Today, just six percent of U.S. office-based physicians use a fully functioning system.

Accenture's Innovation Center for Health and Institute for Health & Public Service Value worked with Harris Interactive to survey 1,000 U.S. physicians from practices of fewer than 10 practitioners to measure their views of EMRs. Approximately 15 percent of respondents were users of EMRS and 85 percent were non-users.

The survey's primary objective was to determine concerns and perceptions of EMRs and gauge motivating factors at a time when U.S. federal legislation includes incentives for physicians who implement and use EMRs and penalties for those who do not adopt EMRs by 2015. The New York Academy of Medicine assisted with the qualitative survey and analysis.

Among the key findings:

- 58 percent of non-users intend to purchase an EMR system within the next two years;

- about 80 percent of physicians under the age of 55 plan to implement an EMR system within the next two years;

- three-quarters of non-users are intrigued by the idea of purchasing an EMR system from a local hospital - if the purchase is at least partially subsidized by the hospital;

- on average, non-users would expect a hospital/health network to subsidize about half the cost of an EMR system;

- the key driver of EMR adoption is federal legislation - 61 percent cited federal penalties for non-adoption and 51 percent cited federal incentives;

- non-users underestimate the cost and time requirements to implement an EMR system, but also have an exaggerated perception of difficulties in using EMR systems, compared to the actual experiences of EMR users; and

- the vast majority of current EMR users -- 90 percent -- believe that their EMR system has brought value to their practice, in particular "changing the way their practice works for the better."

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