However, this national strategy does not dictate what technology or vendors
can be used.146 This limited variance has led to some challenges with
information exchange, but Canada Health Infoway has found more positive
than negative experiences among physicians.147
The Canadian investment has had a dramatic effect on patient care for
those physicians who utilize EHRs. Nearly four out of five physicians with
EHR generate a computerized list of patients by diagnosis in contrast with
just one out of five among physicians without EHR, and six out of ten
physicians with health IT could determine which patients were overdue for
routine tests or preventative care compared to just one out of ten for
physicians without.148 Further, three out of five Canadian physicians believe
health IT has contributed to “the quality of patient care throughout the
healthcare system,” and four out of five believe that health IT has helped to
reduce medical errors.149 Similarly, the general Canadian public is supportive
of public investments in health IT and sees positive benefits.150 Such positive
reactions are key factors in spurring on the adoption of health IT.151
Even still, two recent surveys found that Canada’s utilization is lower than
similarly situated industrialized countries.152 Canadian physicians were less
likely than their counterparts in other surveyed countries to be able to use
their health IT systems for population health or patient care management, and
only about two in five Canadian physicians routinely used health IT for at
least two or more of common patient care tools such as prompts about drug
interactions or dosages, reminder notices for overdue care, or automated
prompts for guideline-based interventions and/or screening tests.153
HEALTH INFORMATION EXCHANGE: NATIONAL AND INTERNATIONAL APPROACHES 7–8 (Nir
Menachemi & Sanjay Singh eds., 2012).
146. Id. at 7.
147. See Sukirtha Tharmalingam et al., The Value of Connected Health Information:
Perceptions of Electronic Health Record Users in Canada, BMC MED. INFORMATICS &
DECISION MAKING 1, 6–8 (2016).
148. CAN. HEALTH INFOWAY, Canadian Physicians Can Improve Patient Care with
Advanced EMR Use (Jan. 28, 2016), https://www.infoway-inforoute.ca/en/what-we-do/news-
with-advanced-emr-use [hereinafter Canadian Physicians].
149.Ca nada’s Healthcare IT Dilemma, ACCENTURE 3 (2013), https://www.longwoods.
com/articles/images/Accenture-Canada-Healthcare-IT-Dilemma.pdf [hereinafter Canada’s
150. See Shelagh Maloney, What Canadians Think, CAN. HEALTH INFOWAY 1, 4–6 (June
2, 2015), http://www.e-healthconference.com/pastpresentations/2015/201571419700/2848M
152. Id.; see also How Canada Compares, CAN. INST. OF HEALTH RESEARCH (Jan. 2016),
[hereinafter How Canada Compares].
153. How Canada Compares, supra note 152, at 46–47.