Providers' Perceptions of the Effectiveness of Electronic Health Records in Identifying Opioid Misuse.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-11-01 DOI:10.1097/JHM-D-22-00253

Jeffrey Glenn, Danica Gibson, Heather F Thiesset

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Abstract

Goal: This study aimed to understand prescribing providers' perceptions of electronic health record (EHR) effectiveness in enabling them to identify and prevent opioid misuse and addiction.

Methods: We used a cross-sectional survey designed and administered by KLAS Research to examine healthcare providers' perceptions of their experiences with EHR systems. Univariate analysis and mixed-effects logistic regression analysis with organization-level random effects were performed.

Principal findings: A total of 17,790 prescribing providers responded to the survey question related to this article's primary outcome about opioid misuse prevention. Overall, 34% of respondents believed EHRs helped prevent opioid misuse and addiction. Advanced practice providers were more likely than attending physicians and trainees to believe EHRs were effective in reducing opioid misuse, as were providers with fewer than 5 years of experience.

Practical applications: Understanding providers' perceptions of EHR effectiveness is critical as the health outcome of reducing opioid misuse depends upon their willingness to adopt and apply new technology to their standardized routines. Healthcare managers can enhance providers' use of EHRs to facilitate the prevention of opioid misuse with ongoing training related to advanced EHR system features.

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提供者对电子健康记录在识别阿片类药物滥用方面的有效性的看法。

目标：本研究旨在了解处方提供者对电子健康记录（EHR）有效性的看法，使他们能够识别和预防阿片类药物滥用和成瘾。方法：我们使用了一项由KLAS Research设计和管理的横断面调查，以检查医疗保健提供者对其EHR系统体验的看法。采用组织水平随机效应进行单因素分析和混合效应logistic回归分析。主要发现：共有17790名处方提供者回答了与本文关于阿片类药物滥用预防的主要结果有关的调查问题。总体而言，34%的受访者认为EHR有助于预防阿片类药物滥用和成瘾。高级实践提供者比主治医生和受训人员更有可能相信EHR在减少阿片类药物滥用方面是有效的，经验不足5年的提供者也是如此。实际应用：了解提供者对EHR有效性的看法至关重要，因为减少阿片类药物滥用的健康结果取决于他们是否愿意采用新技术并将其应用于标准化程序。医疗保健管理人员可以通过与高级EHR系统功能相关的持续培训，加强提供者对EHR的使用，以促进预防阿片类药物滥用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.