SynthesisBMJ health & care informatics2019
Interventions to improve the use of EMRs in primary health care: a systematic review and meta-analysis.
Synthesis in BMJ health & care informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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
14 citing papers in PubMed.
- Physicians' Perceptions of, and Satisfaction with, Electronic Medical Record Systems in St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.Healthcare (Basel, Switzerland) · 2026Article
- Enhancing Care Coordination and Patient Engagement Through Electronic Medical Record Utilization in Primary Healthcare: A Mixed-Methods Study.Healthcare (Basel, Switzerland) · 2026Article
- Implementation of the Registered Nurses' Association of Ontario Best Practice Guidelines for delirium-specific recommendations in a digital practice setting at Humber River Health, Canada.International journal of nursing sciences · 2026Article
- Development of Quality Indicators for the Correct Use of Electronic Medical Records in Primary Care: Modified Delphi Study.JMIR medical informatics · 2026Article
- Insights into healthcare workers' perceptions of electronic medical record system utilization: a cross-sectional study in Mafeteng district, Lesotho.BMC medical informatics and decision making · 2025Article
- Digital stress perception and associations with work- and health-related outcomes among general practitioners in Germany: a quantitative study.BMC health services research · 2025Article
- Nurses' Perception towards Electronic Medical Records System: An Integrative Review of Barriers and Facilitators.Iranian journal of public health · 2025Review
- Big data research is everyone's research-Making epilepsy data science accessible to the global community: Report of the ILAE big data commission.Epileptic disorders : international epilepsy journal with videotape · 2024Review
- Article
- Electronic Medical Record System Use and Determinants in Ethiopia: Systematic Review and Meta-Analysis.Interactive journal of medical research · 2023Review
- Strategies for implementing the interRAI home care frailty scale with home-delivered meal clients.Frontiers in public health · 2023Observational
- Implementation Strategies for Knowledge Products in Primary Health Care: Systematic Review of Systematic Reviews.Interactive journal of medical research · 2022Review
- Association between evidence-based training and clinician proficiency in electronic health record use.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Perceived Value of Electronic Medical Records in Community Health Services: A National Cross-Sectional Survey of Primary Care Workers in Mainland China.International journal of environmental research and public health · 2020Article
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
backgroundElectronic medical record (EMR) adoption in primary care has grown exponentially since their introduction in the 1970s. However, without their proper
objectiveThe purpose of this systematic review was to identify interventions aimed at improving EMR use in primary healthcare settings.
methodsTen online databases were searched to identify studies conducted in primary healthcare settings aimed at implementing interventions to observe the use of EMRs and directly measure the use of EMR functions or outcomes effected by the use of EMR functions.
resultsOf 2098 identified studies, 12 were included in the review. Results showed that interventions focused on the use of EMR functions, including referrals, electronic communication, reminders, use of clinical decision support systems and workflow management support functions, were five times more likely to show improvements in EMR use compared with controls. Interventions focused on data quality were five and a half times more likely to show improvements in EMR use compared with controls.
conclusionsIndividuals in primary healthcare settings aiming to improve EMR use would benefit from implementing interventions focused on EMR feature add-ons such as clinical decision support systems and customised referral templates, and provisions of educational materials, or financial incentives targeted at improving the use of EMR functions and data quality.
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What 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.