Physician satisfaction with server and cloud-based electronic health record (EHR) systems is related to practice size and time invested, according to independent surveys from Black Book and the American Medical Association (AMA).

As reported by Medscape, Black Book surveyed over 27,000 healthcare professionals, including staff and physicians from large in-group and small practices. They signaled a significant increase in satisfaction and productivity with EHR-based systems, rising from 7% in 2013 to 68% in 2015. Small practices reported a jump from 13% in 2013 to 81% today in overall satisfaction with web-based EHR systems. 

The AMA survey of 940 physicians found that 72% reported no decrease in their workload, 54% reported higher operating costs, and 43% had experienced less productivity. The AMA found that EHR satisfaction improves over time, reporting that physicians using EHRs for more than 5 years are twice as satisfied as physicians using EHRs for less than 3 years. 

Our Take: The disparity between the two reports can be linked to sample sizes and the size of the medical practice. The AMA focused on smaller family practices while Black Book had a broader range of respondents. 

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