The use of information technologies among rural and urban physicians in Florida

Nir Menachemi, Adam Langley, Robert G. Brooks

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

This study examines rural-urban differences in the use of various information technologies (IT) applications by physicians in the ambulatory setting. Findings suggest that no differences exist between rural and urban physicians with respect to the use of a computer (77.4 vs 81.4; p=.144) or with the availability of an Internet connection (95.0 vs 96.5; p=.249) in the office. However, rural physicians were significantly less likely than urban doctors to indicate using e-mail with patients (7.9 vs 17.2%; p<.001) and slightly less likely to use a personal digital assistant (PDA) (32.3 vs 37.9; p=.091). Rural doctors were significantly less likely to indicate routinely using an electronic health records (EHR) system (17.6 vs 24.1; p=.020). EHR differences between rural and urban physicians were not significant (p=.124) in multivariate analyses and were explained away by practice size (p<.001) and practice type (p=.015). Most barriers to EHR did not differ between rural and urban physicians. However, rural physicians more commonly cited barriers associated with temporary disruptions to productivity or disruptions in access to records when computers systems fail. In sum, EHR use and patient e-mailing is less common in rural areas. While much of this variability can be explained by rural practice characteristics, these findings illustrate the need for further efforts to identify and alleviate barriers and encourage health IT adoption in rural areas.

Original languageEnglish (US)
Pages (from-to)483-488
Number of pages6
JournalJournal of Medical Systems
Volume31
Issue number6
DOIs
StatePublished - Dec 1 2007
Externally publishedYes

Fingerprint

Information technology
Electronic Health Records
Technology
Physicians
Health
Handheld Computers
Medical Informatics
Computer Systems
Postal Service
Internet
Multivariate Analysis
Personal digital assistants
Computer systems
Productivity
Availability

Keywords

  • Ambulatory practice
  • Electronic health records
  • Information technology
  • Rural health

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Information Systems
  • Health Informatics
  • Health Information Management

Cite this

The use of information technologies among rural and urban physicians in Florida. / Menachemi, Nir; Langley, Adam; Brooks, Robert G.

In: Journal of Medical Systems, Vol. 31, No. 6, 01.12.2007, p. 483-488.

Research output: Contribution to journalArticle

Menachemi, Nir ; Langley, Adam ; Brooks, Robert G. / The use of information technologies among rural and urban physicians in Florida. In: Journal of Medical Systems. 2007 ; Vol. 31, No. 6. pp. 483-488.
@article{b0ab93e60e2b427d9a01d0ec8144ec80,
title = "The use of information technologies among rural and urban physicians in Florida",
abstract = "This study examines rural-urban differences in the use of various information technologies (IT) applications by physicians in the ambulatory setting. Findings suggest that no differences exist between rural and urban physicians with respect to the use of a computer (77.4 vs 81.4; p=.144) or with the availability of an Internet connection (95.0 vs 96.5; p=.249) in the office. However, rural physicians were significantly less likely than urban doctors to indicate using e-mail with patients (7.9 vs 17.2{\%}; p<.001) and slightly less likely to use a personal digital assistant (PDA) (32.3 vs 37.9; p=.091). Rural doctors were significantly less likely to indicate routinely using an electronic health records (EHR) system (17.6 vs 24.1; p=.020). EHR differences between rural and urban physicians were not significant (p=.124) in multivariate analyses and were explained away by practice size (p<.001) and practice type (p=.015). Most barriers to EHR did not differ between rural and urban physicians. However, rural physicians more commonly cited barriers associated with temporary disruptions to productivity or disruptions in access to records when computers systems fail. In sum, EHR use and patient e-mailing is less common in rural areas. While much of this variability can be explained by rural practice characteristics, these findings illustrate the need for further efforts to identify and alleviate barriers and encourage health IT adoption in rural areas.",
keywords = "Ambulatory practice, Electronic health records, Information technology, Rural health",
author = "Nir Menachemi and Adam Langley and Brooks, {Robert G.}",
year = "2007",
month = "12",
day = "1",
doi = "10.1007/s10916-007-9088-6",
language = "English (US)",
volume = "31",
pages = "483--488",
journal = "Journal of Medical Systems",
issn = "0148-5598",
publisher = "Springer New York",
number = "6",

}

TY - JOUR

T1 - The use of information technologies among rural and urban physicians in Florida

AU - Menachemi, Nir

AU - Langley, Adam

AU - Brooks, Robert G.

PY - 2007/12/1

Y1 - 2007/12/1

N2 - This study examines rural-urban differences in the use of various information technologies (IT) applications by physicians in the ambulatory setting. Findings suggest that no differences exist between rural and urban physicians with respect to the use of a computer (77.4 vs 81.4; p=.144) or with the availability of an Internet connection (95.0 vs 96.5; p=.249) in the office. However, rural physicians were significantly less likely than urban doctors to indicate using e-mail with patients (7.9 vs 17.2%; p<.001) and slightly less likely to use a personal digital assistant (PDA) (32.3 vs 37.9; p=.091). Rural doctors were significantly less likely to indicate routinely using an electronic health records (EHR) system (17.6 vs 24.1; p=.020). EHR differences between rural and urban physicians were not significant (p=.124) in multivariate analyses and were explained away by practice size (p<.001) and practice type (p=.015). Most barriers to EHR did not differ between rural and urban physicians. However, rural physicians more commonly cited barriers associated with temporary disruptions to productivity or disruptions in access to records when computers systems fail. In sum, EHR use and patient e-mailing is less common in rural areas. While much of this variability can be explained by rural practice characteristics, these findings illustrate the need for further efforts to identify and alleviate barriers and encourage health IT adoption in rural areas.

AB - This study examines rural-urban differences in the use of various information technologies (IT) applications by physicians in the ambulatory setting. Findings suggest that no differences exist between rural and urban physicians with respect to the use of a computer (77.4 vs 81.4; p=.144) or with the availability of an Internet connection (95.0 vs 96.5; p=.249) in the office. However, rural physicians were significantly less likely than urban doctors to indicate using e-mail with patients (7.9 vs 17.2%; p<.001) and slightly less likely to use a personal digital assistant (PDA) (32.3 vs 37.9; p=.091). Rural doctors were significantly less likely to indicate routinely using an electronic health records (EHR) system (17.6 vs 24.1; p=.020). EHR differences between rural and urban physicians were not significant (p=.124) in multivariate analyses and were explained away by practice size (p<.001) and practice type (p=.015). Most barriers to EHR did not differ between rural and urban physicians. However, rural physicians more commonly cited barriers associated with temporary disruptions to productivity or disruptions in access to records when computers systems fail. In sum, EHR use and patient e-mailing is less common in rural areas. While much of this variability can be explained by rural practice characteristics, these findings illustrate the need for further efforts to identify and alleviate barriers and encourage health IT adoption in rural areas.

KW - Ambulatory practice

KW - Electronic health records

KW - Information technology

KW - Rural health

UR - http://www.scopus.com/inward/record.url?scp=35348901419&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=35348901419&partnerID=8YFLogxK

U2 - 10.1007/s10916-007-9088-6

DO - 10.1007/s10916-007-9088-6

M3 - Article

C2 - 18041281

AN - SCOPUS:35348901419

VL - 31

SP - 483

EP - 488

JO - Journal of Medical Systems

JF - Journal of Medical Systems

SN - 0148-5598

IS - 6

ER -