Physician Burnout and the Electronic Health Record Leading Up to and During the First Year of COVID-19: Systematic Review

Kruse, CS (通讯作者),Texas State Univ, Coll Hlth Profess, Sch Hlth Adm, 601 Univ Dr, San Marcos, TX 78666 USA.
2022-3-11
Background: Physician burnout was first documented in 1974, and the electronic health record (EHR) has been known to contribute to the symptoms of physician burnout. Authors pondered the extent of this effect, recognizing the increased use of telemedicine during the first year of COVID-19. Objective: The aim of this review was to objectively analyze the literature over the last 5 years for empirical evidence of burnout incident to the EHR and to identify barriers to, facilitators to, and associated patient satisfaction with using the EHR to improve symptoms of burnout. Methods: No human participants were involved in this review; however, 100% of participants in studies analyzed were adult physicians. We queried 4 research databases and 1 targeted journal for studies commensurate with the objective statement from January 1, 2016 through January 31, 2021 (n=25). Results: The hours spent in documentation and workflow are responsible for the sense of loss of autonomy, lack of work-life balance, lack of control of one's schedule, cognitive fatigue, a general loss of autonomy, and poor relationships with colleagues. Researchers have identified training, local customization of templates and workflow, and the use of scribes as strategies to alleviate the administrative burden of the EHR and decrease symptoms of burnout. Conclusions: The solutions provided in the literature only addressed 2 of the 3 factors (workflow and documentation time) but not the third factor (usability). Practitioners and administrators should focus on the former 2 factors because they are within their sphere of control. EHR vendors should focus on empirical evidence to identify and improve the usability features with the greatest impact. Researchers should design experiments to explore solutions that address all 3 factors of the EHR that contribute to burnout.
JOURNAL OF MEDICAL INTERNET RESEARCH
卷号:24|期号:3
ISSN:1438-8871|收录类别:SCIE
语种
英语
来源机构
Texas State University System; Texas State University San Marcos
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
5
2013以来使用计数
7
出版年
2022-3-11
DOI
10.2196/36200
学科领域
循证公共卫生
关键词
electronic health record physician burnout quality improvement psychiatry medical informatics COVID-19 pandemic health informatic health care health care professional health care infrastructure health care system mental health cognitive fatigue
WOS学科分类
Health Care Sciences & Services Medical Informatics