{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T11:31:24Z","timestamp":1761391884238,"version":"3.37.3"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2020,8,5]],"date-time":"2020-08-05T00:00:00Z","timestamp":1596585600000},"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":[[2020,12,30]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Electronic health records (EHRs)\u2019 purpose is to facilitate the documentation of patient data and to improve the exchange of information between the professionals involved in a patient\u2019s care.<\/jats:p>\n <\/jats:sec>\n \n Aims<\/jats:title>\n To investigate occupational health (OH) physicians\u2019 experiences of EHRs and the factors hampering work.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n An electronic questionnaire was sent to physicians working in OH services in April 2017 and a total of 342 OH physicians participated in the study. The results were reported as quantities and percentages. The survey text was analysed using data-driven content analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The respondents considered their EHR stable in terms of technical features but the routine tasks with EHR were not straightforward. Also, the documentation of patient data for statistical purposes took an unreasonable amount of time and the access to patient data from other organizations was poor. Instead, a well-functioning feature of EHRs were electronic prescriptions. The factors, which hampered respondents\u2019 work, were constant or frequent time pressure, too little time to do their job properly and a stress caused by uncompleted tasks.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This study showed that the usability problems of EHRs were the slowness, unexpected downtimes and difficulties in obtaining patient data. Also, respondents felt very often a lack of time in their work. OH physicians\u2019 work is best supported by EHRs that consider their specific role in healthcare, i.e. the assessment of work ability, the co-ordination of care and rehabilitation and support for return to work.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/occmed\/kqaa138","type":"journal-article","created":{"date-parts":[[2020,7,15]],"date-time":"2020-07-15T19:11:07Z","timestamp":1594840267000},"page":"628-632","source":"Crossref","is-referenced-by-count":2,"title":["Occupational health physicians as users of electronic health records"],"prefix":"10.1093","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8696-434X","authenticated-orcid":false,"given":"S","family":"Nissinen","sequence":"first","affiliation":[{"name":"Department of Occupational Health, Finnish Institute of Occupational Health, Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Leino","sequence":"additional","affiliation":[{"name":"Department of Occupational Health, Finnish Institute of Occupational Health, Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Tarvainen","sequence":"additional","affiliation":[{"name":"Department of Occupational Health, Finnish Institute of Occupational Health, Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Soini","sequence":"additional","affiliation":[{"name":"Department of Occupational Health, Finnish Institute of Occupational Health, Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,8,5]]},"reference":[{"key":"2020123013295717400_CIT0001","first-page":"1","article-title":"Finland: health system review","volume":"21","author":"Keskimaki","year":"2019","journal-title":"Health Syst Transit"},{"key":"2020123013295717400_CIT0002","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1093\/jamiaopen\/ooy016","article-title":"The electronic elephant in the room: physicians and the electronic health record","volume":"1","author":"Kroth","year":"2018","journal-title":"JAMIA Open"},{"key":"2020123013295717400_CIT0003","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1016\/j.ijmedinf.2016.10.010","article-title":"Usability problems do not heal by themselves: national survey on physicians\u2019 experiences with EHRs in Finland","volume":"97","author":"Kaipio","year":"2017","journal-title":"Int J Med Inform"},{"key":"2020123013295717400_CIT0004","doi-asserted-by":"crossref","first-page":"833","DOI":"10.3399\/bjgp12X659312","article-title":"Optimal communication from occupational physicians to GPs","volume":"62","author":"Stern","year":"2012","journal-title":"Brit J Gen Pract"},{"key":"2020123013295717400_CIT0005","first-page":"7","article-title":"Survey on the use of electronic health records by occupational medicine physicians","volume":"30","author":"Triff","year":"2012","journal-title":"Appl Med Inform"},{"key":"2020123013295717400_CIT0006","first-page":"647","article-title":"Physicians\u2019 working conditions, health and working capacity","volume":"133","author":"Elovainio","year":"2017","journal-title":"Duodecim"},{"key":"2020123013295717400_CIT0007","doi-asserted-by":"crossref","first-page":"e12875","DOI":"10.2196\/12875","article-title":"Developing the national usability-focused health information system scale for physicians: validation study","volume":"21","author":"Hypp\u00f6nen","year":"2019","journal-title":"J Med Internet Res"},{"key":"2020123013295717400_CIT0008","article-title":"Physicians in Finland. Statistics on physicians and the health care system 2016","author":"Mets\u00e4aho","year":"2016","journal-title":"The Finnish Medical Association"},{"key":"2020123013295717400_CIT0009","first-page":"30","article-title":"Ty\u00f6hyvinvointi l\u00e4\u00e4k\u00e4rin ty\u00f6ss\u00e4 \u2013 systemaattinen kirjallisuuskatsaus ty\u00f6kykyjohtamisen tueksi terveydenhuollon organisaatioihin (Finnish text. Title translation: Well-being at the work of physicians - a systematic review to support work ability management in health care organisations)","volume":"53","author":"P\u00e4\u00e4talo","year":"2016","journal-title":"Sosiaalil\u00e4\u00e4ketieteellinen aikakauslehti"},{"key":"2020123013295717400_CIT0010","first-page":"1965","article-title":"Occupational\u2005health\u2005physicians\u2019\u2005experience\u2005with\u2005electronic\u2005patient\u2005records","volume":"33","author":"Nissinen","year":"2016","journal-title":"Suom L\u00e4\u00e4k\u00e4ril"}],"container-title":["Occupational Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/occmed\/article-pdf\/70\/9\/628\/35304381\/kqaa138.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/occmed\/article-pdf\/70\/9\/628\/35304381\/kqaa138.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,30]],"date-time":"2020-12-30T19:34:21Z","timestamp":1609356861000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/occmed\/article\/70\/9\/628\/5881262"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,5]]},"references-count":10,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2020,8,5]]},"published-print":{"date-parts":[[2020,12,30]]}},"URL":"https:\/\/doi.org\/10.1093\/occmed\/kqaa138","relation":{},"ISSN":["0962-7480","1471-8405"],"issn-type":[{"type":"print","value":"0962-7480"},{"type":"electronic","value":"1471-8405"}],"subject":[],"published-other":{"date-parts":[[2020,12,1]]},"published":{"date-parts":[[2020,8,5]]}}}