Are There Patient Disparities When Electronic Health Records Are Adopted?
Are There Patient Disparities When Electronic Health Records Are Adopted?
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DOI：
10.1353/hpu.0.0143
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发表时间：
2009-05-01
影响因子：
1.4
通讯作者：
Burt, Catharine W.
中科院分区：
文献类型：
--
作者：
Hing, Esther;Burt, Catharine W.
使用全国代表性的访问样本从2005-2006年全国门诊医疗服务调查和全国医院门诊医疗服务调查（N = 39,343），本研究探讨了电子健康记录（EHR）系统是否已通过初级保健医生或提供者（PCP）为贫困的少数民族患者在相同的速度由富裕的非少数民族患者的PCPs。虽然我们发现电子健康记录采用率主要因PCP的实践类型而异，但我们还发现，在控制PUS，实践类型和位置以及患者特征后，与私人保险的白色患者相比，未投保的黑人和西班牙裔或拉丁裔患者以及西班牙裔或拉丁裔医疗补助患者使用EHR的PCP的可能性较小。这一发现反映了贫困少数民族患者的PCP中高和低EHR采用者的混合。
Using nationally representative samples of visits from the 2005-2006 National Ambulatory Medical Care Surveys and the National Hospital Ambulatory Medical Care Surveys (N = 39,343), this study examines whether electronic health record (EHR) systems have been adopted by primary care physicians or providers (PCPs) for poor minority patients at the same rate as by the PCPs for wealthier non-minority patients. Although we found that electronic health record adoption rates varied primarily by type of practice of the PCP, we also found that uninsured Black and Hispanic or Latino patients, as well as Hispanic or Latino Medicaid patients were less likely to have PCPs using EHRs, compared with privately-insured White patients, after controlling for PUS, practice type and location, as well as patient characteristics. This finding reflects a mixture of high and low EHR adopters among PCPs for poor minority patients.