Relationship Between Clerical Burden and Characteristics of the Electronic Environment With Physician Burnout and Professional Satisfaction
- PMID: 27313121
- DOI: 10.1016/j.mayocp.2016.05.007
Relationship Between Clerical Burden and Characteristics of the Electronic Environment With Physician Burnout and Professional Satisfaction
Abstract
Objective: To evaluate associations between the electronic environment, clerical burden, and burnout in US physicians.
Participants and methods: Physicians across all specialties in the United States were surveyed between August and October 2014. Physicians provided information regarding use of electronic health records (EHRs), computerized physician order entry (CPOE), and electronic patient portals. Burnout was measured using validated metrics.
Results: Of 6375 responding physicians in active practice, 5389 (84.5%) reported that they used EHRs. Of 5892 physicians who indicated that CPOE was relevant to their specialty, 4858 (82.5%) reported using CPOE. Physicians who used EHRs and CPOE had lower satisfaction with the amount of time spent on clerical tasks and higher rates of burnout on univariate analysis. On multivariable analysis, physicians who used EHRs (odds ratio [OR]=0.67; 95% CI, 0.57-0.79; P<.001) or CPOE (OR=0.72; 95% CI, 0.62-0.84; P<.001) were less likely to be satisfied with the amount of time spent on clerical tasks after adjusting for age, sex, specialty, practice setting, and hours worked per week. Use of CPOE was also associated with a higher risk of burnout after adjusting for these same factors (OR=1.29; 95% CI, 1.12-1.48; P<.001). Use of EHRs was not associated with burnout in adjusted models controlling for CPOE and other factors.
Conclusion: In this large national study, physicians' satisfaction with their EHRs and CPOE was generally low. Physicians who used EHRs and CPOE were less satisfied with the amount of time spent on clerical tasks and were at higher risk for professional burnout.
Copyright © 2016 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.
Comment in
-
MACRA Regulatory Burdens and the Threat of Physician Burnout.Mayo Clin Proc. 2016 Nov;91(11):1671-1672. doi: 10.1016/j.mayocp.2016.09.007. Mayo Clin Proc. 2016. PMID: 27814843 No abstract available.
Similar articles
-
Electronic health record associated stress: A survey study of adult congenital heart disease specialists.Congenit Heart Dis. 2019 May;14(3):356-361. doi: 10.1111/chd.12745. Epub 2019 Mar 1. Congenit Heart Dis. 2019. PMID: 30825270
-
The Influence of Electronic Health Record Use on Physician Burnout: Cross-Sectional Survey.J Med Internet Res. 2020 Jul 15;22(7):e19274. doi: 10.2196/19274. J Med Internet Res. 2020. PMID: 32673234 Free PMC article.
-
Technology as friend or foe? Do electronic health records increase burnout?Curr Opin Anaesthesiol. 2018 Jun;31(3):357-360. doi: 10.1097/ACO.0000000000000588. Curr Opin Anaesthesiol. 2018. PMID: 29474217 Review.
-
Longitudinal Study Evaluating the Association Between Physician Burnout and Changes in Professional Work Effort.Mayo Clin Proc. 2016 Apr;91(4):422-31. doi: 10.1016/j.mayocp.2016.02.001. Mayo Clin Proc. 2016. PMID: 27046522
-
Burnout Related to Electronic Health Record Use in Primary Care.J Prim Care Community Health. 2023 Jan-Dec;14:21501319231166921. doi: 10.1177/21501319231166921. J Prim Care Community Health. 2023. PMID: 37073905 Free PMC article. Review.
Cited by
-
Measuring Documentation Burden in Healthcare.J Gen Intern Med. 2024 Jul 29. doi: 10.1007/s11606-024-08956-8. Online ahead of print. J Gen Intern Med. 2024. PMID: 39073484
-
Gender Differences in Electronic Health Record Usage Among Surgeons.JAMA Netw Open. 2024 Jul 1;7(7):e2421717. doi: 10.1001/jamanetworkopen.2024.21717. JAMA Netw Open. 2024. PMID: 39042410 Free PMC article.
-
2021 CMS Evaluation and Management Guideline Changes Reduce Note Length in Outpatient Breast Surgery Documentation.Ann Surg Oncol. 2024 Jul 23. doi: 10.1245/s10434-024-15800-0. Online ahead of print. Ann Surg Oncol. 2024. PMID: 39042231 No abstract available.
-
Burnout and Quality of Work Life among Physicians during Internships in Public Hospitals in Thailand.Behav Sci (Basel). 2024 Apr 25;14(5):361. doi: 10.3390/bs14050361. Behav Sci (Basel). 2024. PMID: 38785852 Free PMC article.
-
The association between population health management tools and clinician burnout in the United States VA primary care patient-centered medical home.BMC Prim Care. 2024 May 15;25(1):164. doi: 10.1186/s12875-024-02410-8. BMC Prim Care. 2024. PMID: 38750457 Free PMC article.
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources