Table 3.
Marginal effects of electronic health record user experience on probability that physician agreed with the following attitude.
| Attitudes about EHR use | Sample size (n) | Among physicians with under 4 years EHR experience |
Among physicians with 4 years or more EHR experience |
Diff. | p-value | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Percent | Standard Error |
Confidence Interval 95% |
Percent | Standard Error |
Confidence Interval 95% | ||||||
| My EHR system(s) meet(s) my practice's clinical needs |
1345 | 62.8% | 0.031 | 56.7% | 68.9% | 81.1% | 0.018 | 77.5% | 84.7% | 18.3% | 0.0001 |
| Overall my practice has optimized the use of its EHR. |
1342 | 65.0% | 0.033 | 58.5% | 71.5% | 77.1% | 0.021 | 73.0% | 81.2% | 12.1% | 0.002 |
| The time spent ordering medical services has increased |
1274 | 73.6% | 0.034 | 66.9% | 80.4% | 71.2% | 0.025 | 66.2% | 76.1% | −2.5% | 0.5712 |
| My practice receives lab results faster |
1295 | 60.8% | 0.030 | 54.9% | 66.6% | 72.9% | 0.022 | 68.5% | 77.2% | 12.1% | 0.0011 |
| The time spent reviewing patient information has increased |
1308 | 73.8% | 0.032 | 67.5% | 80.1% | 69.3% | 0.026 | 64.3% | 74.3% | −4.6% | 0.2741 |
| My EHR produces clinical benefits for my practice |
1306 | 62.0% | 0.035 | 55.2% | 68.9% | 79.1% | 0.020 | 75.2% | 83.1% | 17.1% | 0.0001 |
| Overall, my EHR saves me time | 1336 | 33.9% | 0.032 | 27.6% | 40.1% | 49.3% | 0.026 | 44.2% | 54.4% | 15.5% | 0.0003 |
| The time spent documenting patient care has increased |
1336 | 84.5% | 0.023 | 80.0% | 88.9% | 84.6% | 0.019 | 80.9% | 88.3% | 0.2% | 0.9495 |
| Overall, my practice functions more efficiently with an EHR system |
1338 | 49.2% | 0.035 | 42.4% | 56.0% | 68.4% | 0.024 | 63.6% | 73.1% | 19.2% | 0.0001 |
| My EHR disrupts the way I interact with my patients |
1332 | 72.5% | 0.032 | 66.2% | 78.8% | 60.6% | 0.026 | 55.5% | 65.6% | −12.0% | 0.0052 |
| My EHR allows me to deliver better patient care |
1324 | 43.4% | 0.035 | 36.6% | 50.2% | 64.8% | 0.024 | 60.0% | 69.6% | 21.4% | 0.0001 |
| Health Information is less secure in my EHR system than a paper- based system |
1300 | 33.3% | 0.031 | 27.3% | 39.3% | 27.1% | 0.023 | 22.7% | 31.6% | −6.2% | 0.1043 |
| My EHR enhances patient data confidentialty |
1297 | 53.5% | 0.036 | 46.5% | 60.5% | 69.8% | 0.024 | 65.2% | 74.5% | 16.3% | 0.0002 |
| My EHR produces financial benefits for my practice |
1225 | 33.8% | 0.032 | 27.6% | 40.1% | 53.9% | 0.026 | 48.8% | 59.0% | 20.0% | 0.0001 |
| Use of my EHR results in incomplete billing for services |
1225 | 28.6% | 0.036 | 21.6% | 35.6% | 20.3% | 0.020 | 16.5% | 24.2% | −8.3% | 0.0389 |
| Overall, the benefits of having an EHR outweigh its cost |
1273 | 47.1% | 0.037 | 39.8% | 54.5% | 65.6% | 0.025 | 60.6% | 70.6% | 18.5% | 0.0001 |
Source: CDC/NCHS, National Electronic Health Records Survey, 2014
Note: Marginal effects are presented from logistic regression, where estimates are adjusted for having a certified system, participation in any delivery system reform (ACO, P4P, or PCMH), age, specialty, practice size, ownership, metropolitan statistical area, and Census region. Physicians that were uncertain or did not enter the number of years they used an EHR were not included in the model (6.9% of those with an EHR system). Missing data for each attitude was removed resulting in different sample sizes for each question