A qualitative study of Canada's experience with the implementation of electronic health information technology

CMAJ. Canadian Medical Association Journal

Volumn 183, Issue 5, 2011, Pages

  Rozenblum, Ronen ^a   Jang, Yeona ^b   Zimlichman, Eyal ^a   Salzberg, Claudia ^a   Tamblyn, Melissa ^f   Buckeridge, David ^d   Forster, Alan ^e   Bates, David W ^a   Tamblyn, Robyn ^c  

^a HARVARD MEDICAL SCHOOL   (United States)

^b MCGILL UNIVERSITY   (Canada)

^c CANCER CARE ONTARIO   (Canada)

^d MCGILL UNIVERSITY   (Canada)

^e OTTAWA HOSPITAL RESEARCH INSTITUTE   (Canada)

^f MCGILL UNIVERSITY   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CANADA; CASE STUDY; COMMERCIAL PHENOMENA; DIGITAL IMAGING; ELECTRONIC MEDICAL RECORD; FINANCIAL MANAGEMENT; GROUNDED THEORY; HEALTH CARE ORGANIZATION; HEALTH CARE PLANNING; HEALTH CARE POLICY; HUMAN; INVESTMENT; MEDICAL INFORMATION SYSTEM; QUALITATIVE RESEARCH; STRUCTURED INTERVIEW;

EID: 79952842070     PISSN: 08203946     EISSN: 14882329     Source Type: Journal    
DOI: 10.1503/cmaj.100856     Document Type: Article

References (45)

