Bigger is better


Fam Pract Manag. 2005 Apr;12(4):20.

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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Copyright © 2005 by the American Academy of Family Physicians.
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