Table 2.
Factors Associated With Perceived Effect of EHRs on Healthcare Quality
| Characteristic | Association With Belief EHRs Will Improve Healthcare Quality: OR (95% CI) | ||
|---|---|---|---|
| 2011 | 2012 | 2013 | |
| Age, years | |||
| <40 | Reference | Reference | Reference |
| 40–64 | 0.82 (0.60–1.13) | 0.75 (0.55–1.03) | 0.78 (0.58–1.05) |
| ≥65 | 0.47 (0.31–0.70) | 0.76 (0.50–1.15) | 0.60 (0.42–0.88) |
| Gender, female | 0.95 (0.72–1.24) | 0.94 (0.72–1.24) | 0.99 (0.76–1.30) |
| Married | 1.20 (0.91–1.58) | 1.06 (0.80–1.40) | 1.07 (0.82–1.40) |
| Child in house | 1.05 (0.79–1.40) | 1.18 (0.88–1.58) | 1.01 (0.77–1.33) |
| Education | |||
| ≤High school graduate | Reference | Reference | Reference |
| Some college | 1.47 (1.02–2.11) | 1.36 (0.94–1.98) | 1.22 (0.85–1.74) |
| ≥College graduate | 2.21 (1.59–3.08) | 2.58 (1.82–3.65) | 1.86 (1.34–2.57) |
| Hispanic/Latino | 0.65 (0.39–1.10) | 1.11 (0.65–1.91) | 1.31 (0.80–2.13) |
| Race, black | 1.08 (0.73–1.60) | 1.24 (0.81–1.89) | 0.86 (0.58–1.29) |
| Household income | |||
| <$50,000 | Reference | Reference | Reference |
| $50,000 to <$100,000 | 1.31 (0.59–1.80) | 1.67 (1.22–2.28) | 1.17 (0.86–1.58) |
| ≥$100,000 | 1.76 (1.24–2.50) | 2.09 (1.43–3.05) | 1.46 (1.04–2.02) |
| Employment | |||
| Employed | Reference | Reference | Reference |
| Unemployed | 0.82 (0.55–1.23) | 0.90 (0.62–1.32) | 0.90 (0.60–1.35) |
| Disabled | 0.57 (0.30–1.10) | 0.37 (0.21–0.64) | 1.74 (0.94–3.22) |
| Retired | 0.63 (0.45–0.88) | 0.76 (0.52–1.10) | 0.65 (0.44–0.96) |
| Political orientation | |||
| Moderate | Reference | Reference | Reference |
| Liberal | 1.07 (0.76–1.51) | 1.73 (1.20–2.48) | 1.49 (1.07–2.07) |
| Conservative | 0.76 (0.56–1.05) | 1.08 (0.77–1.50) | 0.96 (0.69–1.32) |
| Uses Internet daily | 2.18 (1.61–2.96) | 3.16 (2.29–4.38) | 1.73 (1.66–2.36) |
| Good/excellent health | 1.52 (1.03–2.24) | 1.22 (0.82–1.83) | 1.23 (0.83–1.83) |
| Doctor uses EHR | 1.91 (1.45–2.52) | 1.67 (1.26–2.22) | 1.31 (0.98–1.74) |
| Believes EHRs will worsen privacy | 0.47 (0.35–0.62) | 0.52 (0.39–0.68) | 0.50 (0.38–0.66) |
EHR indicates electronic health record; OR, odds ratio.
Bolding indicates statistically significant ORs (those in which the CI did not cross 1).