ArticleJMIR medical informatics2022
The Impact of Telemedicine on Physicians' After-hours Electronic Health Record "Work Outside Work" During the COVID-19 Pandemic: Retrospective Cohort Study.
Article in JMIR medical informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- [Potential of a Telemedical, Inpatient-Outpatient Care Concept to Improve the Quality of Healthcare from the User's Perspective - An Acceptance Analysis of the TELnet@NRW Study].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2024Trial
- Provider Mental Health and Telehealth Utilization During COVID-19: A Cross-sectional Survey of Providers at Clinics Treating Urban American Indian and Alaska Native Peoples.Journal of racial and ethnic health disparities · 2026Article
- [First German expert consensus on telemedicine in urology].Urologie (Heidelberg, Germany) · 2026Article
- Association Between Telemedicine Adoption and Physician Job Satisfaction: Cross-Sectional Study.Journal of medical Internet research · 2026Article
- Perceptions, barriers, and facilitators of telemedicine adoption among physicians in Palestinian primary care: a cross-sectional study.BMC health services research · 2026Article
- How are instant messaging applications used informally for paediatric health consultations in Pakistan? A qualitative study with caregivers and healthcare providers in Punjab.BMJ public health · 2026Article
- Impact of Connected Mental Health on the Work Environment of Mental Health Clinicians: Protocol for a Systematic Literature Review.JMIR research protocols · 2025Article
- Utilization of Generative AI-drafted Responses for Managing Patient-Provider Communication.NPJ digital medicine · 2025Article
- Patient and clinician satisfaction with home parenteral nutrition intestinal failure telemedicine consultations: A survey of clinicians and patients.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025Article
- Using Theory-Based Frameworks to Identify Barriers and Enablers of Physicians' Telemedicine Adoption and Develop Intervention Strategies in China: Multicenter Qualitative Study.Journal of medical Internet research · 2025Article
- Determinants of Telehealth Adoption Among Older Adults: Cross-Sectional Survey Study.JMIR aging · 2025Article
- Telehealth and virtual supervision practices for health professions education in the Department of Veterans Affairs.BMC medical education · 2025Article
- Quantifying the impact of telemedicine and patient medical advice request messages on physicians' work-outside-work.NPJ digital medicine · 2024Article
- Telemedicine from Home or the Office: Perceptions of Mental Health Providers.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024Article
- Business vs After-Hours Use of an Artificial Intelligence-Powered Digital Health Platform Among Insured Patients.JAMA network open · 2023Article
- Overview of telehealth in the United States since the COVID-19 public health emergency: a narrative review.mHealth · 2023Review
- Evidence for Telemedicine's Ongoing Transformation of Health Care Delivery Since the Onset of COVID-19: Retrospective Observational Study.JMIR formative research · 2022Article
- Factors influencing telemedicine adoption among physicians in the Malaysian healthcare system: A revisit.Digital healthArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTelemedicine as a mode of health care work has grown dramatically during the COVID-19 pandemic; the impact of this transition on clinicians' after-hours electronic health record (EHR)-based clinical and administrative work is unclear.
objectiveThis study assesses the impact of the transition to telemedicine during the COVID-19 pandemic on physicians' EHR-based after-hours workload (ie, "work outside work") at a large academic medical center in New York City.
methodsWe conducted an EHR-based retrospective cohort study of ambulatory care physicians providing telemedicine services before the pandemic, during the acute pandemic, and after the acute pandemic, relating EHR-based after-hours work to telemedicine intensity (ie, percentage of care provided via telemedicine) and clinical load (ie, patient load per provider).
resultsA total of 2129 physicians were included in this study. During the acute pandemic, the volume of care provided via telemedicine significantly increased for all physicians, whereas patient volume decreased. When normalized by clinical load (ie, average appointments per day by average clinical days per week), telemedicine intensity was positively associated with work outside work across time periods. This association was strongest after the acute pandemic.
conclusionsTaking physicians' clinical load into account, physicians who devoted a higher proportion of their clinical time to telemedicine throughout various stages of the pandemic engaged in higher levels of EHR-based after-hours work compared to those who used telemedicine less intensively. This suggests that telemedicine, as currently delivered, may be less efficient than in-person-based care and may increase the after-hours work burden of physicians.
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