Navigation Links
International survey: 69 percent of US primary care doctors now have electronic medical records
Date:11/14/2012

New York, NY, November 15, 2012Two-thirds (69%) of U.S. primary care physicians reported using electronic medical records (EMRs) in 2012, up from less than half (46%) in 2009, according to findings from the 2012 Commonwealth Fund International Health Policy Survey, published as a Web First online today in the journal Health Affairs. Primary care physicians in the U.S.the only country in the study without universal health coveragestand out in the survey for reporting that their patients often cannot afford care (59%). By comparison, between 4 percent and 25 percent of physicians reported affordability problems for their patients in Norway (4%), the U.K. (13%), Switzerland (16%), Germany (21%), and Australia (25%). Moreover, more than half of U.S. doctors (52%) said insurance restrictions on their care decisions are a major time concernby far the highest rate in the 10-country survey. U.S. physicians also were the most negative about their country's health system, with only 15 percent agreeing the health care system works well.

The survey of nearly 8,500 primary care physicians in Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Switzerland, the United Kingdom, and the United States, finds that communication and teamwork across the health system is a challenge in all countries. In each, only a minority of primary care doctors reported always receiving timely information from specialist physicians after referring patients to them; in the U.S., just 11 percent of physicians said they had such information available when it was needed. And from one-third to more than half of doctors across countries said they are not always notified when their patients leave the hospital.

In the study, "A Survey of Primary Care Doctors in Ten Countries Shows Progress in the Use of Health Information Technology, Less in Other Areas," the U.S. stands out for having the lowest rates of after-hours care: one-third (34%) of U.S. physicians reported they provided options for their patients to receive after-hours care, compared to about 90 percent or more in the U.K (95%), the Netherlands (94%), New Zealand (90%), and Germany (89%).

"The U.S. spends far more on medical care than the other countries we surveyed, yet our doctors are telling us their patients can't afford care, they don't always have the patient information they need, they spend too much time dealing with insurance companies, and we need major change," said Commonwealth Fund senior vice president Cathy Schoen, lead author of the study. "The insurance expansions under the Affordable Care Act will make care more affordablebut we also need to simplify insurance to free up physicians to provide timely access to high-quality care for their patients."

Use of Health Information Technology

According to the survey, while the U.S. and Canada have made improvements in health information technology use, both countries continue to lag behind the leaders in EMR use and the range of functions supported by practice systems. In fact, just 27 percent of U.S. physicians and 10 percent of Canadian practices indicated their systems have multi-functional capacity, with the ability to: generate patient information, such as medication lists; manage patient registries, such as seeing which patients are overdue for care; order prescriptions or diagnostic tests electronically; or provide decision support, such as alerts about drug interactions. In contrast, 68 percent of U.K. practices and 59 to 60 percent of New Zealand and Australian practices reported having such multi-functional capacity.

Providing patients with electronic access appears to be spreading. The survey found that about a third of U.S. doctors allow patients to request prescription refills online (36%) or e-mail a medical question (34%). Physicians in other countries have also expanded such electronic access: for example, two-thirds (68%) of Swiss doctors provide e-mail access, and more than half of Dutch (63%), Norwegian (53%), and U.K. (56%) doctors said their patients can request prescription refills electronically.

However, the ability of primary care physicians to exchange information electronically with doctors outside their practice is not routine in any country. New Zealand, the Netherlands, and Switzerland lead on information exchange, with about half of the doctors having that capability, compared to 31 percent of doctors in the U.S.

"The substantial increase in U.S doctors' use of electronic medical record systems reflects the incentives and national investment included in the 2009 economic stimulus legislation," said Commonwealth Fund president Karen Davis. "As we look to the future, we hope to see similar progress as health reform provisions take hold, including patient-centered medical homes and health care systems that foster teamwork and coordination. With improvements in these areas, we will be able to improve patient outcomes and experiences, and make a positive difference for physicians."

Communication and Teamwork: Shared Challenge

Primary care doctors' reports on receiving information back from specialists and hospitals about care provided to their patients indicate that communication and teamwork are challenges shared by all the countries. Only a minority of primary care doctors reported they always receive timely information from specialists after a referral (the rates range from 1% to 27%), while less than half of doctors in any country said they always know about changes to their patients' medications or care plans. And a third to more than half of primary care physicians in all countries said they are not always notified when their patients are discharged from a hospital or seen in an emergency department. U.S. doctors' reports on receiving timely, consistent communications from specialists and hospitals were generally near the bottom of the country range.

