SynthesisJournal of the American Medical Informatics Association : JAMIA2021
A systematic review of contributing factors of and solutions to electronic health record-related impacts on physician well-being.
Synthesis in Journal of the American Medical Informatics Association : JAMIA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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
44 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Electronic health records: managerial insights from an umbrella review.BMC health services research · 2026Pooled it
- Measuring Documentation Burden in Healthcare.Journal of general internal medicine · 2024Pooled it
- The global effect of digital health technologies on health workers' competencies and health workplace: an umbrella review of systematic reviews and lexical-based and sentence-based meta-analysis.The Lancet. Digital health · 2023Pooled it
- Evaluation of an Antimicrobial Stewardship Decision Support for Pediatric Infections.Applied clinical informatics · 2023Trial
- Effects of electronic health records implementation on workflow and health care provider outcomes: a prospective, multi-professional cohort study.JAMIA open · 2026Article
- Information system support for case-based knowledge formation in social welfare: a cross-sectional study.Health information management : journal of the Health Information Management Association of Australia · 2026Article
- Article
- Portal message utilization in orthopedic spine surgery: patterns, predictors, and financial implications.North American Spine Society journal · 2026Article
- Clinical evaluation of MiADE: a natural language processing system for assisting structured diagnosis recording at the point of care.BMJ health & care informatics · 2026Article
- Online survey assessing US primary care physicians' attitudes toward AI use in clinical administrative tasks.BMJ health & care informatics · 2026Article
- An Intelligent Trial Eligibility Screening Tool Using Natural Language Processing With a Block-Based Visual Programming Interface: Development and Usability Study.JMIR medical informatics · 2025Article
- Acceptability of Health Information Technology by Health Care Professionals: Where We Are Now and How We Can Fill the Gap.Journal of medical Internet research · 2025Review
- Behavioral Phenotypes in Electronic Health Record Use by Primary Care Providers: a Cluster Analysis.Journal of general internal medicine · 2025Article
- A learning health systems approach to implementation and evaluation of an academic emergency department single shared note workflow.Learning health systems · 2025Article
- A Preliminary Conceptual Framework of Clinical Documentation Burden: Exploratory Factor Analysis Investigating Usability, Effort, and Perceived Burden among Health Care Providers.Applied clinical informatics · 2025Article
- Navigating Canada's primary care crisis: Living Lab approach to reduce administrative burden.Canadian family physician Medecin de famille canadien · 2025Article
- Exploring General Practitioner Work in Upper Austria: A Pilot Retrospective Observational Study Across Thirty Practices.Zdravstveno varstvo · 2025Article
- The Elements of Style for Interruptive Electronic Health Record Alerts.Applied clinical informatics · 2025Article
- Taking a Team Approach: Keep Up with the EHR with a Training and Optimization Program.Applied clinical informatics · 2025Article
- Teaching the New Ways: Improving Resident Documentation for the New 2023 Coding Requirements.The western journal of emergency medicine · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivePhysicians 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
methodsThe MEDLINE, Embase, CINAHL, PsycINFO, ProQuest, and Web of Science databases were searched for literature describing EHR use by physicians and markers of well-being.
resultsAfter 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.
conclusionsThere 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.
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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.