ArticleAnnals of family medicine2017
Increased Health Information Technology Adoption and Use Among Small Primary Care Physician Practices Over Time: A National Cohort Study.
Article in Annals of family medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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Who cites it
19 citing papers in PubMed.
- Clinical trial knowledge among cancer survivors in the United States: the role of health information technology.Cancer causes & control : CCC · 2025Article
- Associations Between Telemedicine Use Barriers, Organizational Factors, and Physician Perceptions of Care Quality.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024Article
- Health systems and telemedicine adoption for diabetes and hypertension care.The American journal of managed care · 2023Article
- Association of Physician Characteristics With Early Adoption of Virtual Health Care.JAMA network open · 2021Article
- Disparities in Audio-only Telemedicine Use Among Medicare Beneficiaries During the Coronavirus Disease 2019 Pandemic.Medical care · 2021Article
- FQHC Designation and Safety Net Patient Revenue Associated with Primary Care Practice Capabilities for Access and Quality.Journal of general internal medicine · 2021Article
- The Use of Medical Scribes in Primary Care Settings: A Literature Synthesis.Medical care · 2021Review
- The CMS State Innovation Models Initiative and Improved Health Information Technology and Care Management Capabilities of Physician Practices.Medical care research and review : MCRR · 2021Article
- Avoiding Medicaid: Characteristics Of Primary Care Practices With No Medicaid Revenue.Health affairs (Project Hope) · 2021Article
- Implementation of Community-Based Resource Referrals for Cardiovascular Disease Self-Management.Annals of family medicine · 2020Article
- Development of competency model for family physicians against the background of 'internet plus healthcare' in China: a mixed methods study.Human resources for health · 2020Article
- Primary Care Practices' Ability to Report Electronic Clinical Quality Measures in the EvidenceNOW Southwest Initiative to Improve Heart Health.JAMA network open · 2019Article
- Applying Artificial Intelligence to Address the Knowledge Gaps in Cancer Care.The oncologist · 2019Article
- Study protocol: a pragmatic, stepped-wedge trial of tailored support for implementing social determinants of health documentation/action in community health centers, with realist evaluation.Implementation science : IS · 2019Article
- Designing health information technology tools for behavioral health clinicians integrated within a primary care team.Journal of innovation in health informatics · 2018Article
- Adoption of Social Determinants of Health EHR Tools by Community Health Centers.Annals of family medicine · 2018Article
- Patient portal adoption and use by hospitalized cancer patients: a retrospective study of its impact on adverse events, utilization, and patient satisfaction.BMC medical informatics and decision making · 2018Article
- Health information technology in ambulatory care in a developing country.Electronic physician · 2018Article
- Practice Facilitator Strategies for Addressing Electronic Health Record Data Challenges for Quality Improvement: EvidenceNOW.Journal of the American Board of Family Medicine : JABFMArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeImplementation and meaningful use of health information technology (HIT) has been shown to facilitate delivery system transformation, yet implementation is far from universal. This study examined correlates of greater HIT implementation over time among a national cohort of small primary care practices in the United States.
methodsWe used data from a 40-minute telephone panel survey of 566 small primary care practices having 8 or fewer physicians to investigate adoption and use of HIT in 2007-2010 and 2012-2013. We used generalized estimating equations (GEE) to estimate the association of practice characteristics and external incentives with the adoption and use of HIT. We studied 18 measures of HIT functionalities, including record keeping, clinical decision support, patient communication, and health information exchange with hospitals and pharmacies.
resultsOverall, use of 16 HIT functionalities increased significantly over time, whereas use of 2 decreased significantly. On average, compared with physician-owned practices, hospital-owned practices used 1.48 (95% CI, 1.07-1.88;
conclusionsThe new Medicare Access and CHIP Reauthorization Act (MACRA) will provide payment incentives and technical support to speed HIT adoption and use by small practices. We found that external incentives were, indeed, positively associated with greater adoption and use of HIT. Our findings also support a strategy of targeting assistance to smaller physician practices and those that are physician owned.
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