SynthesisBMJ open2025
Systematic review of the use and challenges of electronic health records in physiotherapy practice.
Synthesis in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo synthesise current evidence on physiotherapists' use of electronic health records (EHRs), with a focus on the determinants of adoption, implementation processes and associated implementation outcomes.
designA systematic review employing a narrative synthesis approach. DATA SOURCES: PubMed, Cochrane, Scopus and Web of Science, covering all records from the inception of each database to 10 May 2024. ELIGIBILITY CRITERIA: Studies conducted in physiotherapy clinical settings and using the International Classification of Functioning, Disability and Health (ICF). DATA EXTRACTION AND SYNTHESIS: Two authors independently screened articles and assessed methodological quality. Risk of bias was assessed using the Critical Appraisal Skills Programme tool for qualitative and for cohort studies, the Mixed Methods Appraisal Tool for mixed-methods studies and the JBI Critical Appraisal Checklist for analytical cross-sectional studies.
resultsFrom 3820 records screened, 9 observational studies met inclusion criteria. Key factors influencing EHR adoption included organisational readiness, perceived usefulness, managerial support and training availability. Implementation patterns clustered into three domains: recorded content, ICF framework integration and record quality. Reported outcomes focused on care quality metrics and evidence of clinical effectiveness.
conclusionsPersistent challenges in physiotherapy EHR use were identified, notably in data quality, completeness and alignment with the ICF framework. Improving EHR practices is crucial to improve clinical assessment and support digital health integration. However, limited evidence and methodological heterogeneity remain key limitations. PROSPERO REGISTRATION NUMBER: CRD42023420267.
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