Our cross-sectional study found that as of January 2020, less than 50% of respondent Swiss chiropractors used an EPR system in clinical practice, while 60% used encrypted email technology. The aggregation of nationwide electronic healthcare data may also facilitate population-level healthcare quality monitoring [11, 26]. A national report highlighted the needs for better availability of information and standardised quality and safety indicators of the Swiss healthcare system . This is reflected by the Swiss national eHealth strategy, which aims to encourage and promote digitalization within the health system . Strengths and limitationsA key strength of our study was the high participation rate of 76% of the full population of Swiss chiropractors, suggesting excellent representativeness of our findings.