title: Is Canada ready for patient accessible electronic health records? A national scan.
abstract: BACKGROUND
  Access to personal health information through the electronic health record (EHR) is an innovative means to enable people to be active participants in their own health care. Currently this is not an available option for consumers of health. The absence of a key technology, the EHR, is a significant obstacle to providing patient accessible electronic records. To assess the readiness for the implementation and adoption of EHRs in Canada, a national scan was conducted to determine organizational readiness and willingness for patient accessible electronic records.
  
  
  METHODS
  A survey was conducted of Chief Executive Officers (CEOs) of Canadian public and acute care hospitals.
  
  
  RESULTS
  Two hundred thirteen emails were sent to CEOs of Canadian general and acute care hospitals, with a 39% response rate. Over half (54.2%) of hospitals had some sort of EHR, but few had a record that was predominately electronic. Financial resources were identified as the most important barrier to providing patients access to their EHR and there was a divergence in perceptions from healthcare providers and what they thought patients would want in terms of access to the EHR, with providers being less willing to provide access and patients desire for greater access to the full record.
  
  
  CONCLUSIONS
  As the use of EHRs becomes more commonplace, organizations should explore the possibility of responding to patient needs for clinical information by providing access to their EHR. The best way to achieve this is still being debated.
authors.affiliation: Princess Margaret Hospital/University Health Network, Canada. sara.urowitz@uhn.on.ca
authors.forename: Sara
authors.initials: S
authors.lastname: Urowitz
authors.forename: David
authors.initials: D
authors.lastname: Wiljer
authors.forename: Emma
authors.initials: E
authors.lastname: Apatu
authors.forename: Gunther
authors.initials: G
authors.lastname: Eysenbach
authors.forename: Claudette
authors.initials: C
authors.lastname: Delenardo
authors.forename: Tamara
authors.initials: T
authors.lastname: Harth
authors.forename: Howard
authors.initials: H
authors.lastname: Pai
authors.forename: Kevin J
authors.initials: KJ
authors.lastname: Leonard
mesh_terms: D001291:Attitude of Health Personnel; D002170:Canada; D016542:Chief Executive Officers, Hospital / Q000523:psychology / Q000706:statistics & numerical data*; D004059:Diffusion of Innovation; D006739:Hospital Administration; D006801:Humans; D016347:Medical Records Systems, Computerized; D009936:Organizational Innovation; D011795:Surveys and Questionnaires