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Title of Journal: J GEN INTERN MED

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Abbravation: Journal of General Internal Medicine

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Springer-Verlag

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10.1016/j.agecon.2003.11.016

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1525-1497

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Trends in Primary Care Clinician Perceptions of a

Authors: Robert ElKareh Tejal K Gandhi Eric G Poon Lisa P Newmark Jonathan Ungar Stuart Lipsitz Thomas D Sequist
Publish Date: 2009/01/21
Volume: 24, Issue: 4, Pages: 464-468
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Abstract

Response rates for months 1 3 6 and 12 were 92 95 90 and 82 respectively The proportion of clinicians agreeing that the EHR improved the overall quality of care 63 to 86 p  0001 reduced medicationrelated errors 72 to 81 p = 003 improved followup of test results 62 to 87 p  0001 and improved communication among clinicians 72 to 93 p  0001 increased from month 1 to month 12 During the same time period a decreasing proportion of clinicians agreed that the EHR reduced the quality of patient interactions 49 to 33 p = 0001 resulted in longer patient visits 68 to 51 p = 0001 and increased time spent on medical documentation 78 to 68 p = 0006 Significant improvements in perceptions related to test result followup were first detected at 6 months while those related to overall quality efficiency and communication were first identified at 12 monthsThis study was funded by grants from the Agency for Healthcare Research and Quality 1 R01 HS 01522601 and the National Library of Medicine 2 T15 LM 0709216 These funding agencies played no role in the conduct of the study collection management analysis and interpretation of the data and preparation review or approval of the manuscript The authors would like to thank the clinicians of Atrius Health for participating in this study Dr Sequist had full access to all the data in the study and takes responsibility for the integrity and the accuracy of the data analysis

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