Cited by 118Electronic Health Records SystemsMedical Coding and Health InformationNursing Diagnosis and Documentation

Medical Documentation Burden Among US Office-Based Physicians in 2019: A National Study

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Abstract

This cross-sectional study uses data from the 2019 National Electronic Health Records Survey to assess the burden and time spent on medical documentation outside office hours among US physicians.

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Integrity signals

Registry

Crossref · 10.1001/jamainternmed.2022.0372

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  • Across ambulatory specialties, physicians report a daily average of nearly 2 hours of documentation time outside of normal work hours, with around 10% reporting over 4 hours per day.

    “Across ambulatory specialties, physicians report a daily average of nearly 2 hours of documentation time outside of normal work hours, with around 10% reporting over 4 hours per day.2”

    From Evaluating the Quality and Safety of Ambient Digital Scribe Platforms Using Simulated Ambulatory Encounters (2025) · cites this paper as [2]

    The results passage indexed under Methods (page not supplied) reports a mean of 1.77 hours per day documenting outside office hours among US office-based physicians, supporting 'nearly 2 hours.' The Methods passage includes a response category of more than 4 hours, but our copy does not give the percentage of physicians in that category; the 'around 10%' figure is therefore unsupported. (LLM, conf=0.85)

    Experimental — accuracy not yet measured
  • HCPs spend on average two hours outside the official working day on documentation tasks.

    “evidence suggests that HCPs spend on average two hours outside the official working day on documentation tasks [8].”

    From Artificial Intelligence (AI) – Powered Documentation Systems in Healthcare: A Systematic Review (2025) · cites this paper as [8]

    The results passage and Table 2 report a mean of 1.77 hours per day documenting outside office hours, reasonably rounded to two hours. The study concerns US office-based physicians, however, not HCPs generally, so the claim extends beyond the population studied. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Medical sub-specialties also experience documentation burden.

    “medical sub-specialties also experience documentation burden, [28]”
  • Documentation burden remains a considerable challenge among medical providers and is a key area of focus in the effort to decrease clinician burnout.

    “Documentation burden remains a considerable challenge among medical providers and is a key area of focus in the effort to decrease clinician burnout.”

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References 5 · Cited by 118

Authors
Gaffney, A., Woolhandler, S., Cai, C., Bor, D., Himmelstein, J., McCormick, D., & Himmelstein, D. U.
Affiliations
  • Cambridge Health Alliance (US)
  • Brigham and Women's Hospital (US)
Corresponding author
Gaffney, Adam
Venue
JAMA Internal Medicine
Published
2022-05-01
Volume
182
Issue
5
Pages
564
ISSN
2168-6106 (ISSN-L)
OpenAlex
W4220962859
Cited by
118
References
5
Citations by year
2026: 27 · 2025: 39 · 2024: 40 · 2023: 11 · 2022: 1
FWCI
17.02
Type
journal article
Language
en
Open access
Locations
  • JAMA Internal Medicine (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
  • Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
  • Health Sciences › Nursing › Research and Theory › Nursing Diagnosis and Documentation
Keywords
office-based physicians, electronic health records, physician workload
MeSH terms
Documentation, Humans, Office Visits, Physicians, Physicians' Offices, United States

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