Evidence map›Paper›PMID 21998246›Full record

ArticleCanadian family physician Medecin de famille canadien2011

Implementation of electronic medical records: effect on the provision of preventive services in a pay-for-performance environment.

Michelle Greiver, Jan Barnsley, Richard H Glazier, Rahim Moineddin, Bart J Harvey

Abstract readComparative Study
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Canadian family physician Medecin de famille canadien · 2017
    Article
  6. Competing demands and opportunities in primary care.Canadian family physician Medecin de famille canadien · 2017
    Article
  7. Do electronic medical records improve quality of care? No.Canadian family physician Medecin de famille canadien · 2015
    Article
  8. What if electronic medical records were unnecessary?Canadian family physician Medecin de famille canadien · 2015
    Article
  9. Article
  10. Article
  11. Implementation of electronic medical records: theory-informed qualitative study.Canadian family physician Medecin de famille canadien · 2011
    Article
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

5 authors.

Michelle GreiverDepartment of Family and Community Medicine, University of Toronto, Ontario, Canada. mgreiver@rogers.com
Jan Barnsley
Richard H Glazier
Rahim Moineddin
Bart J Harvey

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the effect of electronic medical record (EMR) implementation on preventive services covered by Ontario's pay-for-performance program.

designProspective double-cohort study.

participantsTwenty-seven community-based family physicians.

settingToronto, Ont.

interventionEighteen physicians implemented EMRs, while 9 physicians continued to use paper records.

main outcome measureProvision of 4 preventive services affected by pay-for-performance incentives (Papanicolaou tests, screening mammograms, fecal occult blood testing, and influenza vaccinations) in the first 2 years of EMR implementation.

resultsAfter adjustment, combined preventive services for the EMR group increased by 0.7%, a smaller increase than that seen in the non-EMR group (P = .55, 95% confidence interval -2.8 to 3.9).

conclusionWhen compared with paper records, EMR implementation had no significant effect on the provision of the 4 preventive services studied.

Indexed as

AdolescentAdultAgedChildChild, PreschoolFemaleFollow-Up StudiesHumansMaleMedical Records Systems, ComputerizedMiddle AgedOntarioPhysicians, FamilyPreventive Health ServicesPrimary Health CareProspective Studies

Identifiers

PMID21998246
PMCPMC3192104

What OpenQuestion holds

Textmetadata
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.