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Electronic Health Record Adoption in US Hospitals: Progress Continues, But Challenges Persist
Julia Adler-Milstein; Catherine M. DesRoches; Peter Kralovec; Gregory Foster; Chantal Worzala; Dustin Charles; Talisha Searcy; and Ashish K. Jha
发表日期2015-12-01
出版者Health Affairs, vol. 34, no. 12
出版年2015
语种英语
概述Achieving nationwide adoption of electronic health records (EHRs) remains an important policy priority.",
摘要Achieving nationwide adoption of electronic health records (EHRs) remains an important policy priority. While EHR adoption has increased steadily since 2010, it is unclear how providers that have not yet adopted will fare now that federal incentives have converted to penalties. We used 2008–14 national data, which includes the most recently available, to examine hospital EHR trends. We found large gains in adoption, with 75 percent of US hospitals now having adopted at least a basic EHR system—up from 59 percent in 2013. However, small and rural hospitals continue to lag behind. Among hospitals without a basic EHR system, the function most often not yet adopted (in 61 percent of hospitals) was physician notes. We also saw large increases in the ability to meet core stage 2 meaningful-use criteria (40.5 percent of hospitals, up from 5.8 percent in 2013); much of this progress resulted from increased ability to meet criteria related to exchange of health information with patients and with other physicians during care transitions. Finally, hospitals most often reported up-front and ongoing costs, physician cooperation, and complexity of meeting meaningful-use criteria as challenges. Our findings suggest that nationwide hospital EHR adoption is in reach but will require attention to small and rural hospitals and strategies to address financial challenges, particularly now that penalties for lack of adoption have begun. 
URLhttps://www.mathematica.org/our-publications-and-findings/publications/electronic-health-record-adoption-in-us-hospitals-progress-continues-but-challenges-persist
来源智库Mathematica Policy Research (United States)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/488355
推荐引用方式
GB/T 7714
Julia Adler-Milstein,Catherine M. DesRoches,Peter Kralovec,et al. Electronic Health Record Adoption in US Hospitals: Progress Continues, But Challenges Persist. 2015.
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