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health-informatics

Do EHRs feed physician burnout?

Tajirian T, Stergiopoulos V, Strudwick G, et al. · Journal of medical Internet research · 2020

Open access · cc by · source: Europe PMC

Among 208 respondents, ~26% of physicians reported burnout symptoms and 74.5% of those with symptoms blamed the EHR; logs showed large overestimates vs self-reported EHR time.

Study at a glance

Design
Cross-sectional — Survey of physicians/learners plus EHR back-end usage logs at a Canadian academic mental health hospital
N
N=208 · 176 physicians + 32 learners; survey sent to 474
Population
Physicians, residents, and fellows at a large Canadian academic mental health hospital
Outcome
Burnout symptoms and perceived EHR contribution; log vs self-report time discrepancies

Structured fields used in claim comparison tables when every cited study has a complete layer.

Key findings

25.6% of physicians and 19% of learners reported ≥1 burnout symptom; 74.5% of respondents with symptoms identified the EHR as a contributor. Lower satisfaction/higher frustration linked to perceiving EHR-driven burnout. Logs overestimated time/patient by 13.6 min and after-hours EHR time by 5.63 hours vs self-report.

Methodology

Cross-sectional survey (May–June 2019) of physicians and learners plus administrative EHR usage logs at a Canadian academic mental health hospital; tested associations between EHR factors and burnout.

Limitations

Single-site cross-section cannot prove EHRs cause burnout or that any redesign would reduce it; self-report and log metrics both have measurement error.

How this study connects

Role on claims

Each row is a claim on a concept or method page where this paper supports, challenges, or qualifies the statement. Roles are hand-checked — not a model guess.

  • QualifiesPatient-centered careconcept

    Communication skills training can improve health literacy–related medical outcomes.

    Physician communication training improves health literacy and medical outcomes in the cited interventional evaluation.

    Scope note — EHR burnout is a system constraint on PCC delivery

    Limits the claim's scope: a different population, assay, or outcome.

  • SupportsPatient-centered careconcept

    PCC/co-creation associated with satisfaction vs EHR use associated with physician burnout

    Evidence for the claim as stated.

Open questions

Tensions this paper is part of

From concept pages' “where studies disagree.” Disagreement means the same question; scope means different assays, populations, or outcomes.

Related papers in this topic

Same topic cluster — not a recommendation engine.