ArticleBMC medical informatics and decision making2015
Improving performance in medical practices through the extended use of electronic medical record systems: a survey of Canadian family physicians.
Article in BMC medical informatics and decision making, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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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
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
- Factors affecting the mature use of electronic medical records by primary care physicians: a systematic review.BMC medical informatics and decision making · 2021Pooled it
- The role of medical regulations and medical regulators in fostering the use of eHealth data for strengthened continuing professional development (CPD): a document analysis with key informants' interviews.BMC medical education · 2025Article
- An Approach to Potentially Increasing Adoption of an Artificial Intelligence-Enabled Electronic Medical Record Encounter in Canadian Primary Care: Protocol for a User-Centered Design.JMIR research protocols · 2024Article
- Successful Electronic Consultation Service Initiative in Quebec, Canada With Primary Care Physicians' and Specialists' Experiences on Acceptance and Use of Technological Innovation: Cross-Sectional Exploratory Study.JMIR formative research · 2024Article
- Implementing American Academy of Neurology Quality Measures in Antigua Using Quality Improvement Methodology.Neurology. Clinical practice · 2024Article
- Review
- The Technology Acceptance of Video Consultations for Type 2 Diabetes Care in General Practice: Cross-sectional Survey of Danish General Practitioners.Journal of medical Internet research · 2022Article
- Health Professionals' Perspectives on Electronic Medical Record Infusion and Individual Performance: Model Development and Questionnaire Survey Study.JMIR medical informatics · 2021Article
- State of the practice of health information systems: a survey study amongst health care professionals in intellectual disability care.BMC health services research · 2021Article
- Assimilation of Medical Appointment Scheduling Systems and Their Impact on the Accessibility of Primary Care: Mixed Methods Study.JMIR medical informatics · 2021Article
- Physicians' Attitude towards Electronic Medical Record Systems: An Input for Future Implementers.BioMed research international · 2021Article
- Barriers and Facilitators Associated with the Management of Aggressive and Disruptive Behaviour in Children: A Qualitative Study with Pediatricians.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2020Article
- Advancing laboratory medicine in hospitals through health information exchange: a survey of specialist physicians in Canada.BMC medical informatics and decision making · 2020Article
- An Optimization Program to Help Practices Assess Data Quality and Workflow With Their Electronic Medical Records: Observational Study.JMIR human factors · 2018Article
- Improving performance in the ED through laboratory information exchange systems.International journal of emergency medicine · 2018Article
- Strategic Improvement for Quality and Satisfaction of Hospital Information Systems.Journal of healthcare engineering · 2018Article
- Measuring Electronic Health Record Use in Primary Care: A Scoping Review.Applied clinical informatics · 2018Article
- Ceiling effect in EMR system assimilation: a multiple case study in primary care family practices.BMC medical informatics and decision making · 2017Article
- Agreement of Ocular Symptom Reporting Between Patient-Reported Outcomes and Medical Records.JAMA ophthalmology · 2017Observational
- 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
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNumerous calls have been made for greater assimilation of information technology in healthcare organizations in general, and in primary care settings in particular. Considering the levels of IT investment and adoption in primary care medical practices, a deeper understanding is needed of the factors leading to greater performance outcomes from EMR systems in primary care. To address this issue, we developed and tested a research model centered on the concept of Extended EMR Use.
methodsAn online survey was conducted of 331 family physicians in Canadian private medical practices to empirically test seven research hypotheses using a component-based structural equation modeling approach.
resultsFive hypotheses were partially or fully supported by our data. Family physicians in our sample used 67% of the clinical and 41% of the communicational functionalities available in their EMR systems, compared to 90% of the administrative features. As expected, extended use was associated with significant improvements in perceived performance benefits. Interestingly, the benefits derived from system use were mainly tied to the clinical support provided by an EMR system. The extent to which physicians were using their EMR systems was influenced by two system design characteristics: functional coverage and ease of use. The more functionalities that are available in an EMR system and the easier they are to use, the greater the potential for exploration, assimilation and appropriation by family physicians.
conclusionsOur study has contributed to the extant literature by proposing a new concept: Extended EMR Use. In terms of its practical implications, our study reveals that family physicians must use as many of the capabilities supported by their EMR system as possible, especially those which support clinical tasks, if they are to maximize its performance benefits. To ensure extended use of their software, vendors must develop EMR systems that satisfy two important design characteristics: functional coverage and system ease of use.
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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.