RT Journal Article
SR Electronic
T1 Implementation of electronic medical records
JF Canadian Family Physician
JO Can Fam Physician
FD The College of Family Physicians of Canada
SP e381
OP e389
VO 57
IS 10
A1 Michelle Greiver
A1 Jan Barnsley
A1 Richard H. Glazier
A1 Rahim Moineddin
A1 Bart J. Harvey
YR 2011
UL http://www.cfp.ca/content/57/10/e381.abstract
AB 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.