{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T10:41:29Z","timestamp":1777632089080,"version":"3.51.4"},"reference-count":93,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T00:00:00Z","timestamp":1612137600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Physicians often describe the electronic health record (EHR) as a cumbersome impediment to meaningful work, which has important implications for physician well-being. This systematic review (1) assesses organizational, physician, and information technology factors associated with EHR-related impacts on physician well-being; and (2) highlights potential improvements to EHR form and function, as recommended by frontline physicians.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and methods<\/jats:title>\n                  <jats:p>The MEDLINE, Embase, CINAHL, PsycINFO, ProQuest, and Web of Science databases were searched for literature describing EHR use by physicians and markers of well-being.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>After reviewing 7388 article, 35 ultimately met the inclusion criteria. Multiple factors across all levels were associated with EHR-related well-being among physicians. Notable predictors amenable to interventions include (1) total EHR time, (2) after-hours EHR time, (3) on-site EHR support, (4) perceived EHR usability, (5) in-basket burden, and (6) documentation burden. Physician recommendations also echoed these themes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>There are multiple complex factors involved in EHR-related well-being among physicians. Our review shows physicians have recommendations that span from federal regulations to organizational policies to EHR modifications. Future research should assess multipronged interventions that address these factors. As primary stakeholders, physicians should be included in the planning and implementation of such modifications to ensure compatibility with physician needs and clinical workflows.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocaa339","type":"journal-article","created":{"date-parts":[[2020,12,21]],"date-time":"2020-12-21T21:13:48Z","timestamp":1608585228000},"page":"974-984","source":"Crossref","is-referenced-by-count":72,"title":["A systematic review of contributing factors of and solutions to electronic health record\u2013related impacts on physician well-being"],"prefix":"10.1093","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2852-7106","authenticated-orcid":false,"given":"Oliver T","family":"Nguyen","sequence":"first","affiliation":[{"name":"Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, Alabama, USA"},{"name":"Department of Neurology, University of Florida, Gainesville, Florida, USA"}]},{"given":"Nyasia J","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Department of Patient Administration, Navy Medical Service Corps, U.S. Navy, Okinawa, Japan"}]},{"given":"Neel","family":"Khanna","sequence":"additional","affiliation":[{"name":"Department of Health Science, University of Florida, Gainesville, Florida, USA"}]},{"given":"Shivani","family":"Shah","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Florida, Gainesville, Florida, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3021-2402","authenticated-orcid":false,"given":"Alexander J","family":"Gartland","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Central Florida, Orlando, Florida, USA"}]},{"given":"Kea","family":"Turner","sequence":"additional","affiliation":[{"name":"Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA"},{"name":"Department of Oncological Sciences, University of South Florida, Tampa, Florida, USA"}]},{"given":"Lisa J","family":"Merlo","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Florida, Gainesville, Florida, USA"}]}],"member":"286","published-online":{"date-parts":[[2021,2,1]]},"reference":[{"issue":"11","key":"2021042419044623200_ocaa339-B1","doi-asserted-by":"crossref","first-page":"1131","DOI":"10.1001\/jama.2018.12777","article-title":"Prevalence of burnout among physicians: a systematic review","volume":"320","author":"Rotenstein","year":"2018","journal-title":"JAMA"},{"issue":"10057","key":"2021042419044623200_ocaa339-B2","doi-asserted-by":"crossref","first-page":"2272","DOI":"10.1016\/S0140-6736(16)31279-X","article-title":"Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis","volume":"388","author":"West","year":"2016","journal-title":"Lancet"},{"issue":"9","key":"2021042419044623200_ocaa339-B3","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1007\/s11606-016-3720-4","article-title":"Worklife and wellness in academic general internal medicine: Results from a national survey","volume":"31","author":"Linzer","year":"2016","journal-title":"J Gen Intern Med"},{"key":"2021042419044623200_ocaa339-B4","author":"Friedberg"},{"issue":"11","key":"2021042419044623200_ocaa339-B5","doi-asserted-by":"crossref","first-page":"1625","DOI":"10.1016\/j.mayocp.2017.08.017","article-title":"Professional satisfaction and the career plans of US physicians","volume":"92","author":"Sinsky","year":"2017","journal-title":"Mayo Clin Proc"},{"issue":"7","key":"2021042419044623200_ocaa339-B6","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1377\/hlthaff.2018.05509","article-title":"Physicians\u2019 well-being linked to in-basket messages generated by algorithms in electronic health records","volume":"38","author":"Tai-Seale","year":"2019","journal-title":"Health Aff (Millwood)"},{"issue":"5","key":"2021042419044623200_ocaa339-B7","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1001\/jama.291.5.633","article-title":"Physician burnout","volume":"291","author":"Chopra","year":"2004","journal-title":"JAMA"},{"issue":"1","key":"2021042419044623200_ocaa339-B8","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1097\/00004010-200101000-00002","article-title":"Understanding physicians\u2019 intentions to withdraw from practice: the role of job satisfaction, job stress, mental and physical health","volume":"26","author":"Williams","year":"2001","journal-title":"Health Care Manage Rev"},{"issue":"1","key":"2021042419044623200_ocaa339-B9","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1186\/1472-6963-14-325","article-title":"How does burnout affect physician productivity? 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