Electronic medical records are not associated with improved documentation in community primary care practices

摘要

The adoption of electronic medical records (EMRs) in ambulatory settings has been widely recommended. It is hoped that EMRs will improve care; however, little is known about the effect of EMR use on care quality in this setting. This study compares EMR versus paper medical record documentation of basic health history and preventive service indicators in 47 community-based practices. Differences in practice level documentation rates between EMR- and non EMR-using practices were examined using the Kruskal-Wallis non-parametric test and robust regression, adjusting for practice level covariates. Frequencies of documentation of health history and preventive service indicator items were similar in the two groups of practices. While EMRs provide the capacity for more robust record keeping, the community-based practices here are not using EMRs to their full capacity. EMR usage does not guarantee more systematic record keeping and thus may not lead to improved quality in the community practice setting.