{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T17:47:08Z","timestamp":1755798428780,"version":"3.44.0"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2025,7,12]],"date-time":"2025-07-12T00:00:00Z","timestamp":1752278400000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000092","name":"National Library of Medicine","doi-asserted-by":"publisher","award":["R01LM013778"],"award-info":[{"award-number":["R01LM013778"]}],"id":[{"id":"10.13039\/100000092","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Evaluate the association between telemedicine intensity and ambulatory physician electronic health record (EHR) use following the COVID-19 pandemic.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>This retrospective study included ambulatory physicians in 11 specialties at 2 large academic medical centers (Washington University in St Louis [WashU], University of California San Francisco [UCSF]). EHR use measures, including time-based and frequency-based, were analyzed in the post-COVID-19 period (March 1, 2021, through March 7, 2022). Multivariable regression models with 2-way fixed effects were used to assess the association between telemedicine intensity and EHR use.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Fully telemedicine physician-weeks were associated with higher EHR (hours per 8 patient scheduled hours; \u03b2 = 3.2 at WashU, \u03b2 = 1.4 at UCSF; P &amp;lt; .001) and documentation time (\u03b2 = 2.7 at WashU, \u03b2 = 1.4 at UCSF; P &amp;lt; .001). Several differences in discrete EHR-based tasks were observed: fully telemedicine physician-days were associated with lesser ordering, and there were mixed patterns for information seeking and clinical communication tasks.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Expanded use of telemedicine was associated with significant changes in physician EHR use post-COVID-19 onset. Increased EHR time may suggest a shift in workload, whereas decreased ordering may suggest constraints in virtual care, such as ability to perform physical examination and the reliance on patient-reported symptoms. Institutional differences usage patterns suggest that telemedicine\u2019s impact is context-specific and provides opportunities for understanding how to optimize EHRs to support telemedicine.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Telemedicine shifts physician EHR. Supporting physicians through optimized EHR tools, tailored workflows, and team-based interventions is essential for sustainable virtual care delivery without exacerbating EHR burden.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocaf122","type":"journal-article","created":{"date-parts":[[2025,7,12]],"date-time":"2025-07-12T04:01:41Z","timestamp":1752292901000},"page":"1462-1470","source":"Crossref","is-referenced-by-count":0,"title":["Differences in physician electronic health record use by telemedicine intensity: evidence from 2 academic medical centers"],"prefix":"10.1093","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9447-4888","authenticated-orcid":false,"given":"Seunghwan","family":"Kim","sequence":"first","affiliation":[{"name":"Roy and Diana Vagelos Division of Biology and Biomedical Sciences, Washington University School of Medicine in St Louis , Saint Louis, MO 63110,","place":["United States"]},{"name":"Institute for Informatics, Data 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Washington University School of Medicine in St Louis , Saint Louis, MO 63110,","place":["United States"]}]},{"given":"Julia","family":"Adler-Milstein","sequence":"additional","affiliation":[{"name":"Division of Clinical Informatics and Digital Transformation, Department of Medicine, University of California San Francisco , San Francisco, CA 94131,","place":["United States"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4119-4836","authenticated-orcid":false,"given":"Thomas","family":"Kannampallil","sequence":"additional","affiliation":[{"name":"Institute for Informatics, Data Science, and Biostatistics (I2DB), Washington University School of Medicine in St Louis , Saint Louis, MO 63110,","place":["United States"]},{"name":"Department of Anesthesiology, Washington University School of Medicine in St Louis , Saint Louis, MO 63110,","place":["United States"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7939-6831","authenticated-orcid":false,"given":"A 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