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Electronic health record use and the quality of ambulatory care in the United States

Authors

Linder, J. A., Ma, J., Bates, D. W., Middleton, B., Stafford, R. S.

Journal

Arch Intern Med

Publication Date

2007 Jul 9

Volume

167

Issue

Pages

1400-5

HIT Description: Electronic health records More info...
Purpose of Study: determine whether the use of electronic health records (EHRs) is associated with higher quality ambulatory care in the US
Years of study: 2003-2004
Study Design: cross-sectional
Outcomes: impact on health care effectiveness and quality

Summary:

Settings: patient, physician and clinical information from non-federally funded, community, office-based physician practices throughout the US included in the National Ambulatory Medical Care Survey (NAMCS)
Intervention: cross-sectional analysis of ambulatory visits and association of different variables with use of an HER
Evaluation Method: survey of practices collected on patient record forms
Description: Òelectronic medical recordsÓ (not including billing records
Quality of Care and Patient Safety Outcome: EHR use was associated with better performance on 2 measures (avoiding use of benzodiazepines in depression and avoiding routine urinalyses); worse performance on prescribing statins for patients with hyperlipidemia; and no difference in performance on 14 other measures

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