%0 Journal Article %A Michelle Greiver %A Jan Barnsley %A Richard H. Glazier %A Rahim Moineddin %A Bart J. Harvey %T Implementation of electronic medical records %B Effect on the provision of preventive services in a pay-for-performance environment %D 2011 %J Canadian Family Physician %P e381-e389 %V 57 %N 10 %X Objective To study the effect of electronic medical record (EMR) implementation on preventive services covered by Ontario’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. %U https://www.cfp.ca/content/cfp/57/10/e381.full.pdf