ArticleJournal of the American Medical Informatics Association : JAMIA2025
Differences in physician electronic health record use by telemedicine intensity: evidence from 2 academic medical centers.
Article in Journal of the American Medical Informatics Association : JAMIA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Ambulatory antibiotic prescribing for acute sinusitis: a multicenter, retrospective cohort study evaluating appropriateness.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
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Authors and funding
7 authors.
Funding
Abstract
objectiveEvaluate the association between telemedicine intensity and ambulatory physician electronic health record (EHR) use following the COVID-19 pandemic. MATERIALS AND
methodsThis retrospective study included ambulatory physicians in 11 specialties at 2 large academic medical centers (Washington University in St Louis [WashU], University of California San Francisco [UCSF]). EHR use measures, including time-based and frequency-based, were analyzed in the post-COVID-19 period (March 1, 2021, through March 7, 2022). Multivariable regression models with 2-way fixed effects were used to assess the association between telemedicine intensity and EHR use.
resultsFully telemedicine physician-weeks were associated with higher EHR (hours per 8 patient scheduled hours; β = 3.2 at WashU, β = 1.4 at UCSF; P < .001) and documentation time (β = 2.7 at WashU, β = 1.4 at UCSF; P < .001). Several differences in discrete EHR-based tasks were observed: fully telemedicine physician-days were associated with lesser ordering, and there were mixed patterns for information seeking and clinical communication tasks. DISCUSSION: Expanded use of telemedicine was associated with significant changes in physician EHR use post-COVID-19 onset. Increased EHR time may suggest a shift in workload, whereas decreased ordering may suggest constraints in virtual care, such as ability to perform physical examination and the reliance on patient-reported symptoms. Institutional differences usage patterns suggest that telemedicine's impact is context-specific and provides opportunities for understanding how to optimize EHRs to support telemedicine.
conclusionTelemedicine shifts physician EHR. Supporting physicians through optimized EHR tools, tailored workflows, and team-based interventions is essential for sustainable virtual care delivery without exacerbating EHR burden.
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