Electronic Health Record - National Contexts - United States

United States

EHR adoption of all physicians in the US. Source: DesRoches et al. (2008).

Fully functional EHR system (4%) Basic EHR system (13%) Bought but not implemented yet (13%) EHR purchase planned in 2 years (22%) No EHR system (48%)

In a 2008 survey by DesRoches et al. of 4484 physicians (62% response rate), 83% of all physicians, 80% of primary care physicians, and 86% of non-primary care physicians had no EHRs. "Among the 83% of respondents who did not have electronic health records, 16%" had bought, but not implemented an EHR system yet. The 2009 National Ambulatory Medical Care Survey of 5200 physicians (70% response rate) by the National Center for Health Statistics showed that 51.7% of office-based physicians did not use any EMR/EHR system.

The healthcare industry spends only 2% of gross revenues on HIT, which is low compared to other information intensive industries such as finance, which spend upwards of 10%.

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