Interventions to improve the use of EMRs in primary health care: a systematic review and meta-analysis

被引:12
作者
Hamade, Noura
Terry, Amanda
Malvankar-Mehta, Monali
机构
关键词
electronic medical records; primary healthcare; benefits realisation; health information technologies; ELECTRONIC MEDICAL-RECORD; QUALITY; IMPACT; MANAGEMENT; ADOPTION; GUIDE;
D O I
10.1136/bmjhci-2019-000023
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background Electronic medical record (EMR) adoption in primary care has grown exponentially since their introduction in the 1970s. However, without their proper use benefits cannot be achieved. This includes: 1) the complete and safe documentation of patient information; 2) improved coordination of care; 3) reduced errors and 4) more involved patients. The use of EMRs is defined by practitioners using EMRs and their features to perform daily practice functions. Objective The purpose of this systematic review was to identify interventions aimed at improving EMR use in primary healthcare settings. Methods Ten online databases were searched to identify studies conducted in primary healthcare settings aimed at implementing interventions to observe the use of EMRs and directly measure the use of EMR functions or outcomes effected by the use of EMR functions. Results Of 2098 identified studies, 12 were included in the review. Results showed that interventions focused on the use of EMR functions, including referrals, electronic communication, reminders, use of clinical decision support systems and workflow management support functions, were five times more likely to show improvements in EMR use compared with controls. Interventions focused on data quality were five and a half times more likely to show improvements in EMR use compared with controls. Conclusions Individuals in primary healthcare settings aiming to improve EMR use would benefit from implementing interventions focused on EMR feature add-ons such as clinical decision support systems and customised referral templates, and provisions of educational materials, or financial incentives targeted at improving the use of EMR functions and data quality.
引用
收藏
页数:10
相关论文
共 40 条
[1]  
[Anonymous], 2011, INTRO METAANALYSIS
[2]   Use of a Web-based Risk Appraisal Tool for Assessing Family History and Lifestyle Factors in Primary Care [J].
Baer, Heather J. ;
Schneider, Louise I. ;
Colditz, Graham A. ;
Dart, Hank ;
Andry, Analisa ;
Williams, Deborah H. ;
Orav, E. John ;
Haas, Jennifer S. ;
Getty, George ;
Whittemore, Elizabeth ;
Bates, David W. .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2013, 28 (06) :817-824
[3]   Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions [J].
Boonstra, Albert ;
Broekhuis, Manda .
BMC HEALTH SERVICES RESEARCH, 2010, 10
[4]  
Canadian Medical Association, 2014, CAN CAN ACH ENH US E
[5]  
Chang F, 2015, CAN FAM PHYSICIAN, V61, P1076
[6]   Systematic review: Impact of health information technology on quality, efficiency, and costs of medical care [J].
Chaudhry, Basit ;
Wang, Jerome ;
Wu, Shinyi ;
Maglione, Margaret ;
Mojica, Walter ;
Roth, Elizabeth ;
Morton, Sally C. ;
Shekelle, Paul G. .
ANNALS OF INTERNAL MEDICINE, 2006, 144 (10) :742-752
[7]  
Cochrane Effective Practice and Organisation of Care Review Group (EPOC), 2015, DAT COLL CHECKL EPOC
[8]   National Physician Survey: EMR use at 75% [J].
Collier, Roger .
CANADIAN MEDICAL ASSOCIATION JOURNAL, 2015, 187 (01) :E17-E18
[9]  
Davis AM, 2010, FAM MED, V42, P334
[10]   An educational intervention to improve data recording in the management of ischaemic heart disease in primary care [J].
de Lusignan, S ;
Hague, N ;
Brown, A ;
Majeed, A .
JOURNAL OF PUBLIC HEALTH, 2004, 26 (01) :34-37