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Treffer: A systematic review of contributing factors of and solutions to electronic health record-related impacts on physician well-being.

Title:
A systematic review of contributing factors of and solutions to electronic health record-related impacts on physician well-being.
Authors:
Nguyen OT; Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, Alabama, USA.; Department of Neurology, University of Florida, Gainesville, Florida, USA., Jenkins NJ; Department of Patient Administration, Navy Medical Service Corps, U.S. Navy, Okinawa, Japan., Khanna N; Department of Health Science, University of Florida, Gainesville, Florida, USA., Shah S; College of Medicine, University of Florida, Gainesville, Florida, USA., Gartland AJ; College of Medicine, University of Central Florida, Orlando, Florida, USA., Turner K; Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.; Department of Oncological Sciences, University of South Florida, Tampa, Florida, USA., Merlo LJ; Department of Psychiatry, University of Florida, Gainesville, Florida, USA.
Source:
Journal of the American Medical Informatics Association : JAMIA [J Am Med Inform Assoc] 2021 Apr 23; Vol. 28 (5), pp. 974-984.
Publication Type:
Journal Article; Systematic Review
Language:
English
Journal Info:
Publisher: Oxford University Press Country of Publication: England NLM ID: 9430800 Publication Model: Print Cited Medium: Internet ISSN: 1527-974X (Electronic) Linking ISSN: 10675027 NLM ISO Abbreviation: J Am Med Inform Assoc Subsets: MEDLINE
Imprint Name(s):
Publication: 2015- : Oxford : Oxford University Press
Original Publication: Philadelphia, PA : Hanley & Belfus, c1993-
MeSH Terms:
Electronic Health Records* , Physicians*, Burnout, Professional/*prevention & control, Attitude of Health Personnel ; Burnout, Professional/etiology ; Computer User Training ; Humans ; Job Satisfaction ; Workload
References:
Behav Res Methods. 2019 Oct;51(5):2039-2058. (PMID: 30511155)
Stud Health Technol Inform. 2010;160(Pt 2):899-903. (PMID: 20841815)
J Gen Intern Med. 2019 Jul;34(7):1096-1097. (PMID: 31011960)
Ann Intern Med. 2019 Oct 15;171(8):600-601. (PMID: 31610567)
Int J Health Econ Manag. 2016 Sep;16(3):269-283. (PMID: 27878677)
Appl Clin Inform. 2018 Apr;9(2):336-347. (PMID: 29768634)
Am J Manag Care. 1999 Nov;5(11):1431-8. (PMID: 10662416)
J Gen Intern Med. 2014 Jul;29 Suppl 2:S659-66. (PMID: 24715396)
Ann Fam Med. 2014 Nov-Dec;12(6):573-6. (PMID: 25384822)
Stud Health Technol Inform. 2004;107(Pt 2):1367-70. (PMID: 15361038)
Curr Dir Psychol Sci. 2017 Aug;26(4):359-365. (PMID: 28808359)
Acad Psychiatry. 2018 Oct;42(5):648-652. (PMID: 29785625)
ACI open. 2020 Jan;4(1):e1-e8. (PMID: 37800093)
Stress Health. 2019 Apr;35(2):157-175. (PMID: 30467949)
Mayo Clin Proc. 2017 Nov;92(11):1608-1611. (PMID: 29101929)
J Pediatr Orthop. 2019 Oct;39(9):e722-e728. (PMID: 31503236)
J Gen Intern Med. 2019 Sep;34(9):1695-1696. (PMID: 31073856)
Health Care Manage Rev. 2001 Winter;26(1):7-19. (PMID: 11233355)
J Gen Intern Med. 2016 Sep;31(9):1004-10. (PMID: 27138425)
JAMA. 2004 Feb 4;291(5):633. (PMID: 14762045)
JAMA Netw Open. 2020 Jun 1;3(6):e207374. (PMID: 32568397)
JMIR Med Inform. 2019 Apr 04;7(2):e10949. (PMID: 30946023)
Mayo Clin Proc. 2017 Nov;92(11):1625-1635. (PMID: 29101932)
Mayo Clin Proc. 2019 May;94(5):793-802. (PMID: 30824281)
N Engl J Med. 2018 Jan 25;378(4):309-311. (PMID: 29365301)
Fam Pract Manag. 2018 Mar/Apr;25(2):6-11. (PMID: 29537246)
Health Care Manage Rev. 2007 Jul-Sep;32(3):203-12. (PMID: 17666991)
BMJ Open. 2017 Jun 21;7(6):e015141. (PMID: 28637730)
Issue Brief (Commonw Fund). 2015 May;12:1-16. (PMID: 26040019)
Lancet. 2016 Nov 5;388(10057):2272-2281. (PMID: 27692469)
J Healthc Qual. 2010 Jan-Feb;32(1):35-41. (PMID: 20151590)
Health Policy. 2006 May;76(3):245-58. (PMID: 16026889)
J Grad Med Educ. 2017 Aug;9(4):479-484. (PMID: 28824762)
JAMA. 2018 Sep 18;320(11):1131-1150. (PMID: 30326495)
Neurology. 2017 Oct 17;89(16):1730-1738. (PMID: 28931640)
Behav Sci (Basel). 2018 Oct 25;8(11):. (PMID: 30366419)
