A government-sponsored survey of the use of computerized patient records by doctors points to two seemingly contradictory conclusions: The report found that doctors who use electronic health records say overwhelmingly that such records have helped improve the quality and timeliness of care, yet fewer than one in five of the nation's doctors has started using such records. The survey also found that electronic records were used in less than 9% of small offices with one to three doctors, where nearly half of the country's doctors practice medicine.