As of 2007, only one in six US physicians working in ambulatory care have a fully functional EHR system (NEJM). The fact that > 99% of Norwegian ambulatory /primary care physicians (and the numbers in Sweden, Denmark and Holland are almost the same) are using a EHR system might be an illustration of the principle that smaller and less complex organisations are better suited for adapting to new technologies. In Norway, we only have one HMO – the Norwegian goverment. Building and maintaining the component for reimbursement claims is relatively easy. When the EHR system is very good at assisting the physiciains with the numbers, the decision to purchase a system becomes an easy one.
June 23, 2008
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