ArticleBMC health services research2025
Lower electronic health record adoption and interoperability in rural versus urban physician participants: a cross-sectional analysis from the CMS quality payment program.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Availability and Quality of Electronic Health Record Data to Track Physical Function Across a Care Transition.Learning health systems · 2026Article
- Assessing HPV Vaccination Trends and Their Alignment with Evolving Recommendations.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026Article
- 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
- Tailoring clinical decision support for rural hospitals: A qualitative pilot study of accessing infectious disease expertise for Staphylococcus aureus bacteremia.American journal of infection control · 2026Article
- Comparative analysis of Pharmaceutical Care practice in rural and urban community pharmacies in Valencia, Spain: a quasi-experimental study.BMC health services research · 2026Article
- Lost in Transcription: Frequency of Inaccurate Manually Documented Point-of-Care Blood Glucose and Ketone Measures in Hospital.Endocrinology, diabetes & metabolism · 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
- Article
- Missingness in the National Cancer Database: A Novel Surrogate for Hepatobiliary Cancer Outcomes.Annals of surgical oncology · 2026Article
- Ethical considerations for clinical adoption of ambient digital scribe technology.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Associations Between Hospital Structural Characteristics and Adoption of Public Health Data Integration and Automation: National Cross-Sectional proofsStudy.Online journal of public health informatics · 2026Article
- Gaps in artificial intelligence research for rural health in the United States: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Cross-sectional analysis of neighbourhood profiles and mental health conditions in the USA: insights from the All of Us Research Program.BMJ public health · 2026Article
- A pilot study of at-home online cognitive screening prior to primary care wellness visits for older adults.Frontiers in digital health · 2026Article
- Advancing cardio-obstetric care through digital health technologies: A narrative review.ESC heart failure · 2025Review
- Forecasting Clinical Risk from Textual Time Series: Structuring Narratives for Temporal AI in Healthcare.medRxiv : the preprint server for health sciences · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundThe Health Information Technology for Economic and Clinical Health Act of 2009 introduced the Meaningful Use program to incentivize the adoption of electronic health records (EHRs) in the U.S. This study investigates the disparities in EHR adoption and interoperability between rural and urban physicians in the context of federal programs like the Medicare Access and CHIP Reauthorization Act of 2015 and the 21st Century Cures Act.
methodsA cross-sectional analysis was conducted using the 2021 Quality Payment Program Experience Report Public Use File to compare EHR adoption and Promoting Interoperability scores (PISs) between urban and rural physician participants. Data were linked with the Certified Health IT Product List to assess certified EHR adoption and interoperability.
resultsThe study included 209,152 physician participants, 12% of whom practiced in rural communities. EHR adoption was significantly higher in urban (74%) than in rural areas (64%). Epic Systems dominated the market in both settings. Multivariable logistic regression indicated lower odds of EHR adoption among rural physicians (OR: 0.79, CI: 0.76-0.82). Rural physicians also had lower PISs (β: -3.5, CI: -4.1 to -3.0). Factors like extreme hardship, small practitioner status, and location in a health professional shortage area significantly impacted EHR adoption and PISs.
conclusionsSignificant disparities exist in EHR adoption and interoperability between rural and urban physicians. These disparities highlight the need for targeted interventions to enhance EHR adoption and interoperability in rural settings to ensure equitable access to healthcare technologies and improved patient outcomes across all communities.
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