{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T15:54:54Z","timestamp":1774367694105,"version":"3.50.1"},"reference-count":45,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"unspecified","delay-in-days":29,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia","award":["LA\/P\/0117\/2020"],"award-info":[{"award-number":["LA\/P\/0117\/2020"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,5,30]]},"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To synthesise current evidence on physiotherapists\u2019 use of electronic health records (EHRs), with a focus on the determinants of adoption, implementation processes and associated implementation outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A systematic review employing a narrative synthesis approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>PubMed, Cochrane, Scopus and Web of Science, covering all records from the inception of each database to 10 May 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Eligibility criteria<\/jats:title>\n                    <jats:p>Studies conducted in physiotherapy clinical settings and using the International Classification of Functioning, Disability and Health (ICF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data extraction and synthesis<\/jats:title>\n                    <jats:p>Two authors independently screened articles and assessed methodological quality. Risk of bias was assessed using the Critical Appraisal Skills Programme tool for qualitative and for cohort studies, the Mixed Methods Appraisal Tool for mixed-methods studies and the JBI Critical Appraisal Checklist for analytical cross-sectional studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From 3820 records screened, 9 observational studies met inclusion criteria. Key factors influencing EHR adoption included organisational readiness, perceived usefulness, managerial support and training availability. Implementation patterns clustered into three domains: recorded content, ICF framework integration and record quality. Reported outcomes focused on care quality metrics and evidence of clinical effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Persistent challenges in physiotherapy EHR use were identified, notably in data quality, completeness and alignment with the ICF framework. Improving EHR practices is crucial to improve clinical assessment and support digital health integration. However, limited evidence and methodological heterogeneity remain key limitations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PROSPERO registration number<\/jats:title>\n                    <jats:p>CRD42023420267.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-097649","type":"journal-article","created":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:20:16Z","timestamp":1753874416000},"page":"e097649","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Systematic review of the use and challenges of electronic health records in physiotherapy practice"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7014-8356","authenticated-orcid":false,"given":"Sara","family":"Vaz","sequence":"first","affiliation":[{"name":"NOVA National School of Public Health, Public Health Research Centre, Comprehensive Health Research Centre, CHRC, REAL, CCAL, Universidade NOVA de Lisboa, Lisboa, Portugal"},{"name":"Instituto Polit\u00e9cnico de Portalegre Escola Superior de Sa\u00fade de Portalegre, Portalegre, Portugal"},{"name":"Unidade Local de Sa\u00fade do Alto Alentejo, EPE, Portalegre, Portugal"}]},{"given":"Carlos","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Instituto Polit\u00e9cnico de Portalegre Escola Superior de Sa\u00fade de Portalegre, Portalegre, Portugal"}]},{"given":"Carla","family":"Pereira","sequence":"additional","affiliation":[{"name":"NOVA National School of Public Health, Public Health Research Centre, Comprehensive Health Research Centre, CHRC, REAL, CCAL, Universidade NOVA de Lisboa, Lisboa, Portugal"},{"name":"Direc\u00e7\u00e3o-Geral da Sa\u00fade, Lisboa, Portugal"},{"name":"Public Health Research Centre (PHRC\/CISP), Lisboa, Portugal"}]},{"given":"Andr\u00e9","family":"Moreira-Ros\u00e1rio","sequence":"additional","affiliation":[{"name":"NOVA Medical School, Faculdade de Ci\u00eancias M\u00e9dicas, NMS, FCM, Universidade NOVA de Lisboa, Lisboa, Portugal"},{"name":"Comprehensive Health Research Centre (CHRC), NOVA Medical School, Faculdade de Ci\u00eancias M\u00e9dicas, NMS, FCM, Universidade NOVA de Lisboa, Lisboa, Portugal"}]}],"member":"239","published-online":{"date-parts":[[2025,7,30]]},"reference":[{"key":"2025121400423705000_15.7.e097649.1","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1007\/s41666-022-00123-0","article-title":"Electronic Health Records That Support Health Professional Reflective Practice: a Missed Opportunity in Digital Health","volume":"6","author":"Janssen","year":"2022","journal-title":"J Healthc Inform Res"},{"key":"2025121400423705000_15.7.e097649.2","doi-asserted-by":"crossref","first-page":"48","DOI":"10.4103\/2226-8561.189504","article-title":"The electronic medical record in 2016: Advantages and disadvantages","volume":"2","author":"Alpert","year":"2016","journal-title":"Digital Medicine"},{"key":"2025121400423705000_15.7.e097649.3","first-page":"846","article-title":"Do electronic medical records improve quality of care? 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