Alexandra E. Shields

TL;DR: The very low levels of adoption of electronic health records in U.S. hospitals suggest that policymakers face substantial obstacles to the achievement of health care performance goals that depend on health information technology.

TL;DR: Physicians who use electronic health records believe such systems improve the quality of care and are generally satisfied with the systems, but as of early 2008, electronic systems had been adopted by only a small minority of U.S. physicians, who may differ from later adopters of these systems.

TL;DR: This Medline review of publications examining somatic chronic conditions co-occurring with 1 or more additional specific chronic illness between January 2000 and March 2007 summarizes the state of the understanding of the prevalence and health challenges of multiple chronic conditions and the implications for quality, care management, and costs.

TL;DR: This work identified surveys on EHR adoption and assessed their quality, finding large gaps in knowledge, including information about EHR use among safety-net providers, pose critical challenges for the development of policies aimed at speeding adoption.

TL;DR: It is suggested that to drive substantial gains in quality and efficiency, simply adopting electronic health records is likely to be insufficient, and policies are needed that encourage the use of electronichealth records in ways that will lead to improvements in care.