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Key independent variables included perceived EHR support for obtaining external information, ability to complete prior authorizations within the EHR, and use of documentation support tools including scribes, other staff, transcription tools, and EHR templates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Respondents were 46% female and 60% under age 50. More than three-quarters of physicians reported at least one substantial administrative burden, and 15% experienced substantial burden from all three activities. Satisfaction with EHR support for obtaining external information was associated with lower likelihood of substantial effort for that task (OR 0.47,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001), whereas ability to complete prior authorizations within the EHR was not associated with lower prior authorization burden. Use of staff support and EHR templates rated as helpful were associated with lower likelihood of substantial after-hours documentation (staff support OR 0.83,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001; templates OR 0.70,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) and of experiencing the triple burden (templates OR 0.63,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Limitations<\/jats:title>\n                    <jats:p>Cross-sectional, self-reported data from a single physician specialty may limit generalizability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Administrative burdens remain common in family medicine. Interoperability and documentation supports may mitigate some burdens, whereas prior authorization burden persists despite current electronic capabilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary Funding Source<\/jats:title>\n                    <jats:p>US Department of Health and Human Services, Office of the National Coordinator for Health IT.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11606-026-10635-9","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T15:50:34Z","timestamp":1785858634000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Triple Burden of Administrative Tasks Among US Family Medicine Physicians\u2014A Cross-sectional Study"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3331-2169","authenticated-orcid":false,"given":"Meghan Hufstader","family":"Gabriel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsea","family":"Richwine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7882-1560","authenticated-orcid":false,"given":"Robert L.","family":"Phillips","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Bazemore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan","family":"Everson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"issue":"5","key":"10635_CR1","doi-asserted-by":"publisher","first-page":"396","DOI":"10.7326\/L15-5060","volume":"162","author":"C DesRoches","year":"2015","unstructured":"DesRoches C. 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Federal authors contributed to this work as part of their official duties. Accordingly, the funding organization had a role in the design and conduct of the study; collection, management, analysis, and interpretation of deidentified data; preparation and review of the manuscript; and the decision to submit the manuscript. M.H.G. and C.R. are employees of the U.S. Department of Health and Human Services and report no conflicts of interest. J.E. is an employee of Georgetown University and reports no conflicts of interest. R.P. and A.B. are employees of the American Board of Family Medicine and contributed to this research through Cooperative Agreement #90AX0043. In the past 36\u00a0months, R.P. has received grant support from the Robert Wood Johnson Foundation and the Centers for Disease Control and Prevention; served as a subcontractor for the American Family Cohort Research Study; lectured at George Washington University; consulted with the Health Minister of Alberta, Canada; and served as an advisor to the National Academies\u2019 Consensus Study on Family Caregivers and the Health Care Cost Institute. In the past 36\u00a0months, A.B. has served as President-Elect of the North American Primary Care Research Group (NAPCRG) and as a member of the Board of Directors for the Rural Medical Training Consortium.\u00a0Robert Phillips currently serves as the Home Secretary of the National Academy of Medicine.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}