Additional Survey Findings

  • Primary care physicians' reports about their patients' access to specialists varied widely: 10 percent of Swiss doctors, compared to three-fourths of Canadian and New Zealand doctors, said their patients often face long waits to see a specialist. Twenty-eight percent of U.S. doctorsthe same percentage of U.K. doctorsalso voiced this concern.

  • To provide incentives for quality improvement, many of the countries have been investing in making information available on physician performance. U.K. doctors stand out for getting feedback on their performance: 84 percent of U.K. primary care practices reported they routinely receive and review data on clinical outcomes, 82 percent receive data on hospital admissions and emergency room use, and 78 percent have comparative data availableby far the highest rates in the survey. U.S. primary care doctors are in the middle of the range for having performance information on clinical outcomes (47%) and data for comparing themselves with other practices (34%).

  • Within the U.S., physicians who reported that they spend a lot of time on insurance restrictions or that their patients have access problems were the most likely to call for major change and were the most negative about practicing medicine.

The authors of the study observe that physician experiences underscore the importance of national policies, including those concerning health insurance design, investment in information systems, and the resources necessary to support primary care practices. "Although U.S. health information technology adoption has increased, the study points to the need for intensified efforts to link practice information systems to enable communication and collaboration across care sites," they write. With the redesign of primary care central to U.S. efforts to improve health outcomes and care experiences while reducing costs, they conclude that "listening to doctors on the front lines of primary care can help identify gaps and target reforms."


'/>"/>
Contact: Mary Mahon
mm@cmwf.org
212-606-3853
Commonwealth Fund
Source:Eurekalert

Related medicine news :

1. International symposium will address non-Hodgkins lymphoma in the young
2. SAGE to publish the Journal of International Medical Research
3. Seminal events in 2012 Alzheimers disease research evaluated at international conference
4. Vall d’Hebron, VHIO and SOLTI head up an international dream team against breast cancer
5. Canadian otolaryngologist wins international award
6. Lights off? International experts call attention to dangers of exposure to light at night
7. International academic publishers join Committee on Publication Ethics
8. SU2C, Dutch Cancer Society announce new International Translational Cancer Research Grant recipients
9. WPI to host international workshop focused on technology solutions for first responders
10. Mary Rieser of Narconon Georgia Speaks Out For United Nations International Day Against Drug Abuse
11. United Nations Adopts International Day of Happiness
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/26/2016)... ... May 26, 2016 , ... There are many ways to cook a hot ... suggests that Americans prefer their dogs straight off the grill. Of the 90 percent ... favorite way to cook a hot dog, far outpacing other cooking methods such as ...
(Date:5/26/2016)... ... , ... Connor Sports, through its Connor Cares initiative, will continue ... Catchings Legacy Tour that will commemorate the Indiana Fever legend’s hall-of-fame career and ... forms and levels of the game, Connor Sports has committed to a significantly increased ...
(Date:5/26/2016)... ... ... MadgeTech will be showcasing its line of data logging products , ... MadgeTech headquarters. With products sold in more than 100 countries around the world, MadgeTech ... , In 2012, NASA strategically set up 17 RHTemp101A MadgeTech data loggers around ...
(Date:5/26/2016)... ... May 26, 2016 , ... Memorial Day Weekend marks the ... Insurance is sharing tips to make sure your family and vehicle are ready ... Safety Council, there may be 439 deaths and an additional 50,500 serious injuries from ...
(Date:5/26/2016)... Rafael, CA (PRWEB) , ... May 26, 2016 ... ... will be offering campers a multitude of activities from daily practices, arts & ... self-confidence. , Camp Directors Amber East-D’Anna and Christy Evans have combined backgrounds in ...
Breaking Medicine News(10 mins):
(Date:5/27/2016)... India , May 27, 2016 ... the instances of hypertension is driving ambulatory blood pressure ... lose their elasticity and their ability to respond to ... pressure. This condition can lead to various cardiovascular disorders ... peripheral vascular disease. These diseases are growing in prevalence ...
(Date:5/26/2016)... New York , May 26, 2016 ... Market Research "Medical Waste Management Market - U.S. Industry Analysis, ... medical waste management market in the U.S. was valued at ... at a CAGR of 3.4% from 2015 to 2023 to ... provides exhaustive analysis of current and emerging needle free drug ...
(Date:5/25/2016)... FDA 510(k) clearance covers ... for urological and surgical applications Mauna ... Cellvizio®, the multidisciplinary confocal laser endomicroscopy (CLE) platform, ... US with the 12 th 510(k) clearance ... This new FDA clearance covers Confocal Miniprobes indicated ...
Breaking Medicine Technology: