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LETTERS

Fam Pract Manag. 2005 Apr;12(4):20.

Bigger is better

To the Editor:

Dr. Louis Spikol’s article “Purchasing an Affordable Electronic Health Record” [February 2005, page 31] speaks to how the more affordable EHRs allow small offices most of the advantages of big systems. However, when it comes to return on investment, bigger EHR systems are probably better.1 Our three-physician practice serves a community of about 25,000 people. I used SOAPware for several months before throwing it into the garbage can and upgrading to a more expensive system. There really is no comparison. SOAPware did not allow for better workflows, decrease costs or provide decision support at the point of care. Bottom line, it ended up costing me a lot of time and money.

1. Wang  SJ, Middleton  B, Prosser  LA, et al.  A cost-benefit analysis of electronic medical records in primary care.  Am J Med. 2003;114(5):397–403.

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Send your comments to fpmedit@aafp.org. Submission of a letter will be construed as granting AAFP permission to publish the letter in any of its publications in any form. We cannot respond to all letters we receive. Those chosen for publication will be edited for length and style.

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