ArticleHealth affairs scholar2023
Pre-pandemic assessment: a decade of progress in electronic health record adoption among U.S. hospitals.
Article in Health affairs scholar, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Electronic Health Record Interventions to Reduce Risk of Hospital Readmissions: A Systematic Review and Meta-Analysis.JAMA network open · 2025Pooled it
- Success Factors of Growth-Stage Digital Health Companies: Systematic Literature Review.Journal of medical Internet research · 2024Pooled it
- The digital divide in adoption and advanced use of electronic health records among US hospitals: rural versus urban disparities from 2008 to 2023.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- The future of follow-up: technology-enabled medical and developmental follow-up care for NICU graduates.Journal of perinatology : official journal of the California Perinatal Association · 2026Review
- Payer mix shifts and profitability at critical access hospitals, 2011 to 2023.Health affairs scholar · 2026Article
- SMART: a new patient similarity estimation framework for enhanced predictive modeling in acute kidney injury.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Machine learning-enabled systematic review on coded healthcare data in heart failure research.European heart journal. Digital health · 2026Article
- Practical strategies for achieving system change in the US: lessons and insights from the CONQUEST quality improvement programme.Primary health care research & development · 2025Review
- Quantitative Analysis of Diagnostic Reasoning Using Initial Electronic Medical Records.Diagnostics (Basel, Switzerland) · 2025Article
- Electronic health records tools for treating obesity among adult patients in primary care: A scoping review.Obesity pillars · 2025Article
- Lower electronic health record adoption and interoperability in rural versus urban physician participants: a cross-sectional analysis from the CMS quality payment program.BMC health services research · 2025Article
- Development of a feasible and portable electronic flag for near-real-time identification of renal replacement therapy in the Veterans Health Administration.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Artificial intelligence: a primer for pediatric radiologists.Pediatric radiology · 2024Review
- Implementation and delivery of electronic health records training programs for nurses working in inpatient settings: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Unveiling the Adoption and Barriers of Telemedicine in US Hospitals: A Comprehensive Analysis (2017-2022).Journal of general internal medicine · 2024Article
- New Horizons for Consumer-Mediated Health Information Exchange.Yearbook of medical informatics · 2024Review
- A Compass for North Carolina Health Care Workers Navigating the Adoption of Artificial Intelligence.North Carolina medical journal · 2024Review
- Taipei Medical University Clinical Research Database: a collaborative hospital EHR database aligned with international common data standards.BMJ health & care informatics · 2024Article
- Knowledge, attitudes, and perceptions of healthcare students and professionals on the use of artificial intelligence in healthcare in Pakistan.PLOS digital health · 2024Article
- Challenges and dynamics of public health reporting and data exchange during COVID-19: insights from US hospitals.Health affairs scholar · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
As the COVID-19 pandemic loomed, the adoption of electronic health records (EHRs) in US hospitals became a pivotal concern. This study provides a pre-pandemic assessment, highlighting a decade of progress in EHR adoption from 2009 to 2019, with the last available survey conducted from January to June of 2020. It delves into the current EHR adoption rates, variations across different hospital categories, the influence of major vendors, and the challenges in implementing these systems. The study found that basic EHR adoption surged from 6.6% to 81.2%, while comprehensive systems increased from 3.6% to 63.2%. Despite this growth, the findings point to enduring disparities among hospitals, a concentrated market share by 6 vendors (90%), and significant concerns regarding maintenance costs. These insights provide an invaluable snapshot of the state of EHR adoption at the brink of the pandemic, serving as a benchmark to assess hospitals' readiness to utilize digital infrastructure in health care. The conclusions underscore the necessity for strategic policy interventions to encourage a competitive landscape and guarantee equitable access, ultimately strengthening the health care system's responsiveness to global health crises such as COVID-19.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.