ArticlePediatrics2011
Legal, ethical, and financial dilemmas in electronic health record adoption and use.
Article in Pediatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 105 citations in OpenAlex.
- What can healthcare systems learn from looking at tensions in innovation processes? A systematic literature review.BMC health services research · 2022Pooled it
- Electronic health records in patient care: strengths, facilitators, challenges, and future directions-a scoping review.BMC health services research · 2026Article
- Narrative Review of Electronic Health Record Systems in Anesthesia: Benefits, Risks, and Medico-Legal Considerations in the United States of America.Journal of medical systems · 2025Review
- Privacy, Security, and Legal Issues in the Health Cloud: Structured Review for Taxonomy Development.JMIR formative research · 2024Article
- Adoption of Electronic Health Record Among Substance Use Disorder Treatment Programs: Nationwide Cross-Sectional Survey Study.Journal of medical Internet research · 2023Article
- Article
- Information Security Behavior in Health Information Systems: A Review of Research Trends and Antecedent Factors.Healthcare (Basel, Switzerland) · 2022Review
- Article
- The anatomy of electronic patient record ethics: a framework to guide design, development, implementation, and use.BMC medical ethics · 2021Article
- Examination and diagnosis of electronic patient records and their associated ethics: a scoping literature review.BMC medical ethics · 2020Article
- Analysis of real-world data on growth hormone therapy adherence using a connected injection device.BMC medical informatics and decision making · 2020Article
- An Exploratory Study of the Readiness of Public Healthcare Facilities in Developing Countries to Adopt Health Information Technology (HIT)/e-Health: the Case of Ghana.Journal of healthcare informatics research · 2020Article
- Development and dissemination of clinical decision support across institutions: standardization and sharing of refugee health screening modules.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Understanding of and Barriers to Electronic Health Record Patient Portal Access in a Culturally Diverse Pediatric Population.JMIR medical informatics · 2019Article
- Clinicians' Concerns About Mobile Ecological Momentary Assessment Tools Designed for Emerging Psychiatric Problems: Prospective Acceptability Assessment of the MEmind App.Journal of medical Internet research · 2019Article
- Emergency Physician Use of the Alberta Netcare Portal, a Province-Wide Interoperable Electronic Health Record: Multi-Method Observational Study.JMIR medical informatics · 2018Article
- Reporting Data Quality Assessment Results: Identifying Individual and Organizational Barriers and Solutions.EGEMS (Washington, DC) · 2017Article
- Adoption of electronic health records and barriers.Journal of community hospital internal medicine perspectives · 2016Review
- Comparative outcome studies of clinical decision support software: limitations to the practice of evidence-based system acquisition.Journal of the American Medical Informatics Association : JAMIA · 2015Article
- Validation of a Crowdsourcing Methodology for Developing a Knowledge Base of Related Problem-Medication Pairs.Applied clinical informatics · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
Electronic health records (EHRs) facilitate several innovations capable of reforming health care. Despite their promise, many currently unanswered legal, ethical, and financial questions threaten the widespread adoption and use of EHRs. Key legal dilemmas that must be addressed in the near-term pertain to the extent of clinicians' responsibilities for reviewing the entire computer-accessible clinical synopsis from multiple clinicians and institutions, the liabilities posed by overriding clinical decision support warnings and alerts, and mechanisms for clinicians to publically report potential EHR safety issues. Ethical dilemmas that need additional discussion relate to opt-out provisions that exclude patients from electronic record storage, sale of deidentified patient data by EHR vendors, adolescent control of access to their data, and use of electronic data repositories to redesign the nation's health care delivery and payment mechanisms on the basis of statistical analyses. Finally, one overwhelming financial question is who should pay for EHR implementation because most users and current owners of these systems will not receive the majority of benefits. The authors recommend that key stakeholders begin discussing these issues in a national forum. These actions can help identify and prioritize solutions to the key legal, ethical, and financial dilemmas discussed, so that widespread, safe, effective, interoperable EHRs can help transform health care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.