Structured Data Entry in the Electronic Medical Record: Perspectives of Pediatric Specialty Physicians and Surgeons.

The Epic electronic health record (EHR) platform supports structured data entry systems (SDES), which allow developers, with input from users, to create highly customized patient-record templates in order to maximize data completeness and to standardize structure. There are many potential advantages...

Full description

Bibliographic Details
Published in:Journal of Medical Systems Vol. 41; no. 5; pp. 1 - 9
Main Authors: Bush, Ruth, Kuelbs, Cynthia, Ryu, Julie, Jiang, Wen, Chiang, George
Format: forms pictorial questionnaire/scale research tables/charts Journal Article
Published: Springer Nature May2017
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=122782836&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 122782836
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        01485598
        4N0
      jtl: Journal of Medical Systems
      issn: 01485598
      maglogo: N
    pubinfo:
      dt: May2017
      vid: 41
      iid: 5
      pid: 237
      pub: Springer Nature
      place: New York, New York
    artinfo:
      ui:
        122782836
        122782836
        122782836
        10.1007/s10916-017-0716-5
        122782836
      ppf: 1
      ppct: 8
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Structured Data Entry in the Electronic Medical Record: Perspectives of Pediatric Specialty Physicians and Surgeons.
      aug:
        au:
          Bush, Ruth
          Kuelbs, Cynthia
          Ryu, Julie
          Jiang, Wen
          Chiang, George
        affil: Department of Pediatrics , University of California , San Diego USA
      sug:
        subj:
          Electronic Health Records
          Pediatricians
          Surgeons
          Health Information Management
          Human
          T-Tests
          Analysis of Variance
          Chi Square Test
          California
          Descriptive Statistics
          Data Analysis Software
          Male
          Female
          Adult
          Middle Age
          Aged
          Questionnaires
          Physician Attitudes
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: The Epic electronic health record (EHR) platform supports structured data entry systems (SDES), which allow developers, with input from users, to create highly customized patient-record templates in order to maximize data completeness and to standardize structure. There are many potential advantages of using discrete data fields in the EHR to capture data for secondary analysis and epidemiological research, but direct data acquisition from clinicians remains one of the largest obstacles to leveraging the EHR for secondary use. Physician resistance to SDES is multifactorial. A 35-item questionnaire based on Unified Theory of Acceptance and Use of Technology, was used to measure attitudes, facilitation, and potential incentives for adopting SDES for clinical documentation among 25 pediatric specialty physicians and surgeons. Statistical analysis included chi-square for categorical data as well as independent sample t-tests and analysis of variance for continuous variables. Mean scores of the nine constructs demonstrated primarily positive physician attitudes toward SDES, while the surgeons were neutral. Those under 40 were more likely to respond that facilitating conditions for structured entry existed as compared to the two older age groups ( p = .02). Pediatric surgeons were significantly less positive than specialty physicians about SDES effects on Performance ( p = .01) and the effect of Social Influence ( p = .02); but in more agreement that use of forms was voluntary ( p = .02). Attitudinal differences likely reflect medical training, clinical practice workflows, and division specific practices. Identified resistance indicate efforts to increase SDES adoption should be discipline-targeted rather than a uniform approach.
      pubtype: Academic Journal
      doctype:
        forms
        pictorial
        questionnaire/scale
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N