ArticleJournal of the American Medical Informatics Association : JAMIA2022
Primary care physicians' electronic health record proficiency and efficiency behaviors and time interacting with electronic health records: a quantile regression analysis.
Article in Journal of the American Medical Informatics Association : JAMIA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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The trial behind it
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The association between team-based model of care characteristics and patient outcomes in community health centres: a systematic review.BMC primary care · 2026Pooled it
- Measuring Documentation Burden in Healthcare.Journal of general internal medicine · 2024Pooled it
- Nested order panels for adult primary care modestly improves ordering efficiency among high utilizers.JAMIA open · 2026Article
- Behavioral Phenotypes in Electronic Health Record Use by Primary Care Providers: a Cluster Analysis.Journal of general internal medicine · 2025Article
- Analyzing Physician In Basket Burden and Efficiency Using K-Means Clustering.Applied clinical informatics · 2025Article
- Relationships Among Physician Vendor-Derived Proficiency Score, Gender, and Time in the Electronic Health Record.Family medicine · 2025Observational
- Taking a Team Approach: Keep Up with the EHR with a Training and Optimization Program.Applied clinical informatics · 2025Article
- Reimagining clinical AI: from clickstreams to clinical insights with EHR use metadata.npj health systems · 2025Review
- Assessment of EHR Efficiency Tools and Resources Associated with Physician Time Spent on the Inbox.Journal of general internal medicine · 2024Article
- Accuracy, thoroughness, and quality of outpatient primary care documentation in the U.S. Department of Veterans Affairs.BMC primary care · 2024Observational
- Exploring the Impact of In Basket Metrics on the Adoption of a New Electronic Health Record System Among Specialists in a Tertiary Hospital in Alberta: Descriptive Study.Journal of medical Internet research · 2024Article
- Celebrating Eta Berner and her influence on biomedical and health informatics.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Documentation dynamics: Note composition, burden, and physician efficiency.Health services research · 2023Article
- Early Performance of the Patients Over Paperwork Initiative among Family Medicine Physicians.Southern medical journal · 2023Article
- I had not time to make it shorter: an exploratory analysis of how physicians reduce note length and time in notes.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Creating Conversion Factors from EHR Event Log Data: A Comparison of Investigator-Derived and Vendor-Derived Metrics for Primary Care Physicians.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Observational
- Using event logs to observe interactions with electronic health records: an updated scoping review shows increasing use of vendor-derived measures.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Measurement and automation of workflows for improved clinician interaction: upgrading EHRs for 21st century healthcare value.Journal of the American Medical Informatics Association : JAMIA · 2022Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveThis study aimed to understand the association between primary care physician (PCP) proficiency with the electronic health record (EHR) system and time spent interacting with the EHR. MATERIALS AND
methodsWe examined the use of EHR proficiency tools among PCPs at one large academic health system using EHR-derived measures of clinician EHR proficiency and efficiency. Our main predictors were the use of EHR proficiency tools and our outcomes focused on 4 measures assessing time spent in the EHR: (1) total time spent interacting with the EHR, (2) time spent outside scheduled clinical hours, (3) time spent documenting, and (4) time spent on inbox management. We conducted multivariable quantile regression models with fixed effects for physician-level factors and time in order to identify factors that were independently associated with time spent in the EHR.
resultsAcross 441 primary care physicians, we found mixed associations between certain EHR proficiency behaviors and time spent in the EHR. Across EHR activities studied, QuickActions, SmartPhrases, and documentation length were positively associated with increased time spent in the EHR. Models also showed a greater amount of help from team members in note writing was associated with less time spent in the EHR and documenting. DISCUSSION: Examining the prevalence of EHR proficiency behaviors may suggest targeted areas for initial and ongoing EHR training. Although documentation behaviors are key areas for training, team-based models for documentation and inbox management require further study.
conclusionsA nuanced association exists between physician EHR proficiency and time spent in the EHR.
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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.