Surveys show   a wide range of happiness and misery among physicians about their electronic health record  (EHR) systems. Some of it depends on whether the system is server- or cloud-based.

Because they have more administrative support and can afford better and more expensive systems, physicians in large-group practices are having better EHR experiences.

Satisfaction rises over time as physicians learn how to better use the systems regardless of the size of the practice.

Still,  many small practices  don’t have the  money, time and other resources to use  EHR systems beyond the basic demands of Meaningful Use, especially regarding inter-operability, whose lack can be one of the great frustrations of EHR.