Trends in EHR Satisfaction and Interoperability Among Family Physicians: A Five-Year Analysis of the ABFM Continuous Certification Questionnaire, 2022-2026

arXiv:2610.04762v2 Announce Type: replace Abstract: Objective: To assess trends in family physicians' (FPs) electronic health record (EHR) satisfaction and their experience of interoperability across organizations. Materials and Methods: Serial cross-sectional analysis of five waves of the American Board of Family Medicine's Continuous Certification Questionnaire (2022-26). Adjusted logistic regression compared odds of being very satisfied across 11 EHRs; Cochran-Armitage tests assessed vendor trends. Ease of using outside information was analyzed separately for same- and different-vendor sources. Results: Across 36,785 FPs, adjusted odds of being very satisfied relative to Epic ranged from 0.91 (95% CI, 0.74-1.11) for Elation Health to 0.17 (95% CI, 0.15-0.20) for Oracle Health/Cerner. Only Epic's users became significantly more satisfied (Benjamini-Hochberg adjusted P