Electronic health records in ambulatory care--A national survey of physicians

Document Type

Response or Comment

Publication Date



New England Journal of Medicine


Volume 359, Issue 1

Inclusive Pages



Ambulatory Care--statistics & numerical data; Attitude of Health Personnel; Medical Records Systems, Computerized--utilization; Physicians--statistics & numerical data; Electronic Health Record


Electronic health records have the potential to improve the delivery of health care services. However, in the United States, physicians have been slow to adopt such systems. This study assessed physicians’ adoption of outpatient electronic health records, their satisfaction with such systems, the perceived effect of the systems on the quality of care, and the perceived barriers to adoption. In late 2007 and early 2008, we conducted a national survey of 2758 physicians, which represented a response rate of 62%. Using a definition for electronic health records that was based on expert consensus, we determined the proportion of physicians who were using such records in an office setting and the relationship between adoption and the characteristics of individual physicians and their practices.


Comment in:

Electronic health records in ambulatory care. [N Engl J Med. 2008]

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Peer Reviewed


Open Access