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First published September 23, 2002 as JAMIA PrePrint; doi:10.1197/jamia.M1097
Journal of the American Medical Informatics Association 2003;10(1):1-10
© 2003 American Medical Informatics Association

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Submitted on February 11, 2002
Accepted on September 10, 2002

A Proposal for Electronic Medical Records in U.S. Primary Care

David W. Bates MD, MSc1*, Mark Ebell MD, MS2, Edward Gotlieb MD, FAAP, FSAM3, John Zapp MD4, and H.C. Mullins MD5

Affiliation of the authors: 1 Division of General Medicine, Department of Medicine, Brigham and Women's Hospital; Center for Applied Medical Information Systems, Partners Healthcare System, and Harvard Medical School, Boston, MA; 2 Department of Family Practice, Michigan State University, East Lansing, MI; 3 Pediatric Center, Stone Mountain, GA; 4 Mercy Medical Center, Redding, CA; 5 Department of Family Practice, University of South Alabama, AL

* To whom correspondence should be addressed.

Delivery of excellent primary care-central to overall medical care-demands that providers have the necessary information when they give care. This paper, sponsored by the National Alliance for Primary Care Informatics, a collaborative group sponsored by a number of primary care societies, argues that satisfying providers' and patients' information and decision support needs can occur only if primary care providers use electronic medical records (EMRs). While robust EMRs are now available, only about 5% of U.S. primary care providers use them. Recently, with only modest investments, Australia, New Zealand, and England have achieved major breakthroughs in implementing EMRs in primary care. Substantial benefits realizable through routine use of electronic medical records include improved quality, safety, and efficiency, along with increased ability to conduct education and research. Nevertheless, barriers to adoption exist and must be overcome. Implementing specific policies can accelerate utilization of EMRs in the U.S.




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