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The electronic health record as a healthcare management strategy and implications for obstetrics and gynecologic practice

Eisenberg, Matthew; Hom, Jason; Sharp, Christopher

Current Opinion in Obstetrics and Gynecology: December 2013 - Volume 25 - Issue 6 - p 476–481
doi: 10.1097/GCO.0000000000000029

Purpose of review To review the current trends, utilities, impacts and strategy for electronic health records (EHRs) as related to obstetrics and gynecology.

Recent findings Adoption and utilization of EHRs are increasing rapidly but variably, given pressures of financial incentives, policy and technological advancement. Adoption is outpacing published evidence, but there is a growing body of descriptive literature regarding incentives, benefits, risks and costs of adoption and utilization. Further, there is a rising body of evidence that EHRs can bring benefits to processes and outcomes, and that their implementation can be considered as a healthcare management strategy. Obstetrics and gynecology practices have specific needs, which must be addressed in the adoption of such technology. Specialty specific literature is sparse but should be considered as part of any strategy aimed at achieving quality improvement and practice behavior change.

Summary Obstetrics and gynecologic practice presents unique challenges to the effective adoption and use of EHR technologies, but there is promise as the technologies, integration and usability are rapidly improving. This technology will have an increasing impact on the practice of obstetrics and gynecology in the coming years.

Stanford University School of Medicine, Stanford Hospital & Clinics, Stanford, California, USA

Correspondence to Christopher Sharp, MD, 300 Pasteur Drive, Stanford, CA 94305, USA. Tel: +1 650 723 0761; e-mail:

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins