A5018598333- Electronic Health Records Systems
- Healthcare Policy and Management
- Healthcare Systems and Technology
- Primary Care and Health Outcomes
- Global Health Workforce Issues
- Nursing Roles and Practices
- Patient-Provider Communication in Healthcare
- Health Literacy and Information Accessibility
- Ethics in Clinical Research
- Telemedicine and Telehealth Implementation
- Medical Malpractice and Liability Issues
- Healthcare cost, quality, practices
- Medical Coding and Health Information
- Healthcare Quality and Management
- Mobile Health and mHealth Applications
- Global Health Care Issues
- Data Quality and Management
- Clinical practice guidelines implementation
- Geriatric Care and Nursing Homes
- Digital Imaging in Medicine
- Emergency and Acute Care Studies
- Patient Satisfaction in Healthcare
- Medical Research and Practices
- Pharmaceutical industry and healthcare
- Nursing Education, Practice, and Leadership
Beth Israel Deaconess Medical Center
2017-2025
Harvard University
2011-2025
Hadassah Medical Center
2020-2024
General Department of Preventive Medicine
2022
Uppsala University
2021
Center for Open Science
2020
Beth Israel Deaconess Hospital
2018
Mathematica Policy Research
2011-2016
Massachusetts General Hospital
2007-2014
Development Fund
2014
Despite a consensus that the use of health information technology should lead to more efficient, safer, and higher-quality care, there are no reliable estimates prevalence adoption electronic records in U.S. hospitals.
How often physicians alter their clinical behavior because of the threat malpractice liability, termed defensive medicine, and consequences those changes, are central questions in ongoing medical reform debate.To study prevalence characteristics medicine among practicing high-liability specialties during a period substantial instability environment.Mail survey 6 at high risk litigation (emergency general surgery, orthopedic neurosurgery, obstetrics/gynecology, radiology) Pennsylvania May...
Electronic health records have the potential to improve delivery of care services. However, in United States, physicians been slow adopt such systems. This study assessed physicians' adoption outpatient electronic records, their satisfaction with systems, perceived effect systems on quality care, and barriers adoption.In late 2007 early 2008, we conducted a national survey 2758 physicians, which represented response rate 62%. Using definition for that was based expert consensus, determined...
As the United States expends extraordinary efforts toward digitization of its health-care system, and as policy makers across globe look to information technology (IT) a means making systems safer, more affordable, accessible, rare remarkable opportunity has emerged for research community leverage in-depth knowledge both advance theory influence practice policy. Although health IT (HIT) tremendous potential improve quality reduce costs in healthcare, significant challenges need be overcome...
In response to the report by Institute of Medicine on medical errors, national groups have recommended actions reduce occurrence preventable errors. What is not known level support for these proposed changes among practicing physicians and public.We conducted parallel surveys 831 physicians, who responded mailed questionnaires, 1207 members public, were interviewed telephone after selection with use random-digit dialing. Respondents asked about causes solutions problem errors and, basis a...
Using data from 13 surveys of the public, this article compares public's response to severe acute respiratory syndrome (SARS) in Ontario (specifically, Toronto), other Canadian provinces, and United States, which had substantial differences number SARS cases. Findings suggest that, even at a relatively low level spread among population, outbreak significant psychological economic impact. They also that success efforts educate public about risk appropriate precautions was mixed. Some...
Achieving nationwide adoption of electronic health records (EHRs) remains an important policy priority. While EHR has increased steadily since 2010, it is unclear how providers that have not yet adopted will fare now federal incentives converted to penalties. We used 2008-14 national data, which includes the most recently available, examine hospital trends. found large gains in adoption, with 75 percent US hospitals having at least a basic system--up from 59 2013. However, small and rural...
Background Following a 2010-2011 pilot intervention in which limited sample of primary care doctors offered their patients secure Web-based portal access to office visit notes, the participating sites expanded OpenNotes nearly all clinicians care, medical, and surgical specialty practices. Objective The aim this study was examine ongoing experiences perceptions who read ambulatory notes written by broad range doctors, nurses, other clinicians. Methods A total 3 large US health systems...
The U.S. health care system is at a critical juncture in workforce planning. nation has shortage of primary physicians. Policy analysts have proposed expanding the supply and scope practice nurse practitioners to address increased demand for providers. These proposals are controversial.From November 23, 2011, April 9, 2012, we conducted national postal-mail survey 972 clinicians (505 physicians 467 practitioners) practice. Questionnaire domains included work, characteristics, attitudes about...
The potential for machine learning to disrupt the medical profession is subject of ongoing debate within biomedical informatics and related fields. This study aimed explore general practitioners' (GPs') opinions about impact future technology on key tasks in primary care. In June 2018, we conducted a Web-based survey 720 UK GPs' likelihood fully replace GPs performing 6 care tasks, and, if respondents considered replacement particular task likely, estimate how soon technological capacity...
