Benefits and drawbacks of electronic health record systems

Nir Menachemi¹, Taleah H Collum²¹Department of Health Care Organization and Policy, University of Alabama at Birmingham, Birmingham, AL, USA; ²Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, AL, USAAbs...

Full description

Bibliographic Details
Main Authors: Menachemi N, Collum T
Format: Article
Language:English
Published: Dove Medical Press 2011-05-01
Series:Risk Management and Healthcare Policy
Online Access:http://www.dovepress.com/benefits-and-drawbacks-of-electronic-health-record-systems-a7427
_version_ 1818499272370290688
author Menachemi N
Collum T
author_facet Menachemi N
Collum T
author_sort Menachemi N
collection DOAJ
description Nir Menachemi¹, Taleah H Collum²¹Department of Health Care Organization and Policy, University of Alabama at Birmingham, Birmingham, AL, USA; ²Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, AL, USAAbstract: The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 that was signed into law as part of the "stimulus package" represents the largest US initiative to date that is designed to encourage widespread use of electronic health records (EHRs). In light of the changes anticipated from this policy initiative, the purpose of this paper is to review and summarize the literature on the benefits and drawbacks of EHR systems. Much of the literature has focused on key EHR functionalities, including clinical decision support systems, computerized order entry systems, and health information exchange. Our paper describes the potential benefits of EHRs that include clinical outcomes (eg, improved quality, reduced medical errors), organizational outcomes (eg, financial and operational benefits), and societal outcomes (eg, improved ability to conduct research, improved population health, reduced costs). Despite these benefits, studies in the literature highlight drawbacks associated with EHRs, which include the high upfront acquisition costs, ongoing maintenance costs, and disruptions to workflows that contribute to temporary losses in productivity that are the result of learning a new system. Moreover, EHRs are associated with potential perceived privacy concerns among patients, which are further addressed legislatively in the HITECH Act. Overall, experts and policymakers believe that significant benefits to patients and society can be realized when EHRs are widely adopted and used in a “meaningful” way.Keywords: EHR, health information technology, HITECH, computerized order entry, health information exchange 
first_indexed 2024-12-10T20:27:09Z
format Article
id doaj.art-a4926d100c4544309e782a9705bc2f47
institution Directory Open Access Journal
issn 1179-1594
language English
last_indexed 2024-12-10T20:27:09Z
publishDate 2011-05-01
publisher Dove Medical Press
record_format Article
series Risk Management and Healthcare Policy
spelling doaj.art-a4926d100c4544309e782a9705bc2f472022-12-22T01:34:49ZengDove Medical PressRisk Management and Healthcare Policy1179-15942011-05-012011default4755Benefits and drawbacks of electronic health record systemsMenachemi NCollum TNir Menachemi¹, Taleah H Collum²¹Department of Health Care Organization and Policy, University of Alabama at Birmingham, Birmingham, AL, USA; ²Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, AL, USAAbstract: The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 that was signed into law as part of the "stimulus package" represents the largest US initiative to date that is designed to encourage widespread use of electronic health records (EHRs). In light of the changes anticipated from this policy initiative, the purpose of this paper is to review and summarize the literature on the benefits and drawbacks of EHR systems. Much of the literature has focused on key EHR functionalities, including clinical decision support systems, computerized order entry systems, and health information exchange. Our paper describes the potential benefits of EHRs that include clinical outcomes (eg, improved quality, reduced medical errors), organizational outcomes (eg, financial and operational benefits), and societal outcomes (eg, improved ability to conduct research, improved population health, reduced costs). Despite these benefits, studies in the literature highlight drawbacks associated with EHRs, which include the high upfront acquisition costs, ongoing maintenance costs, and disruptions to workflows that contribute to temporary losses in productivity that are the result of learning a new system. Moreover, EHRs are associated with potential perceived privacy concerns among patients, which are further addressed legislatively in the HITECH Act. Overall, experts and policymakers believe that significant benefits to patients and society can be realized when EHRs are widely adopted and used in a “meaningful” way.Keywords: EHR, health information technology, HITECH, computerized order entry, health information exchange http://www.dovepress.com/benefits-and-drawbacks-of-electronic-health-record-systems-a7427
spellingShingle Menachemi N
Collum T
Benefits and drawbacks of electronic health record systems
Risk Management and Healthcare Policy
title Benefits and drawbacks of electronic health record systems
title_full Benefits and drawbacks of electronic health record systems
title_fullStr Benefits and drawbacks of electronic health record systems
title_full_unstemmed Benefits and drawbacks of electronic health record systems
title_short Benefits and drawbacks of electronic health record systems
title_sort benefits and drawbacks of electronic health record systems
url http://www.dovepress.com/benefits-and-drawbacks-of-electronic-health-record-systems-a7427
work_keys_str_mv AT menachemin benefitsanddrawbacksofelectronichealthrecordsystems
AT collumt benefitsanddrawbacksofelectronichealthrecordsystems