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Research ArticleOriginal Research

The Rise of Electronic Health Record Adoption Among Family Physicians

Imam M. Xierali, Chun-Ju Hsiao, James C. Puffer, Larry A. Green, Jason C. B. Rinaldo, Andrew W. Bazemore, Mathew T. Burke and Robert L. Phillips
The Annals of Family Medicine January 2013, 11 (1) 14-19; DOI: https://doi.org/10.1370/afm.1461
Imam M. Xierali
1The Association of American Medical Colleges, Washington, DC
2Department of Family Medicine, Georgetown University Medical Center, Washington, DC
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  • For correspondence: ixierali@aamc.org
Chun-Ju Hsiao
3National Center for Health Statistics, Hyattsville, Maryland
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James C. Puffer
4The American Board of Family Medicine, Lexington, Kentucky
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Larry A. Green
5Department of Family Medicine, University of Colorado Denver, Aurora, Colorado
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Jason C. B. Rinaldo
4The American Board of Family Medicine, Lexington, Kentucky
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Andrew W. Bazemore
6The Robert Graham Center for Policy Studies in Family Medicine and Primary Care, Washington, DC
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Mathew T. Burke
2Department of Family Medicine, Georgetown University Medical Center, Washington, DC
7Department of Family Medicine, Medstar Franklin Square Hospital, Baltimore, Maryland
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Robert L. Phillips Jr
4The American Board of Family Medicine, Lexington, Kentucky
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Abstract

PURPOSE Realizing the benefits of adopting electronic health records (EHRs) in large measure depends heavily on clinicians and providers’ uptake and meaningful use of the technology. This study examines EHR adoption among family physicians using 2 different data sources, compares family physicians with other office-based medical specialists, assesses variation in EHR adoption among family physicians across states, and shows the possibility for data sharing among various medical boards and federal agencies in monitoring and guiding EHR adoption.

METHOD We undertook a secondary analysis of American Board of Family Medicine (ABFM) administrative data (2005–2011) and data from the National Ambulatory Medical Care Survey (NAMCS) (2001–2011).

RESULTS The EHR adoption rate by family physicians reached 68% nationally in 2011. NAMCS family physician adoption rates and ABFM adoption rates (2005–2011) were similar. Family physicians are adopting EHRs at a higher rate than other office-based physicians as a group; however, significant state-level variation exists, indicating geographical gaps in EHR adoption.

CONCLUSION Two independent data sets yielded convergent results, showing that adoption of EHRs by family physicians has doubled since 2005, exceeds other office-based physicians as a group, and is likely to surpass 80% by 2013. Adoption varies at a state level. Further monitoring of trends in EHR adoption and characterizing their capacities are important to achieve comprehensive data exchange necessary for better, affordable health care.

Keywords
  • electronic health record
  • family physicians
  • National Ambulatory Medical Care Survey
  • American Board of Family Medicine
  • Received for publication May 18, 2012.
  • Revision received September 17, 2012.
  • Accepted for publication October 3, 2012.
  • © 2013 Annals of Family Medicine, Inc.
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The Annals of Family Medicine: 11 (1)
The Annals of Family Medicine
Vol. 11, Issue 1
January/February 2013
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The Rise of Electronic Health Record Adoption Among Family Physicians
Imam M. Xierali, Chun-Ju Hsiao, James C. Puffer, Larry A. Green, Jason C. B. Rinaldo, Andrew W. Bazemore, Mathew T. Burke, Robert L. Phillips
The Annals of Family Medicine Jan 2013, 11 (1) 14-19; DOI: 10.1370/afm.1461

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The Rise of Electronic Health Record Adoption Among Family Physicians
Imam M. Xierali, Chun-Ju Hsiao, James C. Puffer, Larry A. Green, Jason C. B. Rinaldo, Andrew W. Bazemore, Mathew T. Burke, Robert L. Phillips
The Annals of Family Medicine Jan 2013, 11 (1) 14-19; DOI: 10.1370/afm.1461
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