Primary care physician time utilization before and after implementation of an electronic health record: A time-motion study

Lisa Pizziferri, Anne F. Kittler, Lynn A. Volk, Melissa M. Honour, Sameer Gupta, Samuel Wang, Tiffany Wang, Margaret Lippincott, Qi Li, David W. Bates

Research output: Contribution to journalArticle

148 Scopus citations

Abstract

Despite benefits associated with the use of electronic health records (EHRs), one major barrier to adoption is the concern that EHRs may take longer for physicians to use than paper-based systems. To address this issue, we performed a time-motion study in five primary care clinics. Twenty physicians were observed and specific activities were timed during a clinic session before and after EHR implementation. Surveys evaluated physicians' perceptions regarding the EHR. Post-implementation, the adjusted mean overall time spent per patient during clinic sessions decreased by 0.5 min (p = 0.86; 95% confidence interval [-5.05, 6.04]) from a pre-intervention adjusted average of 27.55 min (SE = 2.1) to a post-intervention adjusted average of 27.05 min (SE = 1.6). A majority of survey respondents believed EHR use results in quality improvement, yet only 29% reported that EHR documentation takes the same amount of time or less compared to the paper-based system. While the EHR did not require more time for physicians during a clinic session, further studies should assess the EHR's potential impact on non-clinic time.

Original languageEnglish (US)
Pages (from-to)176-188
Number of pages13
JournalJournal of Biomedical Informatics
Volume38
Issue number3
DOIs
StatePublished - Jun 1 2005

Keywords

  • Electronic health record
  • Physician satisfaction
  • Physician workload
  • Time-motion study

ASJC Scopus subject areas

  • Computer Science Applications
  • Health Informatics

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    Pizziferri, L., Kittler, A. F., Volk, L. A., Honour, M. M., Gupta, S., Wang, S., Wang, T., Lippincott, M., Li, Q., & Bates, D. W. (2005). Primary care physician time utilization before and after implementation of an electronic health record: A time-motion study. Journal of Biomedical Informatics, 38(3), 176-188. https://doi.org/10.1016/j.jbi.2004.11.009