We conducted a large-scale survey of family physicians practicing
in private medical practices in Quebec, Canada. While Quebec
is the second most populous province in this country, with 7.9 million
inhabitants, it was ranked last out of 10 provinces in terms of
physician adoption of EHR systems in early 2014, with an overall
adoption rate of 53% [8]. Unlike other nations such as the United
States, salaries of family physicians in Quebec are insulated from
issues related to EHR adoption. Further, the province’s Medicare
fee for service system does not provide incentives for EHR system
use nor does it impose financial penalties on physicians for lack of
adoption