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Research ArticleResearch

Computer use in primary care practices in Canada

Yvonne Anisimowicz, Andrea E. Bowes, Ashley E. Thompson, Baukje Miedema, William E. Hogg, Sabrina T. Wong, Alan Katz, Fred Burge, Kris Aubrey-Bassler, Gregory S. Yelland and Walter P. Wodchis
Canadian Family Physician May 2017; 63 (5) e284-e290;
Yvonne Anisimowicz
Research assistant at the Dalhousie Family Medicine Teaching Unit in Fredericton, NB.
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Andrea E. Bowes
New Brunswick SPOR (Strategy for Patient-Oriented Research Network) coordinator in Fredericton.
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Ashley E. Thompson
Assistant Professor in the Department of Psychology at University of Wisconsin-Oshkosh.
MA PhD
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Baukje Miedema
Professor and Director of Research at the Dalhousie Family Medicine Teaching Unit in Fredericton.
RN MA PhD
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  • For correspondence: baukjemiedema@gmail.com
William E. Hogg
Scientist at the Élisabeth Bruyère Research Institute in Ottawa, Ont, and Professor and Senior Research Advisor in the Department of Family Medicine at the University of Ottawa and the C.T. Lamont Primary Health Care Research Centre.
MSc MClSc MD CM FCFP
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Sabrina T. Wong
Director of the Centre for Health Services and Policy Research at the University of British Columbia in Vancouver.
RN PhD
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Alan Katz
Professor in the Department of Family Medicine and the Department of Community Health Sciences and Director of Research at the University of Manitoba in Winnipeg, and Director of the Manitoba Centre for Health Policy.
MB ChB MSc FCFP
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Fred Burge
Professor and Research Director of the Primary Care Research Unit in the Department of Family Medicine at Dalhousie University in Halifax, NS, and the science lead for Building Research for Integrated Primary Healthcare.
MD MSc FCFP
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Kris Aubrey-Bassler
Director of the Centre for Rural Health Studies at Memorial University of Newfoundland in St John’s.
MD MSc CCFP
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Gregory S. Yelland
Program evaluation consultant for the Quality Health Council of Alberta in Edmonton.
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Walter P. Wodchis
Associate Professor in the Institute of Health Policy, Management and Evaluation at the University of Toronto in Ontario.
PhD MA MAE
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Article Figures & Data

Tables

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    Table 1.

    Sample characteristics: N = 788.

    DESCRIPTIVE VARIABLESN (%)*
    Practice location
      • Large city centre235 (30.1)
      • Small town153 (19.6)
      • Rural area152 (19.5)
      • Suburbs133 (17.1)
      • Urban-rural mix107 (13.7)
    Primary care model
      • New416 (52.8)
      • Traditional372 (47.2)
    Survey language
      • English577 (73.2)
      • French211 (26.8)
    Canadian-born physician559 (71.5)
    • ↵* Denominators vary owing to missing data.

    • View popup
    Table 2.

    Mean (SD) computer use scale scores, by province and all of Canada

    PRACTICE LOCATION*MEAN (SD) SCORE†NO. OF FAMILY PHYSICIANS
    British Columbia7.20 (2.41)59
    Alberta7.23 (2.45)115
    Saskatchewan6.50 (3.15)20
    Manitoba7.51 (2.22)41
    Ontario7.63 (2.02)184
    Quebec3.95 (2.53)215
    New Brunswick and Prince Edward Island3.91 (2.74)54
    Nova Scotia6.36 (3.20)59
    Newfoundland and Labrador4.20 (2.44)41
    Canada5.97 (2.96)788
    • ↵* Data collected from the Family Physician Survey (Q47) from the Quality and Cost of Primary Care study.

    • ↵† Computer use was scored on a scale from 0 to 9, with 9 indicating complete integration of computer use.

    • View popup
    Table 3.

    Proportion of physicians in primary care practices who use computers for various actions

    COMPUTER USE*PHYSICIANS, %
    BCABSKMBONQCNB AND PENSNLCANADA
    Making appointments93.290.485.090.295.772.664.883.151.282.5
    Issuing invoices81.483.585.068.378.320.040.767.846.358.0
    Issuing drug prescriptions84.783.565.090.287.550.729.669.529.367.9
    Sending prescriptions to the pharmacy†39.038.360.058.557.613.513.045.84.934.8
    Sending referral letters to medical specialists81.478.360.085.483.727.444.472.948.861.5
    Keeping records of consultations84.784.365.085.490.240.031.571.246.366.6
    Storing diagnostic test results83.186.165.090.289.148.840.774.646.370.1
    Searching medical information on the Internet94.993.995.095.192.983.392.683.192.790.0
    Maintaining and using electronic health records78.084.370.087.887.539.133.367.853.765.7
    I do not use a computer0.01.70.02.40.55.11.96.80.02.5
    • AB—Alberta, BC—British Columbia, MB—Manitoba, NB—New Brunswick, NL—Newfoundland and Labrador, NS—Nova Scotia, ON—Ontario, PE—Prince Edward Island, QC—Quebec, SK—Saskatchewan.

    • ↵* Data collected from the Family Physician Survey (Q47) from the Quality and Cost of Primary Care study.

    • ↵† This is considered to be electronic prescribing, as discussed by Clark.25

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Canadian Family Physician: 63 (5)
Canadian Family Physician
Vol. 63, Issue 5
1 May 2017
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Computer use in primary care practices in Canada
Yvonne Anisimowicz, Andrea E. Bowes, Ashley E. Thompson, Baukje Miedema, William E. Hogg, Sabrina T. Wong, Alan Katz, Fred Burge, Kris Aubrey-Bassler, Gregory S. Yelland, Walter P. Wodchis
Canadian Family Physician May 2017, 63 (5) e284-e290;

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Computer use in primary care practices in Canada
Yvonne Anisimowicz, Andrea E. Bowes, Ashley E. Thompson, Baukje Miedema, William E. Hogg, Sabrina T. Wong, Alan Katz, Fred Burge, Kris Aubrey-Bassler, Gregory S. Yelland, Walter P. Wodchis
Canadian Family Physician May 2017, 63 (5) e284-e290;
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