| Autor: |
Tai-Seale M; Ming Tai-Seale ( mtaiseale@ucsd.edu ) is a professor in the Department of Family Medicine and Public Health, University of California San Diego; director of outcomes analysis and scholarship at UC San Diego Health; and director of research at UCSD Health Sciences International, in La Jolla., Dillon EC; Ellis C. Dillon is an assistant scientist in the Research Institute, Palo Alto Medical Foundation, in California., Yang Y; Yan Yang is a research economist in the Research Institute, Palo Alto Medical Foundation., Nordgren R; Robert Nordgren is CEO of the Palo Alto Foundation Medical Group., Steinberg RL; Ruth L. Steinberg is chair of the Physician Wellbeing Committee, Palo Alto Medical Foundation., Nauenberg T; Teresa Nauenberg is a physician in the internal medicine and concierge medicine departments at the Palo Alto Medical Foundation., Lee TC; Tim C. Lee is a physician in the pediatrics department, Palo Alto Medical Foundation., Meehan A; Amy Meehan is a research associate in the Research Institute, Palo Alto Medical Foundation., Li J; Jinnan Li is a quantitative analyst in the Research Institute, Palo Alto Medical Foundation., Chan AS; Albert Solomon Chan is chief of digital patient experience and an investigator at Sutter Health, in Palo Alto, and an adjunct professor at the Stanford Center for Biomedical Informatics Research, Stanford School of Medicine, in California., Frosch DL; Dominick L. Frosch is director of the Research Institute, Palo Alto Medical Foundation. |
| Abstrakt: |
Despite concerns about physicians' workload associated with electronic health records (EHRs), little attention has been paid to the relationship between physicians' well-being and the in-basket messages physicians receive-specifically, their volume and sources. Analyses of EHR work performed by physicians in a multispecialty practice found that in-basket messages generated by the EHR system accounted for almost half (114) of the 243 weekly in-basket messages received per physician, on average-far exceeding the numbers received from their colleagues (53) and patients (30). In a survey, 36 percent of the physicians reported burnout symptoms, and 29 percent intended to reduce their clinical work time in the upcoming year. Receiving more than the average number of system-generated in-basket messages was associated with 40 percent higher probability of burnout and 38 percent higher probability of intending to reduce clinical work time. Physicians' perceptions of a positive work environment were associated with lower odds of burnout and intention to reduce clinical work time and with greater satisfaction with life. Female physicians had a higher risk of burnout and lower satisfaction with life, compared to males. Meaningful redesign of EHR in-basket workflow and a wellness-enhancing work environment are necessary to effectively improve physicians' well-being. |
