Market factors and electronic medical record adoption in medical practices

Nir Menachemi, Olena Mazurenko, Abby Swanson Kazley, Mark L. Diana, Eric W. Ford

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

BACKGROUND: Previous studies identified individual or practice factors that influence practice-based physicians' electronic medical record (EMR) adoption. Less is known about the market factors that influence physicians' EMR adoption. PURPOSE: The aim of this study was to explore the relationship between environmental market characteristics and physicians' EMR adoption. METHODS: The Health Tracking Physician Survey 2008 and Area Resource File (2008) were combined and analyzed. Binary logistic regression was used to examine the relationship between three dimensions of the market environment (munificence, dynamism, and complexity) and EMR adoption controlling for several physician and practice characteristics. RESULTS: In a nationally representative sample of 4,720 physicians, measures of market dynamism including increases in unemployment, odds ratio (OR) = 0.95, 95% confidence interval (CI) [0.91, 0.99], or poverty rates, OR = 0.93, 95% CI [0.89, 0.96], were negatively associated with EMR adoption. Health maintenance organization penetration, OR = 3.01, 95% CI [1.49, 6.05], another measure of dynamism, was positively associated with EMR adoption. Physicians practicing in areas with a malpractice crisis, OR = 0.82, 95% CI [0.71, 0.94], representing environmental complexity, had lower EMR adoption rates. PRACTICE IMPLICATIONS: Understanding how market factors relate to practice-based physicians' EMR adoption can assist policymakers to better target limited resources as they work to realize the national goal of universal EMR adoption and meaningful use.

Original languageEnglish (US)
Pages (from-to)14-22
Number of pages9
JournalHealth Care Management Review
Volume37
Issue number1
DOIs
StatePublished - Jan 1 2012
Externally publishedYes

Fingerprint

Electronic Health Records
Physicians
Odds Ratio
Confidence Intervals
Electronic medical record
Market factors
Medical practice
Unemployment
Health Maintenance Organizations
Malpractice
Poverty
Logistic Models
Odds ratio
Confidence interval
Health

Keywords

  • EHR
  • EMR
  • market factors
  • physician practices

ASJC Scopus subject areas

  • Leadership and Management
  • Health Policy
  • Strategy and Management

Cite this

Market factors and electronic medical record adoption in medical practices. / Menachemi, Nir; Mazurenko, Olena; Kazley, Abby Swanson; Diana, Mark L.; Ford, Eric W.

In: Health Care Management Review, Vol. 37, No. 1, 01.01.2012, p. 14-22.

Research output: Contribution to journalArticle

Menachemi, Nir ; Mazurenko, Olena ; Kazley, Abby Swanson ; Diana, Mark L. ; Ford, Eric W. / Market factors and electronic medical record adoption in medical practices. In: Health Care Management Review. 2012 ; Vol. 37, No. 1. pp. 14-22.
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