Associations of physician burnout with organizational electronic health record support and after-hours charting

Autor: Christopher A. Longhurst, H. C. Eschenroeder, Lauren C Manzione, Cole Duda, Julia Adler-Milstein, Robert Cash, John S Lee, Connor Bice, Sarah B Rahman, Craig Joseph, Karl A. Poterack, Jacob Jeppson, Amy Maneker
Rok vydání: 2020
Předmět:
AcademicSubjects/SCI01060
health care facilities
manpower
and services
Burnout
01 natural sciences
Medical and Health Sciences
0302 clinical medicine
Engineering
Electronic Health Records
Pajama time
030212 general & internal medicine
Emotional exhaustion
electronic medical record
Burnout
Professional
Health Services Administration
emotional exhaustion
health information technology
usability
optimization
medicine.medical_specialty
Physician burnout
Health information technology
education
Specialty
Health Informatics
Workload
Brief Communication
03 medical and health sciences
Clinical Research
Electronic health record
Information and Computing Sciences
health services administration
Physicians
Professional
medicine
Humans
0101 mathematics
AcademicSubjects/MED00580
business.industry
010102 general mathematics
Usability
United States
Good Health and Well Being
Logistic Models
Family medicine
Ordered logit
Health Facility Administration
AcademicSubjects/SCI01530
business
Medical Informatics
Zdroj: Journal of the American Medical Informatics Association : JAMIA
Journal of the American Medical Informatics Association : JAMIA, vol 28, iss 5
ISSN: 1527-974X
Popis: In 2017, 43.9% of US physicians reported symptoms of burnout. Poor electronic health record (EHR) usability and time-consuming data entry contribute to burnout. However, less is known about how modifiable dimensions of EHR use relate to burnout and how these associations vary by medical specialty. Using the KLAS Arch Collaborative’s large-scale nationwide physician (MD/DO) data, we used ordinal logistic regression to analyze associations between self-reported burnout and after-hours charting and organizational EHR support. We examined how these relationships differ by medical specialty, adjusting for confounders. Physicians reporting ≤ 5 hours weekly of after-hours charting were twice as likely to report lower burnout scores compared to those charting ≥6 hours (aOR: 2.43, 95% CI: 2.30, 2.57). Physicians who agree that their organization has done a great job with EHR implementation, training, and support (aOR: 2.14, 95% CI: 2.01, 2.28) were also twice as likely to report lower scores on the burnout survey question compared to those who disagree. Efforts to reduce after-hours charting and improve organizational EHR support could help address physician burnout.
Databáze: OpenAIRE
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