The impact of the electronic medical record on structure, process, and outcomes within primary care: a systematic review of the evidence: Figure 1
Open Access
- 1 November 2011
- journal article
- review article
- Published by Oxford University Press (OUP) in Journal of the American Medical Informatics Association
- Vol. 18 (6), 732-737
- https://doi.org/10.1136/amiajnl-2010-000019
Abstract
Background The electronic medical record (EMR)/electronic health record (EHR) is becoming an integral component of many primary-care outpatient practices. Before implementing an EMR/EHR system, primary-care practices should have an understanding of the potential benefits and limitations. Objective The objective of this study was to systematically review the recent literature around the impact of the EMR/EHR within primary-care outpatient practices. Materials and methods Searches of Medline, EMBASE, CINAHL, ABI Inform, and Cochrane Library were conducted to identify articles published between January 1998 and January 2010. The gray literature and reference lists of included articles were also searched. 30 studies met inclusion criteria. Results and discussion The EMR/EHR appears to have structural and process benefits, but the impact on clinical outcomes is less clear. Using Donabedian's framework, five articles focused on the impact on healthcare structure, 21 explored healthcare process issues, and four focused on health-related outcomes.Keywords
This publication has 45 references indexed in Scilit:
- Getting in Step: Electronic Health Records and their Role in Care CoordinationJournal of General Internal Medicine, 2010
- Does Computerized Provider Order Entry Reduce Prescribing Errors for Hospital Inpatients? A Systematic ReviewJournal of the American Medical Informatics Association, 2009
- Trends in Primary Care Clinician Perceptions of a New Electronic Health RecordJournal of General Internal Medicine, 2009
- Electronic Health Records in Ambulatory Care — A National Survey of PhysiciansNew England Journal of Medicine, 2008
- Instant availability of patient records, but diminished availability of patient information: A multi-method study of GP's use of electronic patient recordsBMC Medical Informatics and Decision Making, 2008
- The quality of electronic patient records in Finnish primary healthcare needs to be improvedScandinavian Journal of Primary Health Care, 2008
- Electronic Health Record Use and the Quality of Ambulatory Care in the United StatesArchives of Internal Medicine, 2007
- Implementation and Use of an Electronic Health Record within the Indian Health ServiceJournal of the American Medical Informatics Association, 2007
- Computers in the Exam Room: Differences in Physician–Patient Interaction May Be Due to Physician ExperienceJournal of General Internal Medicine, 2007
- e-Prescribing, Efficiency, Quality: Lessons from the Computerization of UK Family PracticeJournal of the American Medical Informatics Association, 2006