Evidence map›Paper›PMID 40599662›Full record

ArticlePaediatrics & child health2025

The digital health landscape at children's hospitals in Canada.

Cathie-Kim Le, Sarah Mousseau, Amy R Zipursky, Karim Jessa, Daniel Rosenfield, Julia Yarahuan, Chase Parsons, Adam P Yan

Abstract read
In one paragraph

Article in Paediatrics & child health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Cathie-Kim LeDepartment of Pediatrics, Montreal Children's Hospital, Montreal, Quebec, Canada.
Sarah MousseauPediatric Emergency Department, Sainte-Justine Hospital, Montreal, Quebec, Canada.
Amy R ZipurskyDivision of Pediatric Emergency Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
Karim JessaDivision of Pediatric Emergency Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
Daniel RosenfieldDivision of Pediatric Emergency Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-9883-5230
Julia YarahuanDepartment of Pediatrics, Emory University School of Medicine, Atlanta, George, USA.
Chase ParsonsDepartment of Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.
Adam P YanDivision of Pediatric Hematology/Oncology, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-8300-3095

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Canadian hospitals have historically lagged behind peer nations in terms of adoption of digital health tools. The aim of this study was to assess the current state of adoption of digital health tools at children's hospitals in Canada. Methods: We conducted an online survey of Canadian pediatric tertiary-care hospitals between January and July 2023. The 35-item questionnaire was administered in English and French. Hospital characteristics, informatics infrastructure data and electronic health record (EHR) functionality data were summarized using descriptive statistics. Results: The survey was completed by 15 of the 17 (88.2%) pediatric hospitals in Canada. All institutions had an EHR with 10 (66.6%) being fully digitized and five (33.3%) being partially digitized. Funding and availability of clinicians with expertise in clinical informatics were cited as barriers to implementing digital health tools. The availability of core EHR functionalities ranged from 53.3% for medication to 100% for the presence of a laboratory and radiology information system. Only five (33.3%) institutions reported that they had a patient portal. Discussion: While all hospitals in this study had an EHR, functionalities varied greatly between centers. Canada lags behind the United States in terms of adoption of digital health tools such as patient portals likely due to governmental mandates and incentives, and a focus on cultivating a physician informatics workforce. Conclusion: Canadian pediatric hospitals lag behind peer institutions in digital maturity. This study highlights the perceived need from hospitals for policies, funding, and resources from the Canadian government to help increase the uptake of comprehensive EHRs.

Indexed as

Clinical informaticsDigital healthElectronic health records

Identifiers

PMID40599662
PMCPMC12208358

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.