plastic surgery community. Methods: An Institutional Review Board–approved survey that assessed demographics, patterns of EHR use, and attitudes toward EHR was deployed by the American Society of Plastic Surgeons Member Survey Research Services. Statistical analyses were performed using Stata 14.2 and QDA Miner Lite software (Version 2.0; Provalis, Montreal, Canada). Significance level was P < 0.05. Results: Among plastic surgeons who use EHR, EPIC Systems software (Epic, Verona, Wisc.) was the most common vendor, with users noting a net positive effect on the quality of care they provided to patients. Younger age and less years of experience were correlated with a more positive attitude toward EHR. Positive attitude was closely linked to shared responsibility among support staff over data entry, whereas negative attitude was tightly tied to the perceived time wasted because of EHR, followed by poor technical support and design. Conclusions: EHR use among plastic surgeons was more common in academic-associated specialties and larger practice groups. Overall, age and practice type had weak associations with perceptions of EHR usage. On average, there were slightly more positive perceptions of EHR usage than negative. The most commonly perceived issues with EHR were wasted time and barriers to user-friendliness. These findings suggest the need for greater physician involvement in EHR optimization.

show abstract

Surgeons' Perspective of a Newly Initiated Electronic Medical Record

Cited by 4 publications

References 13 publications

Current Status of the Adoption, Utilization and Helpfulness of Health Information Systems in Korea

Current Status of the Adoption, Utilization and Helpfulness of Health Information Systems in Korea

Electronic Health Record Use and Perceptions among Urologic Surgeons

Trends and Perceptions of Electronic Health Record Usage among Plastic Surgeons

Contact Info

Product

Resources

About