Abstract
This study compared the probability of receiving anxiety treatment during a physician visit to primary care practices with and without an electronic health record (EHR). The 2007-2010 National Ambulatory Medical Care Survey was used to identify visits for anxiety (N=290). The outcome was receipt of anxiety treatment. The independent variable was the presence of a fully functioning EHR. Logistic regression was used to conduct the analysis. Patients who were seen in practices with a fully functioning EHR had lower odds of being offered antianxiety medication (adjusted odds ratio [AOR]=.37, 95% confidence interval [CI]=.15-.90, p=.028), mental health counseling (AOR=.43, CI=.18-1.04, p=.061), and any anxiety treatment (AOR=.40, CI=.15-1.05, p=.062) compared with patients at practices without a fully functioning EHR. EHRs may have a negative impact on the delivery of care for anxiety during primary care visits. Future studies should monitor the impact of EHRs on delivery and quality of care.
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