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Current use of electronic medical records in primary care of chronic disease The implications for clinical governance

Current use of electronic medical records in primary care of chronic disease The implications for... Purpose – This paper aims to explore the perceptions of facilitators and barriers to their using electronic medical records (EMRs) for these functions and contributes baseline data about the use of EMRs for chronic disease management. The sub‐study reported here is a baseline process evaluation of EMRs and their current use, preliminary to a larger, pragmatic, randomized controlled trial. Its purpose is to understand how EMRs are currently being used by primary care physicians to facilitate chronic disease prevention and screening in their practices. Design/methodology/approach – This is a qualitative case study where the lead physician at each of eight primary care clinics (four in Alberta, four in Ontario) participated in semi‐structured interviews. Data were analyzed using thematic content analysis. Findings – Although EMRs are being used in a limited fashion for chronic disease prevention and screening, clinicians identified few current benefits. Participants noted some instances in which paper charts were preferred and that the lack of human and financial resources is inhibiting the use of chronic disease applications already incorporated in EMRs. Research limitations/implications – To understand fully how EMRs can best be used in the logistical management of chronic disease prevention and screening requires research efforts towards improvement of the data structures they contain. Practical implications – Data extraction needs to be easier so that screening of patients, at risk or living with chronic disease, can be facilitated. Social implications – Evaluation of the benefits, for the content of care and care relationships, conferred by this new method of communicating, needs to be complemented by a parallel exploration of the risks. Originality/value – The paper illustrates that with the tremendous investments in EMRs it is important to learn how changes in their design could facilitate improvements in patient care in this important area. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical Governance An International Journal Emerald Publishing

Current use of electronic medical records in primary care of chronic disease The implications for clinical governance

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References (26)

Publisher
Emerald Publishing
Copyright
Copyright © 2011 Emerald Group Publishing Limited. All rights reserved.
ISSN
1477-7274
DOI
10.1108/14777271111175387
Publisher site
See Article on Publisher Site

Abstract

Purpose – This paper aims to explore the perceptions of facilitators and barriers to their using electronic medical records (EMRs) for these functions and contributes baseline data about the use of EMRs for chronic disease management. The sub‐study reported here is a baseline process evaluation of EMRs and their current use, preliminary to a larger, pragmatic, randomized controlled trial. Its purpose is to understand how EMRs are currently being used by primary care physicians to facilitate chronic disease prevention and screening in their practices. Design/methodology/approach – This is a qualitative case study where the lead physician at each of eight primary care clinics (four in Alberta, four in Ontario) participated in semi‐structured interviews. Data were analyzed using thematic content analysis. Findings – Although EMRs are being used in a limited fashion for chronic disease prevention and screening, clinicians identified few current benefits. Participants noted some instances in which paper charts were preferred and that the lack of human and financial resources is inhibiting the use of chronic disease applications already incorporated in EMRs. Research limitations/implications – To understand fully how EMRs can best be used in the logistical management of chronic disease prevention and screening requires research efforts towards improvement of the data structures they contain. Practical implications – Data extraction needs to be easier so that screening of patients, at risk or living with chronic disease, can be facilitated. Social implications – Evaluation of the benefits, for the content of care and care relationships, conferred by this new method of communicating, needs to be complemented by a parallel exploration of the risks. Originality/value – The paper illustrates that with the tremendous investments in EMRs it is important to learn how changes in their design could facilitate improvements in patient care in this important area.

Journal

Clinical Governance An International JournalEmerald Publishing

Published: Oct 18, 2011

Keywords: Electronic medical records; Chronic disease; Screening; Prevention; Quality of care; Primary care; Record keeping; Canada

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