<h3>Importance</h3> As health information transparency increases, patients more often seek their data. More than 44 million in the US can now readily access ambulatory visit notes online, and practice is increasing abroad. Few studies have assessed documentation errors that identify how these may inform patient engagement safety strategies. <h3>Objective</h3> To assess frequency types of identified by who read open notes. <h3>Design, Setting, Participants</h3> In this survey study, a total...
Sharing clinic notes online with patients and parents may yield many potential benefits to providers alike, but the unprecedented transparency accessibility afforded by patient portals has also raised a number of unique ethical legal concerns. As movement toward transparent (OpenNotes) grows, clinicians health care organizations caring for pediatric adolescent wrestle how document confidential sensitive information, including issues such as reproductive health, misattributed paternity, or...
Importance The 21st Century Cures Act Final Rule mandates the immediate electronic availability of test results to patients, likely empowering them better manage their health. Concerns remain about unintended effects releasing abnormal patients. Objective To assess patient and caregiver attitudes preferences related receiving immediately released through an online portal. Design, Setting, Participants This large, multisite survey study was conducted at 4 geographically distributed academic...
Electronic health records (EHRs) are promising tools to improve quality and efficiency in care, but data on their adoption rate limited. We identified surveys EHR assessed quality. Although returned widely different estimates of use, when available information is limited studies high or medium quality, national possible: Through 2005, approximately 23.9 percent physicians used EHRs the ambulatory setting, while 5 hospitals computerized physician order entry. Large gaps knowledge, including...
This article presents the views of Americans on what government's future role should be in regulating or overseeing growing sales dietary supplements for health purposes. Based results multiple national opinion surveys, including both users and nonusers supplements, we found that a substantial percentage surveyed reported they regularly take as part their routine regimen. However, do not discuss use with physicians because believe know little nothing about these products may biased against...
This article reports on a comparative survey of sicker adults in Australia, Canada, New Zealand, the United Kingdom, and States. The study finds that despite differences among health care systems, large proportions citizens across five countries report dissatisfaction with their system serious problems including medical medication errors, faulty patient-physician communication, poor coordination. most crucial policy implication these findings is focus small population intensive users could...
Given the substantial federal financial incentives soon to be available providers who make "meaningful use" of electronic health records, tracking progress this care technology conversion is a policy priority. Using recent survey U.S. hospitals, we found that share hospitals had adopted either basic or comprehensive records has risen modestly, from 8.7 percent in 2008 11.9 2009. Small, public, and rural were less likely embrace than their larger, private, urban counterparts. Only 2 reported...
This paper reports the results of a comparative survey in five nations: Australia, Canada, New Zealand, United Kingdom, and States. The finds high level citizen dissatisfaction with health care systems all countries. Citizens incomes below national median were more likely than those higher to be dissatisfied. In contrast, relatively few citizens reported problems getting needed care. Low-income U.S. did their counterparts other four
Understanding whether electronic health records, as currently adopted, improve quality and efficiency has important implications for how best to employ the estimated $20 billion in information technology incentives authorized by American Recovery Reinvestment Act of 2009. We examined record adoption U.S. hospitals relationship efficiency. Across a large number metrics examined, relationships were modest at generally lacked statistical or clinical significance. However, presence decision...
Peer monitoring and reporting are the primary mechanisms for identifying physicians who impaired or otherwise incompetent to practice, but data suggest that rate of such is lower than it should be.To understand physicians' beliefs, preparedness, actual experiences related colleagues practice medicine.Nationally representative survey 2938 eligible practicing in United States 2009 anesthesiology, cardiology, family general surgery, internal medicine, pediatrics, psychiatry. Overall, 1891...
The US health care system is in the midst of an enormous change way providers and hospitals document, monitor, share information about delivery. Part this transition involves a wholesale, but currently uneven, shift from paper-based records to electronic record (EHR) systems. We used most recent longitudinal survey track how they are adopting using EHR Only 44 percent report having what we define as at least basic system. And although 42.2 meet all federal stage 1 “meaningful-use” criteria,...
The national effort to promote the adoption and meaningful use of electronic health records (EHRs) is well under way. However, 2014 marks an important transition: For many hospitals, penalties will be assessed in fiscal year 2015 for failing meet federal meaningful-use criteria by end 2014. We used recent data from American Hospital Association Annual Survey Hospitals--IT Supplement assess progress challenges. EHR among US hospitals continues rise steeply: 59 percent now have at least a...
To achieve the goal of comprehensive health information record keeping and exchange among providers patients, hospitals must have functioning electronic systems that contain patient demographics, care histories, lab results, more. Using national survey data on US from 2011, year federal incentives for meaningful use records began, we found share with any system increased 15.1 percent in 2010 to 26.6 a rose 3.6 8.7 percent. The proportion able meet our proxy criteria also rose; 18.4 had these...