ArticleJournal of general internal medicine2013
Electronic health record impact on work burden in small, unaffiliated, community-based primary care practices.
Article in Journal of general internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.
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Who cites it
46 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of eHealth use on general practice workload in the pre-COVID-19 era: a systematic review.BMC health services research · 2024Pooled it
- Article
- Challenges Associated With the Use of Electronic Health Record Systems for Health Service Delivery in Ghana.Advances in health information science and practice · 2026Article
- Evaluating the performance of artificial intelligence in summarizing pre-coded text to support evidence synthesis: a comparison between chatbots and humans.BMC medical research methodology · 2025Article
- Article
- Electronic health record system use and documentation burden of acute and critical care nurse clinicians: a mixed-methods study.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Dementia Rehabilitation Training for General Practitioners and Practice Nurses: Does It Make a Difference?Nursing reports (Pavia, Italy) · 2024Article
- Electronic documentation burden among outpatient rehabilitation therapists: a qualitative descriptive study and quality improvement initiative.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Benefits, facilitators, and barriers of electronic medical records implementation in outpatient settings: A scoping review.Healthcare management forum · 2024Article
- BIR: Biomedical Information Retrieval System for Cancer Treatment in Electronic Health Record Using Transformers.Sensors (Basel, Switzerland) · 2023Article
- The Integrated Electronic Health System in Iranian health centers: benefits and challenges.BMC primary care · 2023Article
- Department-focused electronic health record thrive training.JAMIA open · 2022Article
- Application of Artificial Intelligence in Community-Based Primary Health Care: Systematic Scoping Review and Critical Appraisal.Journal of medical Internet research · 2021Article
- What Oncologists Want: Identifying Challenges and Preferences on Diagnosis Data Entry to Reduce EHR-Induced Burden and Improve Clinical Data Quality.JCO clinical cancer informatics · 2021Article
- Measurement of clinical documentation burden among physicians and nurses using electronic health records: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content.Life (Basel, Switzerland) · 2020Article
- Workflow Differences Affect Data Accuracy in Oncologic EHRs: A First Step Toward Detangling the Diagnosis Data Babel.JCO clinical cancer informatics · 2020Article
- Impacts of Operational Failures on Primary Care Physicians' Work: A Critical Interpretive Synthesis of the Literature.Annals of family medicine · 2020Review
- Evaluation of a Health Information Technology-Enabled Panel Management Platform to Improve Anticoagulation Control in a Low-Income Patient Population: Protocol for a Quasi-Experimental Design.JMIR research protocols · 2020Article
- Time-motion examination of electronic health record utilization and clinician workflows indicate frequent task switching and documentation burden.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2020Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundThe use of electronic health records (EHR) is widely recommended as a means to improve the quality, safety and efficiency of US healthcare. Relatively little is known, however, about how implementation and use of this technology affects the work of clinicians and support staff who provide primary health care in small, independent practices.
objectiveTo study the impact of EHR use on clinician and staff work burden in small, community-based primary care practices.
designWe conducted in-depth field research in seven community-based primary care practices. A team of field researchers spent 9-14 days over a 4-8 week period observing work in each practice, following patients through the practices, conducting interviews with key informants, and collecting documents and photographs. Field research data were coded and analyzed by a multidisciplinary research team, using a grounded theory approach.
participantsAll practice members and selected patients in seven community-based primary care practices in the Northeastern US. KEY
resultsThe impact of EHR use on work burden differed for clinicians compared to support staff. EHR use reduced both clerical and clinical staff work burden by improving how they check in and room patients, how they chart their work, and how they communicate with both patients and providers. In contrast, EHR use reduced some clinician work (i.e., prescribing, some lab-related tasks, and communication within the office), while increasing other work (i.e., charting, chronic disease and preventive care tasks, and some lab-related tasks). Thoughtful implementation and strategic workflow redesign can mitigate the disproportionate EHR-related work burden for clinicians, as well as facilitate population-based care.
conclusionsThe complex needs of the primary care clinician should be understood and considered as the next iteration of EHR systems are developed and implemented.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.