Perceived value of the electronic health record and its association with physician burnout
Open accessAbstract
Background There is a common belief that seniority and gender are associated with clinicians' perceptions of the value of electronic health record (EHR) technology and the propensity for burnout. Insufficient evidence exists on the relationship between these variables. Objective The aim of this study was to investigate how seniority/years of practice, gender, and screened burnout status are associated with opinions of EHR use on quality, cost, and efficiency of care. Methods We surveyed ambulatory primary care and subspecialty clinicians at three different institutions to screen for burnout status and to measure their opinions (positive, none, negative, don't know) on how EHR technology has impacted three important attributes of health care: quality, cost, and efficiency of care. We used chi-square tests to analyze association between years of practice (≤10 years or 11+ years), gender, and screened burnout status and the reported attributes. We used a Bonferroni-corrected α = 0.0167 for significance to protect against type I error among multiple comparisons. Results Overall, 281 clinicians responded from 640 that were surveyed with 44% overall response rate. There were no significant associations of years in practice (≤10 years or 11+ years) or gender (p > 0.0167 for both) with any of the health care attributes. Clinicians who screened burnout negative (n = 154, 55%) were more likely to indicate that EHR technology has a positive impact on both the quality (p = 0.0025) and efficiency (p = 0.0003) health care attributes compared with those who screened burnout positive (n = 127, 45%). Conclusion Burnout status is significantly associated with clinicians' perceived value of EHR technologies, while years of practice and gender are not. This contests the popular notion that junior clinicians view EHR technology more favorably than their more senior counterparts. Hence, burnout status may be an important factor associated with the overall value clinicians ascribe to EHR technologies.
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Documentation burden among nurses was related to their perceived value of documenting in the EHR components to communicate patient care within the care team.
“The documentation burden among nurses was related to their perceived value of documenting in the EHR components to communicate patient care within the care team, consistent with prior studies among other clinicians (eg, physicians, nurse practitioner, physician assistant).[52][53][54]”
From Electronic health record system use and documentation burden of acute and critical care nurse clinicians: a mixed-methods study (2024) · cites this paper as [54]
The Discussion (page unavailable in our copy) reports that clinician burnout was associated with more negative perceptions of the EHR’s impact on quality and efficiency, supporting a general link between burden and perceived EHR value among other clinicians. The Survey and Sampling section says the study measured burnout and perceived effects on quality, cost, and efficiency—not documentation burden or the value of EHR documentation for communicating patient care within a team. The nurses’ finding is the citing authors’ own result, not a finding attributed to this source. (LLM, conf=0.87)
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References 42 · Cited by 6
Research works printed but not linked: 1
- [7]7. Khairat S, Burke G, Archambault H, Schwartz T, Larson J, Ratwani RM. Perceived burden of ehrs on physicians at different stages of their career. Appl Clin Inform 2018;9(02):336-347
- Authors
- Livaudais, M., Deng, D., Frederick, T., Grey-Theriot, F., & Kroth, P. J.
- Affiliations
- California State University, East Bay (US)
- Western Michigan University (US)
- Corresponding author
- Kroth, Philip J.
- ORCID
- Kroth, Philip J.
- Venue
- Applied Clinical Informatics
- Publisher
- Georg Thieme Verlag KG
- Published
- 2022-08
- Volume
- 13
- Issue
- 04
- Pages
- 778-784
- ISSN
- 1869-0327 (ISSN-L)
- PMC
- PMC9388222
- OpenAlex
- W4293067914
- Cited by
- 6
- References
- 42
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Applied Clinical Informatics (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services (R18HS022065)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
- Keywords
- electronic health records, physician burnout, years of practice, gender differences, quality of care, cost of care, efficiency of care, primary care
- MeSH terms
- Ambulatory Care, Burnout, Professional, Humans, Physicians, Surveys and Questionnaires, Electronic Health Records
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