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Table 2 Characteristics of eligible studies

From: Factors affecting the mature use of electronic medical records by primary care physicians: a systematic review

Author (year), country

Design

Sample size of PCPs

Data collection

Audet et al. (2014), US [39]

Cross-sectional study

1012

Self-administered, structured questionnaire

Clarke et al. (2016), US [38]

Mixed-model approach combining qualitative and quantitative research methods

16

Video analyses

Qualitative participant debriefing sessions (narrative feedback)

Quantitative performance measures (percent task success, time-on-task, mouse clicks, and mouse movements)

System usability scale (a survey instrument that allows physicians to rank the system’s usability)

DesRoches et al. (2013), US [37]

Cross-sectional study

1164

Self-administered, structured questionnaire

Goetz et al. (2012), US [7]

Qualitative methods

14

Telephone interviews

On-site visits involving interviews and observation

National Survey of Physician Organizations

Jones et al. (2018), Canada [44]

Qualitative methods, observational study

6

Semistructured interviews using the EMR Progress Assessment survey tool

Observations of data quality in EMRs and of physician’s workflow

Lynch et al. (2014), US [40]

Quantitative methods, descriptive study

101,584

From 10 databases: Administrative data from Regional Extension Center program’s customer relationship management database merged with 9 other secondary data source databases

Paré et al. (2015), Canada [41]

Cross-sectional study

331

Self-administered structured questionnaire

Randhawa et al. (2018), Canada [10]

Mixed-model approach combining qualitative and quantitative research methods

18

Survey, questionnaire

Follow-up interviews

Raymond et al. (2015), Canada [42]

Cross-sectional study

331

Self-administered structured questionnaire

Raymond et al. (2019), Canada [43]

Cross-sectional study

331

Self-administered structured questionnaire

Schoen et al. (2012), 10 countries (Australia, Canada, France, Germany, Netherlands, New Zealand, Norway, Switzerland, UK, US) [3]

Cross-sectional study

Sample sizes of PCPs ranged from 500 to more than 2000 for the 10 countries

Phone interviews

Mail surveys using a questionnaire

Shachak et al. (2009), Israel [45]

Qualitative methods

25

Semistructured interviews

Field observations

Trudel et al. (2017), Canada [18]

Qualitative methods

15

Semistructured interviews

Field notes from observations

Consultation of relevant documents (e.g., user manuals)

Watt (2014), Canada [16]

Mixed-model approach combining qualitative and quantitative research methods

29

Questionnaire, survey

Notes from action plans developed with coach and physician

Clinical Value Model (CVM) assessment tool (86 questions, subjective assessment tool administered by the coach)

CVM feedback survey (web-based survey for physicians to complete)

Notes from practice optimization plan