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Can informatics innovation help mitigate clinician burnout?

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Suzanne Bakken
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Journal of the American Medical Informatics Association, Volume 26, Issue 2, February 2019, Pages 93–94,https://doi.org/10.1093/jamia/ocy186
Published:
19 January 2019
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In a recentAnnals of Internal Medicine opinion piece, Downing et al1 argued that while physicians may identify the electronic health record (EHR) as a source of dissatisfaction and burnout, the real culprit is the documentation burden caused by regulations related to billing and reimbursement rather than the EHR itself and that improvements in informatics platform alone are insufficient to solve the issue. They support this argument by comparing physician documentation burden and EHR satisfaction in the United States with other countries such as Australia, the Netherlands, Singapore, and Denmark, many of whom have implemented an EHR that is also widely implemented in ambulatory care in the United States. These comparisons suggest that documentation burden is lower and EHR satisfaction is higher. Of course, physicians are only 1 user of the EHR. While there is a large body of literature on nurse burnout, studies related to nursing and the EHR have focused primarily on lack of features and functions to meet nursing needs.2 Burnout has been studied in advanced practice registered nurses who use the EHR similarly to physicians in the ambulatory care setting. A survey conducted by Harris et al3 in Rhode Island found that among advanced practice registered nurses using EHRs, insufficient time for documentation and the EHR adding to daily frustration were significant predictors of burnout. There is little literature on EHR-related burnout for other healthcare professionals such as dentists, pharmacists, medical social workers, and physical therapists.

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Journal of the American Medical Informatics Association
  • Online ISSN 1527-974X
  • Copyright © 2025 American Medical Informatics Association
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