Evidence map›Paper›PMID 18652695›Full record

ArticleBMC medical informatics and decision making2008

Is Canada ready for patient accessible electronic health records? A national scan.

Sara Urowitz, David Wiljer, Emma Apatu, Gunther Eysenbach, Claudette Delenardo, Tamara Harth, Howard Pai, Kevin J Leonard

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  10. Adoption of Electronic Personal Health Records in Canada: Perceptions of Stakeholders.International journal of health policy and management · 2016
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  12. Review
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  18. Information exchange between provider and patient.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2009
    Article
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sara UrowitzPrincess Margaret Hospital/University Health Network, Canada. sara.urowitz@uhn.on.ca
David Wiljer
Emma Apatu
Gunther Eysenbach
Claudette Delenardo
Tamara Harth
Howard Pai
Kevin J Leonard

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccess to personal health information through the electronic health record (EHR) is an innovative means to enable people to be active participants in their own health care. Currently this is not an available option for consumers of health. The absence of a key technology, the EHR, is a significant obstacle to providing patient accessible electronic records. To assess the readiness for the implementation and adoption of EHRs in Canada, a national scan was conducted to determine organizational readiness and willingness for patient accessible electronic records.

methodsA survey was conducted of Chief Executive Officers (CEOs) of Canadian public and acute care hospitals.

resultsTwo hundred thirteen emails were sent to CEOs of Canadian general and acute care hospitals, with a 39% response rate. Over half (54.2%) of hospitals had some sort of EHR, but few had a record that was predominately electronic. Financial resources were identified as the most important barrier to providing patients access to their EHR and there was a divergence in perceptions from healthcare providers and what they thought patients would want in terms of access to the EHR, with providers being less willing to provide access and patients desire for greater access to the full record.

conclusionAs the use of EHRs becomes more commonplace, organizations should explore the possibility of responding to patient needs for clinical information by providing access to their EHR. The best way to achieve this is still being debated.

Indexed as

Attitude of Health PersonnelHospital AdministrationMedical Records Systems, ComputerizedOrganizational InnovationCanadaChief Executive Officers, HospitalDiffusion of InnovationHumansSurveys and Questionnaires

Identifiers

PMID18652695
PMCPMC2532996

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.