SynthesisJournal of the American Medical Informatics Association : JAMIA
The impact of the electronic medical record on structure, process, and outcomes within primary care: a systematic review of the evidence.
Synthesis in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 3 of them syntheses 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
70 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Comprehensive process model of clinical information interaction in primary care: results of a "best-fit" framework synthesis.Journal of the American Medical Informatics Association : JAMIA · 2018Pooled it
- Impact of Electronic Medical Record Use on the Patient-Doctor Relationship and Communication: A Systematic Review.Journal of general internal medicine · 2016Pooled it
- A Systematic Investigation on Barriers and Critical Success Factors for Clinical Information Systems in Integrated Care Settings.Yearbook of medical informatics · 2015Pooled it
- Impact of a Web-Based Electronic Health Record on Behavioral Health Service Delivery for Children and Adolescents: Randomized Controlled Trial.Journal of medical Internet research · 2018Trial
- Mobile electronic versus paper case report forms in clinical trials: a randomized controlled trial.BMC medical research methodology · 2017Trial
- Impact of Scribes on Physician Satisfaction, Patient Satisfaction, and Charting Efficiency: A Randomized Controlled Trial.Annals of family medicine · 2017Trial
- Physician versus non-physician delivery of alcohol screening, brief intervention and referral to treatment in adult primary care: the ADVISe cluster randomized controlled implementation trial.Addiction science & clinical practice · 2015Trial
- Implementation of an electronic medical record does not change delivery of preventive care for HIV-positive patients.International journal of medical informatics · 2014Trial
- Voice Recognition for Periodontal Probing Medical Records under Korean-English Bilingual Conditions: A Feasibility Study.Healthcare informatics research · 2026Article
- Implementing a digital platform for the oncology unit at Dalal Jamm hospital, Senegal.Frontiers in digital health · 2026Article
- Home-based treatment for patients with hematological cancer in Denmark-A national overview.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Visualization of Medical Record with 3D Human Body Models.Healthcare (Basel, Switzerland) · 2025Article
- How Can Implementation Science Advance Behavioral Interventions in Preschool? A Scoping Review and Recommendations.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- Integrating asthma care guidelines into primary care electronic medical records: a review focused on Canadian knowledge translation tools.European respiratory review : an official journal of the European Respiratory Society · 2024Review
- Effect of Ambient Voice Technology, Natural Language Processing, and Artificial Intelligence on the Patient-Physician Relationship.Applied clinical informatics · 2024Observational
- "Following the data": perceptions of and willingness to use clinical decision support tools to inform HIV care among Haitian clinicians.Health policy and technology · 2024Article
- Electronic Medical Record Data Missingness and Interruption in Antiretroviral Therapy Among Adults and Children Living With HIV in Haiti: Retrospective Longitudinal Study.JMIR pediatrics and parenting · 2024Article
- Frequency Distribution of Pediatric Primary Care Cases in a Rural Site in The Philippines: A Cross-Sectional Study.Acta medica Philippina · 2024Article
- Doctors Perceptions Regarding Electronic Systems at Primary Healthcare Centers in Qassim Region, Saudi Arabia.Cureus · 2023Article
- Basic electronic health record (EHR) adoption inBMC health services research · 2023Article
10 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe electronic medical record (EMR)/electronic health record (EHR) is becoming an integral component of many primary-care outpatient practices. Before implementing an EMR/EHR system, primary-care practices should have an understanding of the potential benefits and limitations.
objectiveThe objective of this study was to systematically review the recent literature around the impact of the EMR/EHR within primary-care outpatient practices. MATERIALS AND
methodsSearches of Medline, EMBASE, CINAHL, ABI Inform, and Cochrane Library were conducted to identify articles published between January 1998 and January 2010. The gray literature and reference lists of included articles were also searched. 30 studies met inclusion criteria. RESULTS AND DISCUSSION: The EMR/EHR appears to have structural and process benefits, but the impact on clinical outcomes is less clear. Using Donabedian's framework, five articles focused on the impact on healthcare structure, 21 explored healthcare process issues, and four focused on health-related outcomes.
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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.