{"id":"https://openalex.org/W147181918","doi":"https://doi.org/10.1136/amiajnl-2011-000689","title":"Factors associated with difficult electronic health record implementation in office practice","display_name":"Factors associated with difficult electronic health record implementation in office practice","publication_year":2012,"publication_date":"2012-01-16","ids":{"openalex":"https://openalex.org/W147181918","doi":"https://doi.org/10.1136/amiajnl-2011-000689","mag":"147181918","pmid":"https://pubmed.ncbi.nlm.nih.gov/22249965","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/3384124"},"language":"en","primary_location":{"id":"doi:10.1136/amiajnl-2011-000689","doi":"https://doi.org/10.1136/amiajnl-2011-000689","is_oa":true,"landing_page_url":"https://doi.org/10.1136/amiajnl-2011-000689","pdf_url":"https://academic.oup.com/jamia/article-pdf/19/4/541/5954288/19-4-541.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","ccf-b","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://academic.oup.com/jamia/article-pdf/19/4/541/5954288/19-4-541.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5037661134","display_name":"Marshall Fleurant","orcid":"https://orcid.org/0000-0002-5656-1371","observed_orcids":["https://orcid.org/0000-0002-5656-1371"]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"M. Fleurant","raw_affiliation_strings":["Boston Medical Center, Boston University School of Medicine, Section of General Internal Medicine, 801 Massachusetts Avenue, 2nd Floor, Boston, MA 02118, USA. marshall.fleurant@bmc.org","Boston Medical Center, Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Boston Medical Center, Boston University School of Medicine, Section of General Internal Medicine, 801 Massachusetts Avenue, 2nd Floor, Boston, MA 02118, USA. marshall.fleurant@bmc.org","institution_ids":["https://openalex.org/I111088046","https://openalex.org/I1286490081"]},{"raw_affiliation_string":"Boston Medical Center, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I1286490081"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081290140","display_name":"Rachel Kell","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"R. Kell","raw_affiliation_strings":["Massachusetts eHealth Collaborative, Waltham, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts eHealth Collaborative, Waltham, Massachusetts, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109843491","display_name":"Chelsea A. Jenter","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"C. Jenter","raw_affiliation_strings":["Division of General Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of General Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086348522","display_name":"Lynn A. Volk","orcid":"https://orcid.org/0000-0002-8735-2951","observed_orcids":["https://orcid.org/0000-0002-8735-2951"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"L. A. Volk","raw_affiliation_strings":["Partners HealthCare System, Inc., Wellesley, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Partners HealthCare System, Inc., Wellesley, Massachusetts, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"F. Zhang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210111543","display_name":"Harvard Pilgrim Health Care","ror":"https://ror.org/01zxdeg39","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210111543"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"F. Zhang","raw_affiliation_strings":["Department of Population Medicine, Boston, Massachusetts, USA","Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Population Medicine, Boston, Massachusetts, USA","institution_ids":[]},{"raw_affiliation_string":"Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I4210111543"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036110536","display_name":"David Westfall Bates","orcid":"https://orcid.org/0000-0001-6268-1540","observed_orcids":["https://orcid.org/0000-0001-6268-1540","https://orcid.org/0000-0003-4850-2360","https://orcid.org/0000-0002-3105-156X","https://orcid.org/0000-0001-7438-9491","https://orcid.org/0000-0001-5440-6039"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"D. W. Bates","raw_affiliation_strings":["Division of General Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA","Harvard Medical School, Boston, Massachusetts, USA","Harvard School of Public Health, Boston, Massachusetts, USA","Partners HealthCare System, Inc., Wellesley, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of General Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Harvard Medical School, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Harvard School of Public Health, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Partners HealthCare System, Inc., Wellesley, Massachusetts, USA","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5044041882","display_name":"Steven R. Simon","orcid":"https://orcid.org/0000-0002-4624-4364","observed_orcids":["https://orcid.org/0000-0002-4624-4364"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I2801671727","display_name":"VA Boston Healthcare