NEJM May 25, 2017
The widespread adoption of electronic health records (EHRs) during the past decade has been hailed as a major advance in medical practice. Recently, however, a growing number of clinicians have spoken out about the counterproductive effects of these systems on patient care.1,2 The national push toward greater implementation of EHRs was inspired by accumulating evidence that promised improvements in care coordination, quality, safety, and patient engagement. What has gone wrong?
The answer is, of course, multifaceted, but largely ignored in the discussion has been the effect of the underlying mode of physician payment. Payment at the clinician level remains predominantly fee for service, increasingly supplemented by pay for performance in an effort to increase value-based reimbursement. Both modes of payment...
Today's Sponsors
Today's Sponsor