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Computer use in primary care practices in Canada.

Yvonne Anisimowicz1, Andrea E Bowes2, Ashley E Thompson3

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Summary
This summary is machine-generated.

Most Canadian family physicians use computers, but electronic health record (EHR) adoption varies. New primary care models show greater computer and EHR integration compared to traditional models.

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Area of Science:

  • Health Informatics
  • Primary Care Medicine
  • Health Services Research

Background:

  • Computer use is increasingly prevalent in healthcare settings.
  • Understanding the extent and nature of computer integration in primary care is crucial for improving healthcare delivery.
  • Variations in technology adoption may exist between different primary care practice models.

Purpose of the Study:

  • To examine the extent of computer utilization among family physicians in Canada.
  • To compare computer and electronic health record (EHR) adoption rates between new and traditional primary care models.
  • To identify variations in computer use across different Canadian provinces.

Main Methods:

  • A descriptive, cross-sectional survey was conducted in 2013-2014 across all 10 Canadian provinces.
  • Data were collected from 788 family physicians using the Family Physician Survey as part of the international Quality and Cost of Primary Care study.
  • A computer use scale measured integration, with statistical analyses including t tests and chi-squared tests to compare practice models and EHR use.

Main Results:

  • Nearly all physicians (97.5%) reported computer use, with a mean computer use score of 5.97 (out of 9).
  • 65.7% of physicians reported using electronic health records (EHRs).
  • Physicians in new primary care models demonstrated significantly higher computer use (6.55 vs. 5.33) and EHR adoption (73.8% vs. 56.7%) compared to those in traditional models.

Conclusions:

  • Most Canadian family physicians utilize computers for administrative and scholarly tasks.
  • Electronic health record (EHR) adoption remains inconsistent nationwide.
  • New, collaborative primary care models are associated with more comprehensive computer use and higher EHR adoption rates.