The Association between Health Information Technology Adoption ...
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The Association between Health Information Technology Adoption ...
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ON L I N E E XC LU S I V E
The Association between Health Information Technology Adoption and Family Physicians’ Practice Patterns in Canada: Evidence from 2007 and 2010 National Physician Surveys Relation entre l’adoption des technologies de l’information sur la santé et les schémas de pratique des médecins de famille au Canada : données provenant des sondages nationaux des médecins de 2007 et de 2010
SISIRA SARMA, MPHIL , PHD
Assistant Professor, Department of Epidemiology and Biostatistics University of Western Ontario London, ON M O H A M M A D H AJ I Z A D E H , M S , P H D
Post Doctoral Fellow, Department of Epidemiology and Biostatistics University of Western Ontario London, ON A M A R D E E P T H I N D, M D, P H D
Associate Professor, Department of Epidemiology and Biostatistics Centre for Studies in Family Medicine University of Western Ontario London, ON R IC K C H A N, M S C
Graduate Student, Department of Epidemiology and Biostatistics University of Western Ontario London, ON
Sisira Sarma et al.
Abstract Objective: To describe the association between health information technology (HIT) adoption and family physicians’ patient visit length in Canada after controlling for physician and practice characteristics. Method: HIT adoption is defined in terms of four types of HIT usage: no HIT use (NO), basic HIT use without electronic medical record system (HIT), basic HIT use with electronic medical record (EMR) and advanced HIT use (EMR + HIT). The outcome variable is the average time spent on a patient visit (visit length). The data for this study came from the 2007 and 2010 National Physician Surveys. A log-linear model was used to analyze our visit length outcome. Results: The average time worked per week was found to be in the neighbourhood of 36 hours in both 2007 and 2010, but users of EMR and EMR + HIT were undertaking fewer patient visits per week relative to NO users. Multivariable analysis showed that EMR and EMR + HIT were associated with longer average time spent per patient visit by about 7.7% (p
