Evidence map›Paper›PMID 33880534›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2021

Associations of physician burnout with organizational electronic health record support and after-hours charting.

H C Eschenroeder, Lauren C Manzione, Julia Adler-Milstein, Connor Bice, Robert Cash, Cole Duda, Craig Joseph, John S Lee, Amy Maneker, Karl A Poterack and 3 more

Abstract read
In one paragraph

Article 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 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Impact of Emerging Technologies on Outpatient Care Quality: Mixed Methods Study.JMIR rehabilitation and assistive technologies · 2026
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  18. Observational
  19. Article
  20. Enhancing emergency department charting: Using Generative Pre-trained Transformer-4 (GPT-4) to identify laceration repairs.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

H C EschenroederOrthoVirginia, Lynchburg, Virginia, USA.
Lauren C ManzioneArch Collaborative, KLAS, Pleasant Grove, Utah, USA.
Julia Adler-MilsteinSchool of Medicine, University of California, San Francisco, California, USA.
Connor BiceArch Collaborative, KLAS, Pleasant Grove, Utah, USA.
Robert CashArch Collaborative, KLAS, Pleasant Grove, Utah, USA.
Cole DudaArch Collaborative, KLAS, Pleasant Grove, Utah, USA.
Craig JosephEl Camino Health, Mountain View, California, USA.
John S LeeEdward-Elmhurst Healthcare, Elmhurst, Illinois, USA.
Amy ManekerAimwell Healthcare Advisors, Beachwood, Ohio, USA.
Karl A PoterackDepartment of Anesthesiology, Mayo Clinic College of Medicine and Science, Mayo Health System, Phoenix, Arizona, USA.
Sarah B RahmanInternal Medicine, John Muir Health, Walnut Creek, California, USA.
Jacob JeppsonArch Collaborative, KLAS, Pleasant Grove, Utah, USA.
Christopher LonghurstDepartment of Biomedical Informatics, UC San Diego Health, La Jolla, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 2017, 43.9% of US physicians reported symptoms of burnout. Poor electronic health record (EHR) usability and time-consuming data entry contribute to burnout. However, less is known about how modifiable dimensions of EHR use relate to burnout and how these associations vary by medical specialty. Using the KLAS Arch Collaborative's large-scale nationwide physician (MD/DO) data, we used ordinal logistic regression to analyze associations between self-reported burnout and after-hours charting and organizational EHR support. We examined how these relationships differ by medical specialty, adjusting for confounders. Physicians reporting ≤ 5 hours weekly of after-hours charting were twice as likely to report lower burnout scores compared to those charting ≥6 hours (aOR: 2.43, 95% CI: 2.30, 2.57). Physicians who agree that their organization has done a great job with EHR implementation, training, and support (aOR: 2.14, 95% CI: 2.01, 2.28) were also twice as likely to report lower scores on the burnout survey question compared to those who disagree. Efforts to reduce after-hours charting and improve organizational EHR support could help address physician burnout.

Indexed as

Burnout, ProfessionalElectronic Health RecordsHealth Facility AdministrationPhysiciansHealth Services AdministrationHumansLogistic ModelsUnited StatesWorkloadelectronic medical recordemotional exhaustionhealth information technologyoptimizationPajama timeusability

Identifiers

PMID33880534
PMCPMC8068427

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.