System","ror":"https://ror.org/04v00sg98","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I2801671727","https://openalex.org/I4210095851"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"S. R. Simon","raw_affiliation_strings":["Division of General Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA","Harvard Medical School, Boston, Massachusetts, USA","Section of General Internal Medicine, VA Boston Healthcare System, Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of General Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Harvard Medical School, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Section of General Internal Medicine, VA Boston Healthcare System, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I2801671727"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5037661134"],"corresponding_institution_ids":["https://openalex.org/I111088046","https://openalex.org/I1286490081"],"apc_list":{"value":4332,"currency":"USD","value_usd":4332},"apc_paid":null,"fwci":5.9486,"has_fulltext":true,"cited_by_count":18,"citation_normalized_percentile":{"value":0.96165789,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":98},"biblio":{"volume":"19","issue":"4","first_page":"541","last_page":"544"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14400","display_name":"Medical Coding and Health Information","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11938","display_name":"ERP Systems Implementation and Impact","score":0.0,"subfield":{"id":"https://openalex.org/subfields/1404","display_name":"Management Information Systems"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/electronic-health-records","display_name":"electronic health records","score":0.9449999928474426},{"id":"https://openalex.org/keywords/ehr-implementation","display_name":"EHR implementation","score":0.9539999961853027},{"id":"https://openalex.org/keywords/physicians-perceptions","display_name":"physician perceptions","score":0.8040000200271606},{"id":"https://openalex.org/keywords/office-practice","display_name":"office practice","score":0.5460000038146973},{"id":"https://openalex.org/keywords/practice-ownership","display_name":"practice ownership","score":0.8389999866485596},{"id":"https://openalex.org/keywords/implementation-barriers","display_name":"implementation barriers","score":0.6029999852180481},{"id":"https://openalex.org/keywords/external-support","display_name":"external support","score":0.42100000381469727}],"concepts":[{"id":"https://openalex.org/C3020144179","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic health record","level":3,"score":0.7674737572669983},{"id":"https://openalex.org/C110313322","wikidata":"https://www.wikidata.org/wiki/Q7100793","display_name":"Ordinal regression","level":2,"score":0.668975293636322},{"id":"https://openalex.org/C170130773","wikidata":"https://www.wikidata.org/wiki/Q216378","display_name":"Usability","level":2,"score":0.6228955984115601},{"id":"https://openalex.org/C87227347","wikidata":"https://www.wikidata.org/wiki/Q7100713","display_name":"Ordered logit","level":2,"score":0.5707902908325195},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5401341915130615},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.514144241809845},{"id":"https://openalex.org/C3019952477","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Health records","level":3,"score":0.5050821900367737},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4565768241882324},{"id":"https://openalex.org/C12725497","wikidata":"https://www.wikidata.org/wiki/Q810247","display_name":"Baseline (sea)","level":2,"score":0.42169976234436035},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3381290137767792},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.2523036599159241},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.16442567110061646},{"id":"https://openalex.org/C111368507","wikidata":"https://www.wikidata.org/wiki/Q43518","display_name":"Oceanography","level":1,"score":0.0},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.0},{"id":"https://openalex.org/C107457646","wikidata":"https://www.wikidata.org/wiki/Q207434","display_name":"Human\u2013computer interaction","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0},{"id":"https://openalex.org/C127313418","wikidata":"https://www.wikidata.org/wiki/Q1069","display_name":"Geology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000555","descriptor_name":"Ambulatory Care Information Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001292","descriptor_name":"Attitude to Computers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006284","descriptor_name":"Health Plan Implementation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008404","descriptor_name":"Massachusetts","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D015999","descriptor_name":"Multivariate Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016015","descriptor_name":"Logistic Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019538","descriptor_name":"Health Care Surveys","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1136/amiajnl-2011-000689","doi":"https://doi.org/10.1136/amiajnl-2011-000689","is_oa":true,"landing_page_url":"https://doi.org/10.1136/amiajnl-2011-000689","pdf_url":"https://academic.oup.com/jamia/article-pdf/19/4/541/5954288/19-4-541.