Typology IX: Age and Academic Practice as Socio-demographic Variables:

In the discussion of factors that might impact the adoption of EHR/EMR by physicians we must consider some socio-demographic variables that typically affect how we behave as part of a group!

a)     Age as a definer of generational subcultures: This can be simply expressed as, “the younger the physicians, the more easily they use EHRs[1] Whether this would mean or imply that younger physicians are or will be more inclined to “meaningful use” of the EHR is to be seen!

b)    Practice in educational settings as an “academic subculture:” Physicians practicing in teaching hospitals and medical residencies are more likely to adopt the EHRs. 1,[2],[3]

In this regard it is possible that medical students and residents, who generally spend at least some of their training in hospital settings, are functioning as catalysts for the office practices that house them to adopt EHRs and other HIT that may be more prevalent in the inpatient setting.[4]A particularly interesting experience that addresses both the education of medical students and the facilitating of the training of physicians in practice is occurring through the Florida State University College of Medicine model of community based medical education. Medical students who work in their preceptor’s office offer training to their mentors in the use of clinical decision support tools.

[1] DesRoches, CM., Campbell, EG., Rao, SR., et al. Electronic Health Records in Ambulatory Care — A National Survey of Physicians. N Engl J Med. 2008; 359:50-60.

[2] Simon SR. et al. Correlates of electronic health record adoption in office practices: a statewide survey. Journal of the American Medical Informatics Association. 14(1):110-7, 2007 Jan-Feb.

[3] Likourezos,A., Chalfin, DB., Murphy, DG., et al., Physician and Nurse satisfaction with an Electronic Medical Record System. The Journal of Emergency Medicine, Vol. 27, No. 4, pp. 419–424, 2004

[4] Simon, SR., et al. Physicians and Electronic Health Records: A State Survey. Arch Intern Med. 2007;167:507-512

Explore posts in the same categories: Culture, Electronic Health Record, Electronic Medical Record, Health Information Technologies, Medical Technologies, Medicine, Physicians

5 Comments on “Typology IX: Age and Academic Practice as Socio-demographic Variables:”

  1. […] Typology IX: Age and Academic Practice as Socio-demographic … In the discussion of factors that might impact the adoption of EHR/EMR by physicians we must consider some socio-demographic variables that typically affect how we behave as part of a group! a) Age as a definer of generational … https://angelbranamd.wordpress.com/ — Sat, 21 May 2011 11:24:34 -0700 […]

  2. Además de la edad del médico y el lugar donde realizo su adiestramiento me parece que el área geográfica donde establezcan su oficina es otra variable importante. Considerando el volumen de personas que se puedan atender en una vs en otra. Por ejemplo en Puerto Rico, en el pueblo de San Juan o Ponce vs en el pueblo de Comerio o Lares la cantidad de residentes en cada una y sus áreas aledañas son completamente distintos que en la otra. También la especialidad del medico puede ser otra variable que afecta la decisión de implementar el EHR o no. Maria del Sol Cotto

  3. Camila Says:

    Saludos, sin duda alguna las variables sociodemográficas que menciona en la ponencia, edad y la práctica en “settings” educativos, afectan el proceso de comprensión y la utilización correcta del récord electrónico. Como profesional de la salud he tenido la oportunidad de trabajar con el récord electrónico. Considero que la utilización del mismo es un poco compleja. Entiendo que deben estipularse regulaciones en donde se fomente la formación de grupos compuestos por profesionales expertos en el manejo del récord electrónico. De esta forma las instituciones hospitalarias y médicas pudiesen trabajar con el récord electrónico eficientemente mitigando errores en la aplicación del mismo. Eventualmente la edad es una variable que no dejará de afectar el manejo del EMR. Usualmente las personas más jóvenes son más ágiles con la tecnología en comparación con la población más adulta. Por tal razón, insisto que se debe radicar regulaciones que fomenten educaciones continuas para profesionales de la salud o talleres educativos que aseguren la utilidad eficiente del récord electrónico. Estás educaciones continuas se pueden realizar en las instituciones hospitalarias y médicas.

  4. Greetings, Dr. Braña! I agree with you in that socio-demographic variables may have an impact on the adoption of EHR/EMR’s by physicians. I believe that age may play a part in the adoption of EHR’s by younger physicians because they have been exposed to wireless technology and computer hardware since early childhood, having been raised in an environment that may seem to be more “tech friendly.” An older physician may resist adopting a new system after having worked in a strictly paper system for many years due to the fact that, “I’ve always done it this way” or “why change now?” Other issues, such as lost productivity due to retraining and the cost of implementing a system may create barriers to EHR implementation. If the EHR is used in educational settings and medical students are taught since the early formation of their careers to utilize the system effectively, I believe that the chances of EHR implementation increase. The earlier the exposure to EHR use, the greater the chances of EHR implementation. Evy M. Monge-Ortiz

    • AngelBranaMD Says:

      That is correct! Now… I want to highlight that irrespective of how comfortable the individual is with the technology, if the technology is poorly designed and induces to error that could be even not transparent to the clinician then we are in big trouble!

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