The study reveals that physicians are increasingly adopting or using EHRs, with five main reasons being replacing existing EHR software, opening a new practice, replacing paper records, replacing other software, or combining the above. The percentage of physicians transitioning from paper records dropped significantly from 2010 to 2013, while the share of practices replacing existing EHR systems grew by nearly 50%. Vendor dissatisfaction increases, and cost and customer service concerns also rise. The study highlights the importance of a rigorous process for software selection and implementation, as doctors are increasingly adopting or using EHRs.