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Furthermore, our search strategy did not include gray literature, meaning evaluations of some PAEHR systems that have not been published in academic journals may have been missed. This review was also limited by having only 1 author screen all the studies and extract the data for analysis. A pragmatic approach to screening was used, where only studies with unclear eligibility for inclusion were screened by a second author.
J Med Internet Res 2025;27:e54973
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