ArticleCanadian family physician Medecin de famille canadien2013
Adopting electronic medical records: are they just electronic paper records?
Article in Canadian family physician Medecin de famille canadien, 2013. 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.
- Factors affecting the mature use of electronic medical records by primary care physicians: a systematic review.BMC medical informatics and decision making · 2021Pooled it
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- Digital Maturity and Its Measurement of General Practitioners: A Scoping Review.International journal of environmental research and public health · 2023Article
- Physician awareness of social determinants of health documentation capability in the electronic health record.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Consultation analysis: use of free text versus coded text.Health and technology · 2021Article
- How well is the electronic health record supporting the clinical tasks of hospital physicians? A survey of physicians at three Norwegian hospitals.BMC health services research · 2019Article
- The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care.Frontiers in psychiatry · 2019Review
- Article
- Canadian family physician job satisfaction - is it changing in an evolving practice environment? An analysis of the 2013 National Physician Survey database.BMC family practice · 2018Article
- Measuring Electronic Health Record Use in Primary Care: A Scoping Review.Applied clinical informatics · 2018Article
- A Literature Review of Electronic Health Records in Chiropractic Practice: Common Challenges and Solutions.Journal of chiropractic humanities · 2017Review
- Statin-prescribing trends for primary and secondary prevention of cardiovascular disease.Canadian family physician Medecin de famille canadien · 2017Article
- Health Information Technology (HIT) Adaptation: Refocusing on the Journey to Successful HIT Implementation.JMIR medical informatics · 2017Article
- Applying STOPP Guidelines in Primary Care Through Electronic Medical Record Decision Support: Randomized Control Trial Highlighting the Importance of Data Quality.JMIR medical informatics · 2017Article
- Data quality in electronic medical records in Manitoba: Do problem lists reflect chronic disease as defined by prescriptions?Canadian family physician Medecin de famille canadien · 2017Article
- Ceiling effect in EMR system assimilation: a multiple case study in primary care family practices.BMC medical informatics and decision making · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo understand the key challenges to adoption of advanced features of electronic medical records (EMRs) in office practice, and to better understand these challenges in a Canadian context.
designMixed-methods study.
settingManitoba.
participantsHealth care providers and staff in 5 primary care offices.
methodsLevel of EMR adoption was assessed, and field notes from interviews and discussion groups were qualitatively analyzed for common challenges and themes across all sites. MAIN
findingsFifty-seven interviews and 4 discussion groups were conducted from November 2011 to January 2012. Electronic medical record adoption scores ranged from 2.3 to 3.0 (out of a theoretical maximum of 5). Practices often scored lower than expected on use of decision support, providing patients with access to their own data, and use of practice-reporting tools. Qualitative analysis showed there were ceiling effects to EMR adoption owing to how the EMR was implemented, the supporting eHealth infrastructure, lack of awareness or availability of EMR functionality, and poor EMR data quality.
conclusionMany practitioners used their EMRs as "electronic paper records" and were not using advanced features of their EMRs that could further enhance practice. Data-quality issues within the EMRs could affect future attempts at using these features. Education and quality improvement activities to support data quality and EMR optimization are likely needed to support practices in maximizing their use of EMRs.
Indexed as
Identifiers
23851560PMC3710063What 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.