Machine learning identifies clusters of multimorbidity among decedents with inflammatory bowel disease
Postill G, Harish V, Itanyi IU, Tang F, Buajitti E, Kuenzig ME, Rosella LC, Benchimol EI. Commun Med (Lond). 2025; 5(1):476.
Implementation of electronic medical records: effect on the provision of preventive services in a pay-for-performance environment
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.
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Citation
Greiver M, Barnsley J, Glazier RH, Moineddin R, Harvey BJ. Can Fam Physician. 2011; 57(10):e381-9. Epub 2011 Oct 1.