Friday, March 22, 2013

I Wonder What Is Going On Here - A Worrying Survey on EHR Satisfaction.

The following appeared a little while ago.

EHR dissatisfaction on the rise

March 11, 2013 | By Susan D. Hall
We've known that many providers are unhappy with their electronic health record systems, but the level of dissatisfaction appears to be growing, according to a survey by the American College of Physicians and AmericanEHR Partners, web-based resource for EHR system selection and implementation.
Overall, user satisfaction dropped by 12 percentage points between 2010 and 2012 and the "very dissatisfied" group grew by 10 percentage points.
The findings represent 4,279 responses to multiple surveys developed by ACP and AmericanEHR Partners between March 2010 and December 2012. The surveys were conducted in conjunction with 10 different professional societies. Seventy-one percent of respondents were in practices with 10 physicians or fewer, according to an ACP announcement.
Among the findings:
  • 39 percent of clinicians would not recommend their EHR to a colleague, up from 24 percent who said so in 2010.
  • With regard to ability to improve patient care, the "very satisfied" group dropped by 6 percentage points, while the "very dissatisfied" group grew by 10 points.  
  • Surgical specialists were the least-satisfied group, while primary-care doctors were the more satisfied; medical sub-specialties fell between the two.
  • Satisfaction with ease of use fell 13 percentage points. Thirty-seven percent reported increased dissatisfaction.
  • 34 percent of users were "very dissatisfied" with the ability of their EHR to decrease workload, up from 19 percent in 2010.
  • Respondents also said it is becoming more difficult to return to pre-EHR implementation productivity levels. In 2012, 32 percent of respondents said they had not returned to the previous level of productivity; 20 percent said so in 2010.
More here with links etc.
Interesting to see GPs finding the EHRs most useful.
The full report is certainly worth a browse.
David.

1 comment:

Bernard Robertson-Dunn said...

David,

This sort of lefty, wishy-washy, fact laden, evidence based, independent research isn't going to change the minds of those running ehealth at the moment. They know they are right.

It is a characteristic of people who passionately believe in something, that no amount of evidence to the contrary will shake their belief.

See this from The Boston Globe in July 2010
How facts backfire
http://www.boston.com/bostonglobe/ideas/articles/2010/07/11/how_facts_backfire/

quote
Recently, a few political scientists have begun to discover a human tendency deeply discouraging to anyone with faith in the power of information. It’s this: Facts don’t necessarily have the power to change our minds. In fact, quite the opposite. In a series of studies in 2005 and 2006, researchers at the University of Michigan found that when misinformed people, particularly political partisans, were exposed to corrected facts in news stories, they rarely changed their minds. In fact, they often became even more strongly set in their beliefs. Facts, they found, were not curing misinformation. Like an underpowered antibiotic, facts could actually make misinformation even stronger.
end quote