General Pediatricians | Family Physicians* | Pediatric Sub-specialists | P-value1 | |
---|---|---|---|---|
Financial barriers | ||||
• Upfront cost of hardware/software are too high | 60.4% | 55.3% | 38.6% | <.001 |
• Ongoing maintenance costs would be too high | 42.1% | 36.9% | 25.9% | <.001 |
• Inadequate Return on Investment (ROI) | 40.3% | 31.4% | 28.2% | <.001 |
Productivity barriers | ||||
• Entering data into computer can be cumbersome | 47.0% | 38.7% | 31.7% | <.001 |
• Lack of time to acquire, implement such a system | 42.6% | 37.2% | 31.3% | <.001 |
• EHR may slow me down | 34.5% | 34.1% | 17.8% | <.001 |
• Temporary loss of productivity and/or revenue during EHR system implementation phase | 30.8% | 30.6% | 16.3% | <.001 |
• Disrupts workflow and/or office's physical layout to accommodate going to a computerized system | 28.8% | 21.3% | 13.2% | <.001 |
• No time to learn how to use such a system | 21.0% | 17.1% | 13.6% | <.001 |
• The system would be difficult to use | 18.5% | 15.8% | 7.9% | <.001 |
Technical barriers | ||||
• Lack of uniform data standards within the industry | 42.5% | 32.0% | 32.4% | <.001 |
• Temporary loss of access to patient records if computer crashes or power fails | 41.0% | 30.3% | 26.3% | <.001 |
• Products available do not meet my needs | 25.7% | 19.8% | 24.4% | 0.045 |
• Me and/or my staff don't have any technical knowledge | 13.5% | 9.8% | 10.0% | 0.001 |
Patients barriers | ||||
• Privacy/confidentiality concerns (i.e., electronic records not secure) | 19.0% | 18.9% | 18.4% | 0.004 |
• Patient resistance or not wanting their physicians to use EHR | 4.9% | 4.2% | 6.5% | 0.006 |