Abstract
Despite benefits associated with the use of electronic health records (EHRs), one major barrier to adoption is the concern that EHRs may take longer for physicians to use than paper-based systems. To address this issue, we performed a time-motion study in five primary care clinics. Twenty physicians were observed and specific activities were timed during a clinic session before and after EHR implementation. Surveys evaluated physicians' perceptions regarding the EHR. Post-implementation, the adjusted mean overall time spent per patient during clinic sessions decreased by 0.5 min (p = 0.86; 95% confidence interval [-5.05, 6.04]) from a pre-intervention adjusted average of 27.55 min (SE = 2.1) to a post-intervention adjusted average of 27.05 min (SE = 1.6). A majority of survey respondents believed EHR use results in quality improvement, yet only 29% reported that EHR documentation takes the same amount of time or less compared to the paper-based system. While the EHR did not require more time for physicians during a clinic session, further studies should assess the EHR's potential impact on non-clinic time.
Original language | English (US) |
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Pages (from-to) | 176-188 |
Number of pages | 13 |
Journal | Journal of Biomedical Informatics |
Volume | 38 |
Issue number | 3 |
DOIs | |
State | Published - Jun 2005 |
Externally published | Yes |
Keywords
- Electronic health record
- Physician satisfaction
- Physician workload
- Time-motion study
ASJC Scopus subject areas
- Computer Science Applications
- Health Informatics