Cargando…

Association of physician burnout with perceived EHR work stress and potentially actionable factors

OBJECTIVE: Physicians of all specialties experienced unprecedented stressors during the COVID-19 pandemic, exacerbating preexisting burnout. We examine burnout’s association with perceived and actionable electronic health record (EHR) workload factors and personal, professional, and organizational c...

Descripción completa

Detalles Bibliográficos
Autores principales: Tai-Seale, Ming, Baxter, Sally, Millen, Marlene, Cheung, Michael, Zisook, Sidney, Çelebi, Julie, Polston, Gregory, Sun, Bryan, Gross, Erin, Helsten, Teresa, Rosen, Rebecca, Clay, Brian, Sinsky, Christine, Ziedonis, Douglas M, Longhurst, Christopher A, Savides, Thomas J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10531111/
https://www.ncbi.nlm.nih.gov/pubmed/37475168
http://dx.doi.org/10.1093/jamia/ocad136
_version_ 1785111642393018368
author Tai-Seale, Ming
Baxter, Sally
Millen, Marlene
Cheung, Michael
Zisook, Sidney
Çelebi, Julie
Polston, Gregory
Sun, Bryan
Gross, Erin
Helsten, Teresa
Rosen, Rebecca
Clay, Brian
Sinsky, Christine
Ziedonis, Douglas M
Longhurst, Christopher A
Savides, Thomas J
author_facet Tai-Seale, Ming
Baxter, Sally
Millen, Marlene
Cheung, Michael
Zisook, Sidney
Çelebi, Julie
Polston, Gregory
Sun, Bryan
Gross, Erin
Helsten, Teresa
Rosen, Rebecca
Clay, Brian
Sinsky, Christine
Ziedonis, Douglas M
Longhurst, Christopher A
Savides, Thomas J
author_sort Tai-Seale, Ming
collection PubMed
description OBJECTIVE: Physicians of all specialties experienced unprecedented stressors during the COVID-19 pandemic, exacerbating preexisting burnout. We examine burnout’s association with perceived and actionable electronic health record (EHR) workload factors and personal, professional, and organizational characteristics with the goal of identifying levers that can be targeted to address burnout. MATERIALS AND METHODS: Survey of physicians of all specialties in an academic health center, using a standard measure of burnout, self-reported EHR work stress, and EHR-based work assessed by the number of messages regarding prescription reauthorization and use of a staff pool to triage messages. Descriptive and multivariable regression analyses examined the relationship among burnout, perceived EHR work stress, and actionable EHR work factors. RESULTS: Of 1038 eligible physicians, 627 responded (60% response rate), 49.8% reported burnout symptoms. Logistic regression analysis suggests that higher odds of burnout are associated with physicians feeling higher level of EHR stress (odds ratio [OR], 1.15; 95% confidence interval [CI], 1.07–1.25), having more prescription reauthorization messages (OR, 1.23; 95% CI, 1.04–1.47), not feeling valued (OR, 3.38; 95% CI, 1.69–7.22) or aligned in values with clinic leaders (OR, 2.81; 95% CI, 1.87–4.27), in medical practice for ≤15 years (OR, 2.57; 95% CI, 1.63–4.12), and sleeping for <6 h/night (OR, 1.73; 95% CI, 1.12–2.67). DISCUSSION: Perceived EHR stress and prescription reauthorization messages are significantly associated with burnout, as are non-EHR factors such as not feeling valued or aligned in values with clinic leaders. Younger physicians need more support. CONCLUSION: A multipronged approach targeting actionable levers and supporting young physicians is needed to implement sustainable improvements in physician well-being.
format Online
Article
Text
id pubmed-10531111
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-105311112023-09-28 Association of physician burnout with perceived EHR work stress and potentially actionable factors Tai-Seale, Ming Baxter, Sally Millen, Marlene Cheung, Michael Zisook, Sidney Çelebi, Julie Polston, Gregory Sun, Bryan Gross, Erin Helsten, Teresa Rosen, Rebecca Clay, Brian Sinsky, Christine Ziedonis, Douglas M Longhurst, Christopher A Savides, Thomas J J Am Med Inform Assoc Research and Applications OBJECTIVE: Physicians of all specialties experienced unprecedented stressors during the COVID-19 pandemic, exacerbating preexisting burnout. We examine burnout’s association with perceived and actionable electronic health record (EHR) workload factors and personal, professional, and organizational characteristics with the goal of identifying levers that can be targeted to address burnout. MATERIALS AND METHODS: Survey of physicians of all specialties in an academic health center, using a standard measure of burnout, self-reported EHR work stress, and EHR-based