ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2011
A qualitative study of Canada's experience with the implementation of electronic health information technology.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The Impact of Electronic Health Record Interoperability on Safety and Quality of Care in High-Income Countries: Systematic Review.Journal of medical Internet research · 2022Pooled it
- Factors Determining the Success and Failure of eHealth Interventions: Systematic Review of the Literature.Journal of medical Internet research · 2018Pooled it
- The current state of electronic health records across Canada: an environmental scan and interoperability maturity assessment.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026Article
- Building digital resilience: leading healthcare transformation through an online community.Frontiers in digital health · 2025Article
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- Economic Efficiency of an Open-Source National Medical Lab Software in Canada.Journal of medical systems · 2023Article
- Implementation approaches and barriers for rule-based and machine learning-based sepsis risk prediction tools: a qualitative study.JAMIA open · 2022Article
- eHealth and mHealth in Chronic Diseases-Identification of Barriers, Existing Solutions, and Promoters Based on a Survey of EU Stakeholders Involved in Regions4PerMed (H2020).Journal of personalized medicine · 2022Article
- Evolution or Revolution? Recommendations to Improve the Swiss Health Data Framework.Frontiers in public health · 2021Article
- Use of Hospital Information System to Improve the Quality of Health Care from Clinical Staff Perspective.Galen medical journal · 2021Article
- Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Syndrome Identified in the Electronic Health Record Allergy Module.The journal of allergy and clinical immunology. In practice · 2019Article
- Better, Sooner, More Convenient? The reality of pursuing greater integration between primary and secondary healthcare providers in New Zealand.SAGE open medicine · 2017Article
- Identification and Characterization of Inter-Organizational Information Flows in the Portuguese National Health Service.Applied clinical informatics · 2016Article
- Toward better prescription drug surveillance in Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2016Article
- Adoption of Electronic Personal Health Records in Canada: Perceptions of Stakeholders.International journal of health policy and management · 2016Article
- Progress in electronic medical record adoption in Canada.Canadian family physician Medecin de famille canadien · 2015Article
- Organizational strategies for promoting patient and provider uptake of personal health records.Journal of the American Medical Informatics Association : JAMIA · 2015Article
- Return on investment in electronic health records in primary care practices: a mixed-methods study.JMIR medical informatics · 2014Article
- Personal health records for patients with chronic disease: a major opportunity.Applied clinical informatics · 2014Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 2001, Canada Health Infoway unveiled a plan to implement a national system of interoperable electronic health records. This government-funded corporation introduced a novel model for interprovincial/territorial collaboration to establish core aspects of a national framework. Despite this $1.6 billion initiative, Canada continues to lag behind other Western countries in adopting electronic health records. We conducted a study to identify the success of different aspects of the Canadian plan and ways to improve the adoption of electronic health records.
methodsWe used a case study approach to assess the 10-year history of Canada's e-health plan. National reports and documents were reviewed, and structured interviews were conducted with 29 key stakeholders representing national and provincial organizations responsible for establishing policy and strategic direction for health information technology. Using grounded theory, we analyzed transcripts of the interviews to identify themes and their relationships.
resultsKey stakeholders identified funding, national standards, patient registries and digital imaging as important achievements of the e-health plan. Lack of an e-health policy, inadequate involvement of clinicians, failure to establish a business case for using electronic health records, a focus on national rather than regional interoperability, and inflexibility in approach were seen as barriers to adoption of the plan.
interpretationTo accelerate adoption of electronic health records and timely return on investment, an e-health policy needs to be tightly aligned with the major strategic directions of health care reform. Adoption needs to be actively fostered through a bottom-up, clinical-needs-first approach, a national policy for investment in electronic health records, and financial incentives based on patient outcomes that can be achieved with electronic health records.
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