Strategies for Primary Care Stakeholders to Improve Electronic Health Records (EHRs)

J Am Board Fam Med. 2016 Jan-Feb;29(1):126-34. doi: 10.3122/jabfm.2016.01.150212.

Abstract

The use of electronic health records (EHRs) and the vendors that develop them have increased exponentially in recent years. While there continues to emerge literature on the challenges EHRs have created related to primary care provider satisfaction and workflow, there is sparse literature on the perspective of the EHR vendors themselves. We examined the role of EHR vendors in optimizing primary care practice through a qualitative study of vendor leadership and developers representing 8 companies. We found that EHR vendors apply a range of strategies to elicit feedback from their clinical users and to engage selected users in their development and design process, but priorities are heavily influenced by the macroenvironment and government regulations. To improve the "marriage" between primary care and the EHR vendor community, we propose 6 strategies that may be most impactful for primary care stakeholders seeking to influence EHR development processes.

Keywords: Delivery of Health Care; Electronic Health Records; Information Systems; Primary Health Care; Qualitative Research.

MeSH terms

  • Commerce / economics
  • Commerce / organization & administration
  • Commerce / standards
  • Consumer Behavior
  • Electronic Health Records / economics
  • Electronic Health Records / organization & administration*
  • Electronic Health Records / standards
  • Humans
  • Interviews as Topic
  • Medical Informatics / economics
  • Medical Informatics / organization & administration*
  • Medical Informatics / standards
  • Primary Health Care / economics
  • Primary Health Care / organization & administration*
  • Primary Health Care / standards
  • Qualitative Research
  • San Francisco