@article {Greivere381, author = {Michelle Greiver and Jan Barnsley and Richard H. Glazier and Rahim Moineddin and Bart J. Harvey}, title = {Implementation of electronic medical records}, volume = {57}, number = {10}, pages = {e381--e389}, year = {2011}, publisher = {The College of Family Physicians of Canada}, abstract = {Objective To study the effect of electronic medical record (EMR) implementation on preventive services covered by Ontario{\textquoteright}s pay-for-performance program. Design Prospective double-cohort study. Participants Twenty-seven community-based family physicians. Setting Toronto, Ont. Intervention Eighteen physicians implemented EMRs, while 9 physicians continued to use paper records. Main outcome measure Provision of 4 preventive services affected by pay-for-performance incentives (Papanicolaou tests, screening mammograms, fecal occult blood testing, and influenza vaccinations) in the first 2 years of EMR implementation. Results After adjustment, combined preventive services for the EMR group increased by 0.7\%, a smaller increase than that seen in the non-EMR group (P = .55, 95\% confidence interval -2.8 to 3.9). Conclusion When compared with paper records, EMR implementation had no significant effect on the provision of the 4 preventive services studied.}, issn = {0008-350X}, URL = {https://www.cfp.ca/content/57/10/e381}, eprint = {https://www.cfp.ca/content/57/10/e381.full.pdf}, journal = {Canadian Family Physician} }