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. 2022 May 1;182(5):564-566.
doi: 10.1001/jamainternmed.2022.0372.

Medical Documentation Burden Among US Office-Based Physicians in 2019: A National Study

Adam Gaffney  1   2 , Stephanie Woolhandler  1   2   3   4 , Christopher Cai  5 , David Bor  1   2 , Jessica Himmelstein  1   2 , Danny McCormick  1   2 , David U Himmelstein  1   2   3   4
Affiliations

Medical Documentation Burden Among US Office-Based Physicians in 2019: A National Study

Adam Gaffney et al. JAMA Intern Med. .

Abstract

This cross-sectional study uses data from the 2019 National Electronic Health Records Survey to assess the burden and time spent on medical documentation outside office hours among US physicians.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Gaffney reported serving as a leader of the Physicians for a National Health Program (PNHP), a nonprofit organization that favors coverage expansion through a single-payer program; he has not received compensation from PNHP, but some of his travel on behalf of the organization was previously reimbursed by it. His spouse is an employee of Treatment Action Group, a nonprofit research and policy think tank focused on HIV, tuberculosis, and hepatitis C treatment. Dr Woolhandler served as an unpaid policy adviser to Senators Bernie Sanders and Elizabeth Warren and cofounded PNHP but receives no financial compensation from the organization. Dr Cai reported receiving personal fees from the US House of Representatives, Office of Pramila Jayapal, as a summer health policy fellow and nonfinancial support from PNHP as a summer research intern and board member outside the submitted work. Dr J. Himmelstein reported receiving grants from the Institutional National Research Service outside the submitted work. No other disclosures were reported.

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References

    1. Downing NL, Bates DW, Longhurst CA. Physician burnout in the electronic health record era: are we ignoring the real cause? Ann Intern Med. 2018;169(1):50-51. doi:10.7326/M18-0139 - DOI - PubMed
    1. Kroth PJ, Morioka-Douglas N, Veres S, et al. . Association of electronic health record design and use factors with clinician stress and burnout. JAMA Netw Open. 2019;2(8):e199609. doi:10.1001/jamanetworkopen.2019.9609 - DOI - PMC - PubMed
    1. 2019 National Electronic Health Records Survey (NEHRS) public use file documentation. Centers for Disease Control & Prevention. May 6, 2021. Accessed September 22, 2021. https://www.cdc.gov/nchs/data/nehrs/NEHRS2019Doc-508.pdf
    1. Christopher AS, Smith CS, Tivis R, Wilper AP. Trends in United States physician work hours and career satisfaction. Am J Med. 2014;127(7):674-680. doi:10.1016/j.amjmed.2014.03.033 - DOI - PubMed
    1. Holmgren AJ, Downing NL, Bates DW, et al. . Assessment of electronic health record use between US and non-US health systems. JAMA Intern Med. 2021;181(2):251-259. doi:10.1001/jamainternmed.2020.7071 - DOI - PMC - PubMed