1. Rich P. IT in general practice: a 10-country comparison. Future Pract 2006;21-23. Available: www.cma.ca/multimedia/CMA/Content-Images/Inside-cma/ Future-Practice/English/2006/November/IT-in -general -practice.pdf (ac cessed 2010 Dec. 13).
2. Schoen C, Osborn R, Doty MM, et al. A survey of primary care physicians in eleven countries, 2009: perspectives on care, costs, and experiences. Health Aff (Millwood) 2009;28:w1171-83.
3. Schoen C, Osborn R, Huynh PT, et al. On the front lines of care: primary care doctors' office systems, experiences, and views in seven countries. Health Aff (Millwood) 2006;25:w555-71.
4. Canada's health infostructure. Ottawa (ON): Health Canada; 2010. Available: www.hc-sc.gc.ca/hcs-sss/ehealth-esante/infostructure /index-eng.php (last accessed 2010 Dec. 13).
5. Health Canada. Canada e-health 2000 - from vision to action 2000. Ottawa (ON): Office of Health and the Information Highway, Health Canada; 2000. Available: www.hc-sc.gc.ca/hcs-sss/pubs/ehealth-esante/2001-vision-action- article/index-eng.php (last accessed 2010 Dec. 13).
6. Protti D, Wright G, Treweek S, et al. Primary care computing in England and Scotland: a comparison with Denmark. Inform Prim Care 2006;14:93-9. (Pubitemid 44687600)
7. Canada Health Infoway. Building a healthy legacy together. Toronto (ON): The Infoway; 2008. Available: www2.infowayinforoute.ca/Documents/ar/Annual- Report-2008-2009-en.pdf (last accessed 2010 Dec. 13).
8. Jha AK, Doolan D, Grandt D, et al. The use of health information technology in seven nations. Int J Med Inform 2008;77:848-54.
9. Eggertson L. Canada lags US in adoption of e-prescribing. CMAJ 2009;180:E25-6.
10. Cavaye ALM. Case study research: a multi-faceted research approach for IS. Info Syst J 1996;6:227-42.
11. Tellis W. Application of a case study methodology. Qual Rep 1997;3.
12. Hendy J, Reeves BC, Fulop N, et al. Challenges to implementing the National Programme for Information Technology (NPfIT): a qualitative study. BMJ 2010;331:331-6.
13. Hendy J, Fulop N, Reeves BC, et al. Implementing the NHS information technology programme: qualitative study of progress in acute trusts. BMJ 2007;334:1360.
14. Webster PC. Canada's electronic health records initiative stalled by federal funding freeze. CMAJ 2010;182:E247-8.
15. Poon EG, Blumenthal D, Jaggi T, et al. Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals. Health Aff (Millwood) 2004;23:184-90. (Pubitemid 38952397)
16. Miller RH, Sim I. Physicians' use of electronic medical records: barriers and solutions. Health Aff (Millwood) 2004;23:116-26. (Pubitemid 38471048)
17. Valdes I, Kibbe DC, Tolleson G, et al. Barriers to proliferation of electronic medical records. Inform Prim Care 2004;12:3-9. (Pubitemid 38647403)
18. DesRoches CM, Campbell EG, Rao SR, et al. Electronic health records in ambulatory care - a national survey of physicians. N Engl J Med 2008;359:50-60. (Pubitemid 351931096)
19. Garets D, Davis D. Electronic medical records vs. electronic health records: Yes, there is a difference. Chicago (IL): HIMSS Analytics, LLC; 2006.
20. Strauss A, Corbin J. Basics of qualitative research: techniques and procedures for developing grounded theory. 2nd ed. Thousand Oaks (CA): Sage; 1998.
21. Brynjolfsson E, Saunders A. Wired for innovation - how information technology is reshaping the economy. Cambridge (MA), London (UK): MIT Press; 2010.
22. Brender J, Ammenwerth E, Nykanen P, et al. Factors influencing success and failure of health informatics systems - a pilot Delphi study. Methods Inf Med 2006;45:125-36. (Pubitemid 44044721)
23. Nykänen P, Karimaa E. Success and failure factors in the regional health information system design process - results from a constructive evaluation study. Methods Inf Med 2006;45:85-9. (Pubitemid 44044714)
24. Yach D, Hawkes C, Gould CL, et al. The global burden of chronic diseases: overcoming impediments to prevention and control. JAMA 2004;291:2616-22. (Pubitemid 38702780)
25. Law S, Flood C, Gagnon D; Listening for Direction III partners. Listening for direction III - national consultation on health services and policy issues, 2007-2010. Ottawa (ON): Canadian Health Services Research Foundation and Canadian Institutes of Health Research, Institute of Health Services and Policy Research; 2008.
26. Schoen C, Osborn R, How SK, et al. In chronic condition: experiences of patients with complex health care needs, in eight countries, 2008. Health Aff (Millwood) 2009;28:w1-16.
27. Pascal WJ. Reflections on an agenda: healthcare and information technology. Healthcare Inf Manag Commun Can 2009;32-4.
28. Mostashari F, Tripathi M, Kendall M. A tale of two large community electronic health record extension projects. Health Aff (Millwood) 2009;28:345-56.
29. Chen C, Garrido T, Chock D, et al. The Kaiser Permanente Electronic Health Record: transforming and streamlining modalities of care. Health Aff (Millwood) 2009;28:323-33.
30. Evans DC, Nichol WP, Perlin JB. Effect of the implementation of an enterprise-wide Electronic Health Record on productivity in the Veterans Health Administration. Health Econ Policy Law 2006;1:163-9.
31. McGrail K, Law M, Hébert PC. No more dithering on e-health: let's keep patients safe instead. CMAJ 2010;182:535.
32. Webster PC. National electronic health records initiative remains muddled, auditors say. CMAJ 2010;182:E383-4.
33. Webster PC. National standards for electronic health records remain remote. CMAJ 2010;182:888-9.
34. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: the chronic care model, Part 2. JAMA 2002;288:1909-14. (Pubitemid 35168149)
35. Bell DS, Cretin S, Marken RS, et al. A conceptual framework for evaluating outpatient electronic prescribing systems based on their functional capabilities. J Am Med Inform Assoc 2004;11:60-70. (Pubitemid 38044924)
36. Hogan SO, Kissam SM. Measuring meaningful use. Health Aff (Millwood) 2010;29:601-6.
37. Blumenthal D. Stimulating the adoption of health information technology. N Engl J Med 2009;360:1477-9.
38. Sirkin HL, Keenan P, Jackson A. The hard side of change management. Harv Bus Rev 2005;83:108-18, 158.
39. Scott JT, Rundall TG, Vogt TM, et al. Kaiser Permanente's experience of implementing an electronic medical record: a qualitative study. BMJ 2005;331:1313-6. (Pubitemid 41746462)
40. Tamblyn R, Huang A, Kawasumi Y, et al. The development and evaluation of an integrated electronic prescribing and drug management system for primary care. J Am Med Inform Assoc 2006;13:148-59. (Pubitemid 43332905)
41. Denis P. Comparison of information technology in general practice in 10 countries. Healthc Q 2007;5:107-16.
42. Shojania KG, Jennings A, Mayhew A, et al. The effects of on-screen, point of care computer reminders on processes and outcomes of care. Cochrane Database Syst Rev 2009;(3):CD001096.
43. Anderson GF, Frogner BK, Johns RA, et al. Health care spending and use of information technology in OECD countries. Health Aff (Millwood) 2006;25:819-31. (Pubitemid 43824933)
44. Webster PC. The pocketbook impact of electronic health records: Part 2. Fee-for-service billing is compatible with EHRs: Disagreed. CMAJ 2010;182:753-4.
45. Shpilberg D, Berez S, Puryear R, et al. Avoiding the alignment trap in information technology. MIT Sloan Manage Rev 2007;49:50-9.