ArticleCanadian family physician Medecin de famille canadien2011
Implementation of electronic medical records: theory-informed qualitative study.
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 19 papers, 2 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
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The impact of eHealth use on general practice workload in the pre-COVID-19 era: a systematic review.BMC health services research · 2024Pooled it
- Primary care physicians' attitudes to the adoption of electronic medical records: a systematic review and evidence synthesis using the clinical adoption framework.BMC medical informatics and decision making · 2018Pooled it
- Implementation of targeted screening for poverty in a large primary care team in Toronto, Canada: a feasibility study.BMC family practice · 2021Article
- A conceptual model to guide research on the activities and effects of innovation champions.Implementation research and practice · 2021Article
- The Development and Evaluation of an Electronic Health Record Efficiency Workshop for Providers.Applied clinical informatics · 2020Article
- Primary Care Physicians' Experience Using Advanced Electronic Medical Record Features to Support Chronic Disease Prevention and Management: Qualitative Study.JMIR medical informatics · 2019Article
- Stepping Up to the Plate: An Agenda for Research and Policy Action on Electronic Medical Records in Canadian Primary Healthcare.Healthcare policy = Politiques de sante · 2016Article
- What is the extent of research on the characteristics, behaviors, and impacts of health information technology champions? A scoping review.BMC medical informatics and decision making · 2016Article
- Adoption of e-health technology by physicians: a scoping review.Journal of multidisciplinary healthcare · 2016Article
- Do electronic medical records improve quality of care? No.Canadian family physician Medecin de famille canadien · 2015Article
- The journey through grief: insights from a qualitative study of electronic health record implementation.Health services research · 2015Article
- Application of a model for delivering occupational safety and health to smaller businesses: Case studies from the US.Safety science · 2015Article
- Physician user satisfaction with an electronic medical records system in primary healthcare centres in Al Ain: a qualitative study.BMJ open · 2014Article
- Exploring the sociotechnical intersection of patient safety and electronic health record implementation.Journal of the American Medical Informatics Association : JAMIA · 2014Article
- A model for occupational safety and health intervention diffusion to small businesses.American journal of industrial medicine · 2013Article
- Adopting electronic medical records: are they just electronic paper records?Canadian family physician Medecin de famille canadien · 2013Article
- Implementation of electronic medical records: effect on the provision of preventive services in a pay-for-performance environment.Canadian family physician Medecin de famille canadien · 2011Article
- Sustaining "meaningful use" of health information technology in low-resource practices.Annals of family medicineObservational
- Electronic Health Record Challenges, Workarounds, and Solutions Observed in Practices Integrating Behavioral Health and Primary Care.Journal of the American Board of Family Medicine : JABFMObservational
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
objectiveTo apply the diffusion-of-innovations theory to the examination of factors that are perceived by family physicians as influencing the implementation of electronic medical records (EMRs).
designQualitative study with 2 focus groups 18 months after EMR implementation; participants also took part in a concurrent quantitative study examining EMR implementation and preventive services.
settingToronto, Ont.
participantsTwelve community-based family physicians.
methodsWe employed a semistructured interview guide. The interviews were audiotaped and transcribed verbatim; 2 researchers independently categorized and coded the transcripts and then met to compare and contrast their findings, category mapping, and interpretations. Findings were then mapped to an existing theoretical framework. MAIN
findingsMultiple barriers to EMR implementation were described. These included lack of relative advantage for many processes, high complexity of the system, low compatibility with physician needs and past experiences, difficulty with adaptation of the EMR to the organization and adaptation of the organization to the EMR, and lack of organizational slack. Positive factors were the presence of a champion and relative advantages for some processes.
conclusionEarly EMR implementation experience is consistent with theoretical concepts associated with implementation of innovations. A problematic implementation process helps to explain, at least in part, the lack of improvement in preventive services in our quantitative results.
Indexed as
Identifiers
21998247PMC3192105What 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.