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Association of Electronic Health Record Design and Use Factors With Clinician Stress and Burnout
Author(s) -
Philip J Kroth,
Nancy Morioka-Douglas,
Sharry Veres,
Stewart Babbott,
Sara Poplau,
Fares Qeadan,
Carolyn Parshall,
Kathryne Corrigan,
Mark Linzer
Publication year - 2019
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2019.9609
Subject(s) - burnout , subspecialty , medicine , logistic regression , family medicine , perceived stress scale , electronic health record , scale (ratio) , health care , stress (linguistics) , clinical psychology , linguistics , philosophy , physics , quantum mechanics , economics , economic growth
Key Points Question Which electronic health record (EHR) design and use factors are associated with clinician stress and burnout? Findings In this survey study of 282 clinicians, clinician stress and burnout were associated with 7 EHR design and use factors. These 7 plus 2 other design and use factors collectively accounted for a modest amount of the variance in stress (12.5%) and burnout (6.8%); models incorporating other work conditions (such as chaotic work atmosphere and workload control) accounted for considerably more of the variance in stress (58.1%) and burnout (36.2%). Meaning While EHR design and use factors may appropriately be targeted by health systems and EHR designers to address stress and burnout, other non-EHR issues, especially clinician work conditions, appear to play a substantial role in adverse clinician outcomes.

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