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","ccf-b","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:2690582","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/articles/PMC3384124","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:3384124","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3384124","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"},{"id":"pmid:22249965","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22249965","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association : JAMIA","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1136/amiajnl-2011-000689","doi":"https://doi.org/10.1136/amiajnl-2011-000689","is_oa":true,"landing_page_url":"https://doi.org/10.1136/amiajnl-2011-000689","pdf_url":"https://academic.oup.com/jamia/article-pdf/19/4/541/5954288/19-4-541.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","ccf-b","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.8048999905586243,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G168155446","display_name":null,"funder_award_id":"1 UC1 HS015397","funder_id":"https://openalex.org/F4320332177","funder_display_name":"Agency for Healthcare Research and Quality"},{"id":"https://openalex.org/G421440784","display_name":null,"funder_award_id":"T32HP12706","funder_id":"https://openalex.org/F4320332505","funder_display_name":"U.S. Public Health Service"},{"id":"https://openalex.org/G76986458","display_name":null,"funder_award_id":"UC1 HS015397","funder_id":"https://openalex.org/F4320332177","funder_display_name":"Agency for Healthcare Research and Quality"}],"funders":[{"id":"https://openalex.org/F4320332177","display_name":"Agency for Healthcare Research and Quality","ror":"https://ror.org/03jmfdf59"},{"id":"https://openalex.org/F4320332505","display_name":"U.S. Public Health Service","ror":"https://ror.org/05xf94514"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W147181918.pdf","grobid_xml":"https://content.openalex.org/works/W147181918.grobid-xml"},"referenced_works_count":16,"referenced_works":["https://openalex.org/W1587924950","https://openalex.org/W1963918827","https://openalex.org/W1968385389","https://openalex.org/W2007680671","https://openalex.org/W2112963069","https://openalex.org/W2113832486","https://openalex.org/W2117057030","https://openalex.org/W2126480275","https://openalex.org/W2134777427","https://openalex.org/W2153649661","https://openalex.org/W2155970152","https://openalex.org/W2156449566","https://openalex.org/W2157814042","https://openalex.org/W2187741580","https://openalex.org/W2316562544","https://openalex.org/W2492179180"],"related_works":["https://openalex.org/W2089651241","https://openalex.org/W3209414245","https://openalex.org/W2067163533","https://openalex.org/W2469074642","https://openalex.org/W2188638620","https://openalex.org/W4404792391","https://openalex.org/W2998943925","https://openalex.org/W4224236947","https://openalex.org/W2260810268","https://openalex.org/W1987437868"],"abstract_inverted_index":{"Little":[0],"is":[1],"known":[2],"about":[3],"physicians'":[4,63],"perception":[5],"of":[6,11,26,38,65],"the":[7,23,36,148],"ease":[8,147],"or":[9],"difficulty":[10,25,66],"implementing":[12,27],"electronic":[13],"health":[14],"records":[15],"(EHR).":[16],"This":[17],"study":[18],"identified":[19],"factors":[20,59],"related":[21],"to":[22,56,84,96,103,110,122,154],"perceived":[24,100],"EHR.":[28],"163":[29],"physicians":[30,72],"completed":[31],"surveys":[32],"before":[33],"and":[34,152],"after":[35],"implementation":[37,87,113,136,150],"EHR":[39,68,86,112,135,149],"in":[40,46,76],"an":[41],"externally":[42],"funded":[43],"pilot":[44],"program":[45],"three":[47],"Massachusetts":[48],"communities.":[49],"Ordinal":[50],"hierarchical":[51],"logistic":[52],"regression":[53],"was":[54],"used":[55],"identify":[57],"baseline":[58],"that":[60],"correlated":[61],"with":[62,67,71,73],"report":[64],"implementation.":[69],"Compared":[70],"ownership":[74],"stake":[75],"their":[77,101,127],"practices,":[78],"physician":[79],"employees":[80],"were":[81,106],"less":[82,108],"likely":[83,109],"describe":[85],"as":[88,114],"difficult":[89,115],"(adjusted":[90,116],"OR":[91,117],"0.5,":[92],"95%":[93,119],"CI":[94,120],"0.3":[95],"1.0).":[97],"Physicians":[98,124],"who":[99,125,139],"staff":[102,145],"be":[104],"innovative":[105],"also":[107],"view":[111],"0.4,":[118],"0.2":[121],"0.8).":[123],"own":[126],"practice":[128],"may":[129,146],"need":[130],"more":[131],"external":[132],"support":[133,144],"for":[134],"than":[137],"those":[138],"do":[140],"not.":[141],"Innovative":[142],"clinical":[143],"process":[151],"contribute":[153],"its":[155],"success.":[156]},"counts_by_year":[{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":4},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":6}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}