ArticleJournal of the American Medical Informatics Association : JAMIA2019
Physicians' gender and their use of electronic health records: findings from a mixed-methods usability study.
Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Examining Mental Workload Relating to Digital Health Technologies in Health Care: Systematic Review.Journal of medical Internet research · 2022Pooled it
- Which Electronic Health Record System Should We Use? A Systematic Review.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2022Pooled it
- Patterns and predictors of clinician use of interoperability tools.JAMIA open · 2026Article
- Beyond technology usefulness: Health system reliability, and socio-demographic and professional factors as shapers of technostress in physicians.PLOS digital health · 2026Article
- Higher electronic health record burden among women physicians in academic ambulatory medicine.JAMIA open · 2025Article
- Behavioral Phenotypes in Electronic Health Record Use by Primary Care Providers: a Cluster Analysis.Journal of general internal medicine · 2025Article
- Barriers and Facilitators of the Use of Computerized Critical Care Information Systems in the Intensive Care Unit: Qualitative Interview Study.Journal of medical Internet research · 2025Article
- Investigation of Information Overload in Electronic Health Records: Protocol for Usability Study.JMIR research protocols · 2025Article
- Use of Epic Signal Data to Evaluate the Impact of an "EHR Pearls" Curriculum.PRiMER (Leawood, Kan.) · 2025Article
- Relationships Among Physician Vendor-Derived Proficiency Score, Gender, and Time in the Electronic Health Record.Family medicine · 2025Observational
- Health Professionals' Satisfaction with the Use of Electronic Health Records System for Healthcare Delivery in Ghana.Advances in health information science and practice · 2025Article
- Physician Burnout: Designing Strategies Based on Agency and Subgroup Needs [Letter].Journal of healthcare leadership · 2024Article
- Article
- National survey of user-reported usability of electronic medical record software in ophthalmology in Germany.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023Article
- A scoping review of emotions and related constructs in simulation-based education research articles.Advances in simulation (London, England) · 2023Article
- Facilitators and Barriers to Interacting With Clinical Decision Support in the ICU: A Mixed-Methods Approach.Critical care explorations · 2023Article
- Assessing the efficient use of the lightwave health information management system for health service delivery in Ghana.BMJ health & care informatics · 2023Article
- Interviews with HIV Experts for Development of a Mobile Health Application in HIV Care-A Qualitative Study.Healthcare (Basel, Switzerland) · 2023Article
- Provider Satisfaction With Artificial Intelligence-Based Hand Hygiene Monitoring System During the COVID-19 Pandemic: Study of a Rural Medical Center.Journal of chiropractic medicine · 2023Article
- The Application of Dental Fluoride Varnish in Children: A Low Cost, High-Value Implementation Aided by Passive Clinical Decision Support.Applied clinical informatics · 2023Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectivePhysician burnout associated with EHRs is a major concern in health care. A comprehensive assessment of differences among physicians in the areas of EHR performance, efficiency, and satisfaction has not been conducted. The study sought to study relationships among physicians' performance, efficiency, perceived workload, satisfaction, and usability in using the electronic health record (EHR) with comparisons by age, gender, professional role, and years of experience with the EHR. MATERIALS AND
methodsMixed-methods assessments of the medical intensivists' EHR use and perceptions. Using simulated cases, we employed standardized scales, performance measures, and extensive interviews. NASA Task Load Index (TLX), System Usability Scale (SUS), and Questionnaire on User Interface Satisfaction surveys were deployed.
resultsThe study enrolled 25 intensive care unit (ICU) physicians (11 residents, 9 fellows, 5 attendings); 12 (48%) were men, with a mean age of 33 (range, 28-55) years and a mean of 4 (interquartile range, 2.0-5.5) years of Epic experience. Overall task performance scores were similar for men (90% ± 9.3%) and women (92% ± 4.4%), with no statistically significant differences (P = .374). However, female physicians demonstrated higher efficiency in completion time (difference = 7.1 minutes; P = .207) and mouse clicks (difference = 54; P = .13). Overall, men reported significantly higher perceived EHR workload stress compared with women (difference = 17.5; P < .001). Men reported significantly higher levels of frustration with the EHR compared with women (difference = 33.15; P < .001). Women reported significantly higher satisfaction with the ease of use of the EHR interface than men (difference = 0.66; P =.03). The women's perceived overall usability of the EHR is marginally higher than that of the men (difference = 10.31; P =.06).
conclusionsAmong ICU physicians, we measured significant gender-based differences in perceived EHR workload stress, satisfaction, and usability-corresponding to objective patterns in EHR efficiency. Understanding the reasons for these differences may help reduce burnout and guide improvements to physician performance, efficiency, and satisfaction with EHR use.
designMixed-methods assessments of the medical intensivists' EHR use and perceptions. Using simulated cases, we employed standardized scales, performance measures, and extensive interviews.
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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.