Physicians’ Well-Being Linked To In-Basket Messages Generated By Algorithms In Electronic Health Records
2019; Project HOPE; Volume: 38; Issue: 7 Linguagem: Inglês
10.1377/hlthaff.2018.05509
ISSN2694-233X
AutoresMing Tai-Seale, Ellis C. Dillon, Yang Yan, Robert Nordgren, Ruth L. Steinberg, Teresa Nauenberg, Tim C. Lee, Amy Meehan, Jinnan Li, Albert Chan, Dominick L. Frosch,
Tópico(s)Patient-Provider Communication in Healthcare
ResumoDespite concerns about physicians’ workload associated with electronic health records (EHRs), little attention has been paid to the relationship between physicians’ well-being and the in-basket messages physicians receive—specifically, their volume and sources. Analyses of EHR work performed by physicians in a multispecialty practice found that in-basket messages generated by the EHR system accounted for almost half (114) of the 243 weekly in-basket messages received per physician, on average—far exceeding the numbers received from their colleagues (53) and patients (30). In a survey, 36 percent of the physicians reported burnout symptoms, and 29 percent intended to reduce their clinical work time in the upcoming year. Receiving more than the average number of system-generated in-basket messages was associated with 40 percent higher probability of burnout and 38 percent higher probability of intending to reduce clinical work time. Physicians’ perceptions of a positive work environment were associated with lower odds of burnout and intention to reduce clinical work time and with greater satisfaction with life. Female physicians had a higher risk of burnout and lower satisfaction with life, compared to males. Meaningful redesign of EHR in-basket workflow and a wellness-enhancing work environment are necessary to effectively improve physicians’ well-being.
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