ArticleCanadian family physician Medecin de famille canadien2015
Progress in electronic medical record adoption in Canada.
Article in Canadian family physician Medecin de famille canadien, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 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
51 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to improve the use of EMRs in primary health care: a systematic review and meta-analysis.BMJ health & care informatics · 2019Pooled it
- Physicians' Complex Relationships With Health Information Technology and Burnout: Cross-Sectional Survey Study.JMIR human factors · 2026Article
- Examining Electronic Medical Record Migration in a Team-Based Primary Care Clinic: Case Study.JMIR formative research · 2026Article
- Provider perspectives of clinical decision support for chronic kidney disease management: a cross-sectional study.BMC medical informatics and decision making · 2026Article
- Electronic health records in patient care: strengths, facilitators, challenges, and future directions-a scoping review.BMC health services research · 2026Article
- The current state of electronic health records across Canada: an environmental scan and interoperability maturity assessment.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026Article
- Article
- Electronic Access to and Exchange of Patient Information Among Physicians Practising in Canada.Healthcare policy = Politiques de sante · 2026Article
- Building the future of ICU care: Is our digital foundation strong enough? A multicentre survey of Australian and New Zealand intensive care units.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2025Article
- The digital health landscape at children's hospitals in Canada.Paediatrics & child health · 2025Article
- Capturing factors associated with frailty using routinely collected electronic medical record data in British Columbia, Canada, primary care settings.Primary health care research & development · 2025Article
- Developing and testing a framework for coding general practitioners' free-text diagnoses in electronic medical records - a reliability study for generating training data in natural language processing.BMC primary care · 2024Article
- Exploring the Impact of In Basket Metrics on the Adoption of a New Electronic Health Record System Among Specialists in a Tertiary Hospital in Alberta: Descriptive Study.Journal of medical Internet research · 2024Article
- How the commercial virtual care industry gathers, uses and values patient data: a Canadian qualitative study.BMJ open · 2024Article
- Automated extraction of weight, height, and obesity in electronic medical records are highly valid.Obesity science & practice · 2024Article
- Exploring the reliability of inpatient EMR algorithms for diabetes identification.BMJ health & care informatics · 2023Article
- Perceptions of chief clinical information officers on the state of electronic health records systems interoperability in NHS England: a qualitative interview study.BMC medical informatics and decision making · 2023Article
- Multimodality Video Acquisition System for the Assessment of Vital Distress in Children.Sensors (Basel, Switzerland) · 2023Article
- Harnessing Electronic Medical Records in Cardiovascular Clinical Practice and Research.Journal of cardiovascular translational research · 2023Review
- Potential Factors Influencing Adoption of a Primary Care Pathway to Prevent Functional Decline in Older Adults.Canadian geriatrics journal : CGJ · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
0 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the rate of adoption of electronic medical records (EMRs) by physicians across Canada, provincial incentives, and perceived benefits of and barriers to EMR adoption. DATA SOURCES: Data on EMR adoption in Canada were collected from CINAHL, MEDLINE, PubMed, EMBASE, the Cochrane Library, the Health Council of Canada, Canada Health Infoway, government websites, regional EMR associations, and health professional association websites. STUDY SELECTION: After removal of duplicate articles, 236 documents were found matching the original search. After using the filter Canada, 12 documents remained. Additional documents were obtained from each province's EMR website and from the Canada Health Infoway website. SYNTHESIS: Since 2006, Canadian EMR adoption rates have increased from about 20% of practitioners to an estimated 62% of practitioners in 2013, with substantial regional disparities ranging from roughly 40% of physicians in New Brunswick and Quebec to more than 75% of physicians in Alberta. Provincial incentives vary widely but appear to have only a weak relationship with the rate of adoption. Many adopters use only a fraction of their software's available functions. User-cited benefits to adoption include time savings, improved record keeping, heightened patient safety, and confidence in retrieved data when EMRs are used efficiently. Barriers to adoption include financial and time constraints, lack of knowledgeable support personnel, and lack of interoperability with hospital and pharmacy systems.
conclusionCanadian physicians remain at the stage of EMR adoption. Progression in EMR use requires experienced, knowledgeable technical support during implementation, and financial support for the transcription of patient data from paper to electronic media. The interoperability of EMR offerings for hospitals, pharmacies, and clinics is the rate-limiting factor in achieving a unified EMR solution for Canada.
Indexed as
Identifiers
27035020PMC4677946What 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.