ArticleJournal of the American Medical Informatics Association : JAMIA2023
COVID exacerbated the gender disparity in physician electronic health record inbox burden.
Article in Journal of the American Medical Informatics Association : JAMIA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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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.
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Who cites it
12 citing papers in PubMed.
- Factors associated with chronic pain clinical decision support use in primary care.PLOS digital health · 2026Article
- Sex Differences in Medical Specialist Physicians' Electronic Health Record In-Basket Workloads and the Implications for Compensation and Equity: Retrospective Cross-Sectional Study.Journal of medical Internet research · 2026Article
- Measurement, drivers, and outcomes of patient-initiated secure messaging use and intensity: a scoping review.JAMIA open · 2025Review
- In-Basket Message Volume in Primary Care: A Cross-sectional Analysis by Gender and Specialty.Journal of general internal medicine · 2025Article
- The Gender Gap in EHR Workload: A Comparative Analysis of Primary Care Physician In Basket Usage.Journal of general internal medicine · 2025Observational
- Analyzing Physician In Basket Burden and Efficiency Using K-Means Clustering.Applied clinical informatics · 2025Article
- Effects of a Gender-Balancing Strategy on Resident Panels in a Primary Care Setting.Journal of general internal medicine · 2025Observational
- Reimagining clinical AI: from clickstreams to clinical insights with EHR use metadata.npj health systems · 2025Review
- Trending in the right direction: critical access hospitals increased adoption of advanced electronic health record functions from 2018 to 2023.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Article
- Predicting Primary Care Physician Burnout From Electronic Health Record Use Measures.Mayo Clinic proceedings · 2024Observational
- Patient Portal Message Volume and Time Spent on the EHR: an Observational Study of Primary Care Clinicians.Journal of general internal medicine · 2024Observational
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
The COVID-19 pandemic was associated with significant changes to the delivery of ambulatory care, including a dramatic increase in patient messages to physicians. While asynchronous messaging is a valuable communication modality for patients, a greater volume of patient messages is associated with burnout and decreased well-being for physicians. Given that women physicians experienced greater electronic health record (EHR) burden and received more patient messages pre-pandemic, there is concern that COVID may have exacerbated this disparity. Using EHR audit log data of ambulatory physicians at an academic medical center, we used a difference-in-differences framework to evaluate the impact of the pandemic on patient message volume and compare differences between men and women physicians. We found patient message volume increased post-COVID for all physicians, and women physicians saw an additional increase compared to men. Our results contribute to the growing evidence of different communication expectations for women physicians that contribute to the gender disparity in EHR burden.
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Registered trials
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.