work assessed by the number of messages regarding prescription reauthorization and use of a staff pool to triage messages. Descriptive and multivariable regression analyses examined the relationship among burnout, perceived EHR work stress, and actionable EHR work factors. RESULTS: Of 1038 eligible physicians, 627 responded (60% response rate), 49.8% reported burnout symptoms. Logistic regression analysis suggests that higher odds of burnout are associated with physicians feeling higher level of EHR stress (odds ratio [OR], 1.15; 95% confidence interval [CI], 1.07–1.25), having more prescription reauthorization messages (OR, 1.23; 95% CI, 1.04–1.47), not feeling valued (OR, 3.38; 95% CI, 1.69–7.22) or aligned in values with clinic leaders (OR, 2.81; 95% CI, 1.87–4.27), in medical practice for ≤15 years (OR, 2.57; 95% CI, 1.63–4.12), and sleeping for <6 h/night (OR, 1.73; 95% CI, 1.12–2.67). DISCUSSION: Perceived EHR stress and prescription reauthorization messages are significantly associated with burnout, as are non-EHR factors such as not feeling valued or aligned in values with clinic leaders. Younger physicians need more support. CONCLUSION: A multipronged approach targeting actionable levers and supporting young physicians is needed to implement sustainable improvements in physician well-being. Oxford University Press 2023-07-20 /pmc/articles/PMC10531111/ /pubmed/37475168 http://dx.doi.org/10.1093/jamia/ocad136 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the American Medical Informatics Association. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research and Applications
Tai-Seale, Ming
Baxter, Sally
Millen, Marlene
Cheung, Michael
Zisook, Sidney
Çelebi, Julie
Polston, Gregory
Sun, Bryan
Gross, Erin
Helsten, Teresa
Rosen, Rebecca
Clay, Brian
Sinsky, Christine
Ziedonis, Douglas M
Longhurst, Christopher A
Savides, Thomas J
Association of physician burnout with perceived EHR work stress and potentially actionable factors
title Association of physician burnout with perceived EHR work stress and potentially actionable factors
title_full Association of physician burnout with perceived EHR work stress and potentially actionable factors
title_fullStr Association of physician burnout with perceived EHR work stress and potentially actionable factors
title_full_unstemmed Association of physician burnout with perceived EHR work stress and potentially actionable factors
title_short Association of physician burnout with perceived EHR work stress and potentially actionable factors
title_sort association of physician burnout with perceived ehr work stress and potentially actionable factors
topic Research and Applications
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10531111/
https://www.ncbi.nlm.nih.gov/pubmed/37475168
http://dx.doi.org/10.1093/jamia/ocad136
work_keys_str_mv AT taisealeming associationofphysicianburnoutwithperceivedehrworkstressandpotentiallyactionablefactors
AT baxtersally associationofphysicianburnoutwithperceivedehrworkstressandpotentiallyactionablefactors
AT millenmarlene associationofphysicianburnoutwithperceivedehrworkstressandpotentiallyactionablefactors
AT cheungmichael associationofphysicianburnoutwithperceivedehrworkstressandpotentiallyactionablefactors
AT zisooksidney associationofphysicianburnoutwithperceivedehrworkstressandpotentiallyactionablefactors
AT celebijulie associationofphysicianburnoutwithperceivedehrworkstressandpotentiallyactionablefactors
AT polstongregory associationofphysicianburnoutwithperceivedehrworkstressandpotentiallyactionablefactors
AT sunbryan associationofphysicianburnoutwithperceivedehrworkstressandpotentiallyactionablefactors
AT grosserin associationofphysicianburnoutwithperceivedehrworkstressandpotentiallyactionablefactors
AT helstenteresa associationofphysicianburnoutwithperceivedehrworkstressandpotentiallyactionablefactors
AT rosenrebecca associationofphysicianburnoutwithperceivedehrworkstressandpotentiallyactionablefactors
AT claybrian associationofphysicianburnoutwithperceivedehrworkstressandpotentiallyactionablefactors
AT sinskychristine associationofphysicianburnoutwithperceivedehrworkstressandpotentiallyactionablefactors
AT ziedonisdouglasm associationofphysicianburnoutwithperceivedehrworkstressandpotentiallyactionablefactors
AT longhurstchristophera associationofphysicianburnoutwithperceivedehrworkstressandpotentiallyactionablefactors
AT savidesthomasj associationofphysicianburnoutwithperceivedehrworkstressandpotentiallyactionablefactors