ArticleApplied clinical informatics2021
The Effect of Electronic Health Record Burden on Pediatricians' Work-Life Balance and Career Satisfaction.
Article in Applied clinical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Evidence on artificial intelligence-assisted clinical documentation and healthcare workers' emotional wellbeing at work: a scoping review.Frontiers in psychology · 2026Pooled it
- Measuring Documentation Burden in Healthcare.Journal of general internal medicine · 2024Pooled it
- Interventions to Reduce Electronic Health Record-Related Burnout: A Systematic Review.Applied clinical informatics · 2024Pooled it
- The use of objective EHR-and schedule-based clinical workload and EHR use measures in predicting inpatient pediatric provider burnout.JAMIA open · 2026Article
- Ethical considerations for clinical adoption of ambient digital scribe technology.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Immunization Coverage and Clinical Documentation of Vaccine Refusal in Pediatric Clinics: A Retrospective Analysis in the Midwestern United States, 2022-2024.Journal of pediatrics. Clinical practice · 2026Article
- Evaluating Clinical Staff Perceptions of EHR Usability, Satisfaction, and Adaptation to a New EHR: A Multisite, Pre-Post Implementation Study.Applied clinical informatics · 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
- Right Idea, Wrong Time: Focusing on Alert Timing for Effective Decision Support.Applied clinical informatics · 2025Article
- The Digital Workload Divide: Investigating Gender Differences in Electronic Health Record Messaging among Primary Care Clinicians.Applied clinical informatics · 2025Article
- EHR Use in Inpatient Physicians: Patterns and Predictors.Applied clinical informatics · 2025Article
- Development of the TrendBurden Survey: Assessing Perceived Documentation Burden among Health Professionals in the United States.Applied clinical informatics · 2025Article
- Expert evaluation of large language models for clinical dialogue summarization.Scientific reports · 2025Article
- Innovations that helped with accessing and delivering primary care for infants and young children during COVID-19.BMC primary care · 2025Article
- Defining Documentation Burden (DocBurden) and Excessive DocBurden for All Health Professionals: A Scoping Review.Applied clinical informatics · 2024Article
- Vanderbilt Electronic Health Record Voice Assistant Supports Clinicians.Applied clinical informatics · 2024Article
- Defining Electronic Health Record Standards for Child Health: A State-of-the-Art Review.Applied clinical informatics · 2024Review
- Validation of the Electronic Modified Checklist for Autism in Toddlers, Revised with Follow-Up: A Nonrandomized Controlled Trial.The Journal of pediatrics · 2023Article
- The Voice of the Patient and the Electronic Health Record.Applied clinical informatics · 2023Article
- Dynamic reaction picklist for improving allergy reaction documentation: A usability study.International journal of medical informatics · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo examine pediatricians' perspectives on administrative tasks including electronic health record (EHR) documentation burden and their effect on work-life balance and life and career satisfaction.
methodsWe analyzed 2018 survey data from the American Academy of Pediatrics (AAP) Pediatrician Life and Career Experience Study (PLACES), a longitudinal cohort study of early and midcareer pediatricians. Cohorts graduated from residency between 2002 and 2004 or 2009 and 2011. Participants were randomly selected from an AAP database (included all pediatricians who completed U.S. pediatric residency programs). Four in 10 pediatricians (1,796 out of 4,677) were enrolled in PLACES in 2012 and considered participants in 2018. Data were weighted to adjust for differences between study participants and the overall population of pediatricians. Chi-square and multivariable logistic regression examined the association of EHR burden on work-life balance (three measures) and satisfaction with work, career, and life (three measures). Responses to an open-ended question on experiences with administrative tasks were reviewed.
resultsA total of 66% of pediatrician participants completed the 2018 surveys (1,192 of 1,796; analytic sample = 1,069). Three-fourths reported EHR documentation as a major or moderate burden. Half reported such burden for billing and insurance and 42.7% for quality and performance measurement. Most pediatricians reported satisfaction with their jobs (86.7%), careers (84.5%), and lives (66.2%). Many reported work-life balance challenges (52.5% reported stress balancing work and personal responsibilities). In multivariable analysis, higher reported EHR burden was associated with lower scores on career and life satisfaction measures and on all three measures of work-life balance. Open-ended responses (
conclusionMost early to midcareer pediatricians experience administrative burdens with EHRs. These experiences are associated with worse work-life balance including more stress in balancing responsibilities and less career and life satisfaction.
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