More than two-thirds of family doctors now use electronic
health records, and the percentage doing so doubled between 2005 and 2011, a
new study finds.
If the trend continues, 80 percent of family doctors -- the
largest group of primary care physicians -- will be using electronic records by
2013, the researchers predicted.
The findings provide "some encouragement that we have
passed a critical threshold," said study author Dr. Andrew Bazemore,
director of the Robert Graham Center for Policy Studies in Primary Care, in
Washington, D.C. "The significant majority of primary care practitioners
appear to be using digital medical records in some form or fashion."
The promises of electronic record-keeping include improved
medical care and long-term savings. However, many doctors were slow to adopt
these records because of the high cost and the complexity of converting paper
files. There were also privacy concerns.
"We are not there yet," Bazemore added. "More
work is needed, including better information from all of the states."
The Obama administration has offered incentives to doctors
who adopt electronic health records, and penalties to those who do not.
For the study, researchers mined two national data sets to
see how many family doctors were using electronic health records, how this
number changed over time, and how it compared to use by specialists. Their
findings appear in the January-February issue of the Annals of Family Medicine.
Nationally, 68 percent of family doctors were using
electronic health records in 2011, they found. Rates varied by state, with a
low of about 47 percent in North Dakota and a high of nearly 95 percent in
Utah.
Dr. Michael Oppenheim, vice president and chief medical
information officer for North Shore Long Island Jewish Health System in Great
Neck, N.Y., said electronic record-keeping streamlines medical care.
These records "eliminate handwriting errors, and help
with planning and caring for patients with chronic medical problems,"
Oppenheim said. Plus, the files can be accessed by a doctor when the initial
provider is unavailable, he said.
Electronic health records also save money in the long term,
he noted. "If a patient has a complaint and just had a blood test, and
then shows up at the ER (emergency room) with the same complaint, the ER doctor
can access the record and not reorder the same test," he said.
Oppenheim said medical penalties are driving adoption of
e-records, but there is still some hesitancy. "Doctors are nervous about
the cost and worried about how it will affect their practice," he said.
"The conversion process is complex."
Doctors can do it themselves or outsource the system.
"You pay in productivity or dollars," he said.
Electronic health records are good news for all involved,
agreed Dr. Adam Szerencsy, an internist at New York University Medical Center
in New York City and the Epic Medical Director there. Epic is NYU's electronic
health record system.
When the concept first surfaced, many patients were
concerned about their privacy. Today's electronic health records are secure and
often have protocols attached to make sure that they don't fall into the wrong
hands, he explained.
A key reason that family doctors are leading the transition
is that government incentives make it a little more lucrative for family
practitioners than specialists, he said.
Also, "primary care doctors manage patients over time,
while subspecialists usually don't," Szerencsy said. For example, a
surgeon may treat appendicitis, and then the case is closed.
The Holy Grail is thought to be a universal health record
where doctors everywhere can access patient records. "We are getting
closer," Szerencsy said. "Within the next couple of years, electronic
health records will explode across the board."
Written By Denise Mann, HealthDay Reporter
Source: wmdt47news
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