Priority primary care practices with low resources—practices not associated with larger systems—lack access to the necessary technical expertise, financial resources, and leverage with vendors for sustaining meaningful use of electronic health records beyond implementation. And, rural priority practices are particularly at a disadvantage.

That is the conclusion of a new study in the Annals of Family Medicine. The study, written by researchers at the University of Alberta, State University of New York at Albany, and the Ann Arbor, Mich.-based research organization Altarum Institute, explores potential barriers to maintenance of meaningful use of EHRs in priority primary care practices using a qualitative observational study for federally qualified health centers and priority practices in Michigan.

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