{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T23:09:07Z","timestamp":1776294547151,"version":"3.50.1"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2021,4,21]],"date-time":"2021-04-21T00:00:00Z","timestamp":1618963200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"KLAS"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>In 2017, 43.9% of US physicians reported symptoms of burnout. Poor electronic health record (EHR) usability and time-consuming data entry contribute to burnout. However, less is known about how modifiable dimensions of EHR use relate to burnout and how these associations vary by medical specialty. Using the KLAS Arch Collaborative\u2019s large-scale nationwide physician (MD\/DO) data, we used ordinal logistic regression to analyze associations between self-reported burnout and after-hours charting and organizational EHR support. We examined how these relationships differ by medical specialty, adjusting for confounders. Physicians reporting \u2264 5 hours weekly of after-hours charting were twice as likely to report lower burnout scores compared to those charting \u22656 hours (aOR: 2.43, 95% CI: 2.30, 2.57). Physicians who agree that their organization has done a great job with EHR implementation, training, and support (aOR: 2.14, 95% CI: 2.01, 2.28) were also twice as likely to report lower scores on the burnout survey question compared to those who disagree. Efforts to reduce after-hours charting and improve organizational EHR support could help address physician burnout.<\/jats:p>","DOI":"10.1093\/jamia\/ocab053","type":"journal-article","created":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T20:10:45Z","timestamp":1615493445000},"page":"960-966","source":"Crossref","is-referenced-by-count":72,"title":["Associations of physician burnout with organizational electronic health record support and after-hours charting"],"prefix":"10.1093","volume":"28","author":[{"suffix":"Jr","given":"H. C","family":"Eschenroeder","sequence":"first","affiliation":[{"name":"OrthoVirginia, Lynchburg, Virginia, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6420-0170","authenticated-orcid":false,"given":"Lauren C","family":"Manzione","sequence":"additional","affiliation":[{"name":"Arch Collaborative, KLAS, Pleasant Grove, Utah, USA"}]},{"given":"Julia","family":"Adler-Milstein","sequence":"additional","affiliation":[{"name":"School of Medicine, University of California, San Francisco, California, USA"}]},{"given":"Connor","family":"Bice","sequence":"additional","affiliation":[{"name":"Arch Collaborative, KLAS, Pleasant Grove, Utah, USA"}]},{"given":"Robert","family":"Cash","sequence":"additional","affiliation":[{"name":"Arch Collaborative, KLAS, Pleasant Grove, Utah, USA"}]},{"given":"Cole","family":"Duda","sequence":"additional","affiliation":[{"name":"Arch Collaborative, KLAS, Pleasant Grove, Utah, USA"}]},{"given":"Craig","family":"Joseph","sequence":"additional","affiliation":[{"name":"El Camino Health, Mountain View, California, USA"}]},{"given":"John S","family":"Lee","sequence":"additional","affiliation":[{"name":"Edward-Elmhurst Healthcare, Elmhurst, Illinois, USA"}]},{"given":"Amy","family":"Maneker","sequence":"additional","affiliation":[{"name":"Aimwell Healthcare Advisors, Beachwood, Ohio, USA"}]},{"given":"Karl A","family":"Poterack","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Mayo Clinic College of Medicine and Science, Mayo Health System, Phoenix, Arizona, USA"}]},{"given":"Sarah B","family":"Rahman","sequence":"additional","affiliation":[{"name":"Internal Medicine, John Muir Health, Walnut Creek, California, USA"}]},{"given":"Jacob","family":"Jeppson","sequence":"additional","affiliation":[{"name":"Arch Collaborative, KLAS, Pleasant Grove, Utah, USA"}]},{"given":"Christopher","family":"Longhurst","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics, UC San Diego Health, La Jolla, California, USA"}]}],"member":"286","published-online":{"date-parts":[[2021,4,23]]},"reference":[{"key":"2021070722005763400_ocab053-B1","volume-title":"Maslach Burnout Inventory Manual.","author":"Maslach","year":"1996","edition":"3rd ed"},{"issue":"18","key":"2021070722005763400_ocab053-B2","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1001\/archinternmed.2012.3199","article-title":"Burnout and satisfaction with work-life balance among US physicians relative to the general US Population","volume":"172","author":"Shanafelt","year":"2012","journal-title":"Arch Intern Med"},{"issue":"9","key":"2021070722005763400_ocab053-B3","doi-asserted-by":"crossref","first-page":"1681","DOI":"10.1016\/j.mayocp.2018.10.023","article-title":"Changes in burnout and satisfaction with work-life integration in physicians and 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