Am J Med. 2014 Oct;127(10):1010.e21-7. (PMID: 24945882)
JAMA Intern Med. 2016 Apr;176(4):559-60. (PMID: 26974737)
J Am Board Fam Med. 2015 May-Jun;28(3):316-23. (PMID: 25957364)
Appl Clin Inform. 2019 Mar;10(2):331-335. (PMID: 31091545)
J Innov Health Inform. 2018 Jun 30;25(2):109-125. (PMID: 30398450)
J Am Med Inform Assoc. 2019 Feb 1;26(2):106-114. (PMID: 30517663)
Lancet. 2009 Nov 14;374(9702):1714-21. (PMID: 19914516)
WMJ. 2018 Dec;117(5):194-200. (PMID: 30674095)
Soc Sci Med Med Psychol Med Sociol. 1980 Dec;14A(6):495-9. (PMID: 7209622)
Ann Intern Med. 2018 Jul 3;169(1):50-51. (PMID: 29801050)
Appl Clin Inform. 2018 Oct;9(4):914-918. (PMID: 30586672)
JAMA Intern Med. 2017 Dec 1;177(12):1826-1832. (PMID: 28973070)
J Biomed Inform. 2003 Feb-Apr;36(1-2):23-30. (PMID: 14552844)
Health Aff (Millwood). 2019 Jul;38(7):1073-1078. (PMID: 31260371)
J Biomed Inform. 2019 Jun;94:103175. (PMID: 30981897)
Ann Surg. 2010 Jun;251(6):995-1000. (PMID: 19934755)
J Am Med Inform Assoc. 2014 Feb;21(e1):e100-6. (PMID: 24005796)
Int J Med Inform. 2020 Feb;134:104018. (PMID: 31835158)
N Engl J Med. 2011 May 19;364(20):1892-5. (PMID: 21591942)
BMJ. 2009 Jul 21;339:b2535. (PMID: 19622551)
South Med J. 2017 May;110(5):363-368. (PMID: 28464179)
Perspect Health Inf Manag. 2012;9:1d. (PMID: 22737096)
BMC Health Serv Res. 2014 Jul 28;14:325. (PMID: 25066375)
J Clin Epidemiol. 1997 Oct;50(10):1129-36. (PMID: 9368521)
Ann Intern Med. 2017 May 2;166(9):659-661. (PMID: 28346948)
Crit Care. 2016 Apr 19;20(1):110. (PMID: 27095501)
JAMA. 2011 May 18;305(19):2009-10. (PMID: 21586718)
J Gen Intern Med. 2020 Jan;35(1):261-267. (PMID: 31659668)
Mayo Clin Proc. 2016 Jul;91(7):836-48. (PMID: 27313121)
Mayo Clin Proc. 2020 Mar;95(3):476-487. (PMID: 31735343)
Qual Saf Health Care. 2010 Oct;19 Suppl 3:i68-74. (PMID: 20959322)
J Gen Intern Med. 2017 Apr;32(4):475-482. (PMID: 27785668)
Int J Med Inform. 2010 Feb;79(2):71-80. (PMID: 20071219)
Rand Health Q. 2014 Dec 1;3(4):1. (PMID: 28083306)
Mayo Clin Proc. 2017 Jan;92(1):129-146. (PMID: 27871627)
Contributed Indexing:
Keywords: electronic health record; physician burnout; subjective well-being
Entry Date(s):
Date Created: 20210131 Date Completed: 20210826 Latest Revision: 20240928
Update Code:
20250114
PubMed Central ID:
PMC8068432
DOI:
10.1093/jamia/ocaa339
PMID:
33517382
Database:
MEDLINE

Weitere Informationen

Objective: Physicians often describe the electronic health record (EHR) as a cumbersome impediment to meaningful work, which has important implications for physician well-being. This systematic review (1) assesses organizational, physician, and information technology factors associated with EHR-related impacts on physician well-being; and (2) highlights potential improvements to EHR form and function, as recommended by frontline physicians.
Materials and Methods: The MEDLINE, Embase, CINAHL, PsycINFO, ProQuest, and Web of Science databases were searched for literature describing EHR use by physicians and markers of well-being.
Results: After reviewing 7388 article, 35 ultimately met the inclusion criteria. Multiple factors across all levels were associated with EHR-related well-being among physicians. Notable predictors amenable to interventions include (1) total EHR time, (2) after-hours EHR time, (3) on-site EHR support, (4) perceived EHR usability, (5) in-basket burden, and (6) documentation burden. Physician recommendations also echoed these themes.
Conclusions: There are multiple complex factors involved in EHR-related well-being among physicians. Our review shows physicians have recommendations that span from federal regulations to organizational policies to EHR modifications. Future research should assess multipronged interventions that address these factors. As primary stakeholders, physicians should be included in the planning and implementation of such modifications to ensure compatibility with physician needs and clinical workflows.
(© The Author(s) 2021. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com.)