Table 4.
Regression results: EHR training, support, inaccuracy, and dissatisfaction by Hospital Tenure
| Independent Variables | EHR Training | EHR Support & Communication | High Frequency of Information was Not Accurate | Dissatisfied with EHR |
||||
|---|---|---|---|---|---|---|---|---|
| Coef Estimate | Pr > |t| | Coef Estimate | Pr > |t| | Odds Ratio | 95% CI | Odds Ratio | 95% CI | |
| Hospital Tenure (reference = 11 or more years) | ||||||||
| Less than 1 year | -0.15** | < 0.0001 | 0.16** | < 0.0001 | 0.70* | (0.56,0.88) | 0.83 | (0.69,1.01) |
| 1 to 5 years | -0.11** | < 0.0001 | 0.05* | 0.0387 | 0.96 | (0.84,1.10) | 0.79* | (0.70,0.90) |
| 6 to 10 years | -0.01 | 0.6160 | 0.02 | 0.4285 | 0.93 | (0.78,1.10) | 0.85* | (0.73,0.99) |
| Bed size (reference = 100–299) | ||||||||
| 50–99 | 0.35 | 0.0629 | 0.16 | 0.2464 | 0.90 | (0.74,1.09) | 1.19* | (1.01,1.40) |
| 300 or more | -0.38** | 0.0035 | -0.30** | < 0.0001 | 1.13 | (0.99,1.29) | 1.00 | (0.88,1.13) |
| Ownership (reference = Nongovt not-for-profit) | ||||||||
| Government non-federal | -0.57** | 0.0061 | -0.49** | 0.0032 | 0.92 | (0.73,1,17) | 2.18* | (1.81,2.62) |
| For-profit | -0.50* | 0.0213 | -0.53** | 0.0025 | 0.85 | (0.58,1.25) | 0.62* | (0.43,0.89) |
Note: n = 8548 (excluding Information Technology staff); a positive regression coefficient indicates better score on the mean composite measure;
odds ratio > 1 (unfavorable) indicates greater likelihood of high frequency inaccuracy and EHR system dissatisfaction
Tenure estimates are in comparison to staff who worked in the hospital 11 or more years
Nongovt = nongovernment; Coef = coefficient; Pr = probability; CI = confidence interval
* significant at p < 0.05
** significant at p < 0.01