Two-year longitudinal assessment of physicians' perceptions after replacement of a longstanding homegrown electronic health record: does a J-curve of satisfaction really exist?. (3rd July 2016)

• Record Type: Journal Article
• Authors: Hanauer, David A; Branford, Greta L; Greenberg, Grant; Kileny, Sharon; Couper, Mick P; Zheng, Kai; Choi, Sung W
• Is Part Of: Journal of the American Medical Informatics Association. Volume 24:Number e1(2017:Apr.)
• Page Start: e157
• Page End: e165
• Publication Date: 2016-07-03
• Subjects: electronic health records -- ambulatory care -- physicians -- longitudinal studies -- survey methods; Medical informatics -- Periodicals; Information Services -- Periodicals; Medical Informatics -- Periodicals; Médecine -- Informatique -- Périodiques; Informatica; Geneeskunde; Informatique médicale; Computer network resources; Electronic journals; 610.285
• DOI: 10.1093/jamia/ocw077
• Languages: English
• ISSNs: 1067-5027

Abstract

Abstract : This report describes a 2-year prospective, longitudinal survey of attending physicians in 3 clinical areas (family medicine, general pediatrics, internal medicine) who experienced a transition from a homegrown electronic health record (EHR) to a vendor EHR. Participants were already highly familiar with using EHRs. Data were collected 1 month before and 3, 6, 13, and 25 months post implementation. Our primary goal was to determine if perceptions followed a J-curve pattern in which they initially dropped but eventually surpassed baseline measures. A J-curve was not found for any measures, including workflow, safety, communication, and satisfaction. Only the reminders and alerts measure dropped and then returned to baseline (U-curve); a few remained flatlined. Most dropped and remained below baseline (L-curve). The only measure that remained above baseline was documenting in the exam room with the patient. This study adds to the literature about current controversies surrounding EHR adoption and physician satisfaction.