Physician stress and burnout: the impact of health information technology
Physician stress and burnout: the impact of health information technology
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DOI：
10.1093/jamia/ocy145
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发表时间：
2019-02-01
影响因子：
6.4
通讯作者：
Linzer, Mark
中科院分区：
文献类型：
--
作者：
Gardner, Rebekah L.;Cooper, Emily;Linzer, Mark
目的量化与健康信息技术（HIT）使用相关的压力如何预测医生的倦怠。方法2017年对罗得岛所有4197名执业医生的HIT使用情况进行了调查。我们的主要结果是自我报告的倦怠。HIT相关压力的存在被定义为报告以下至少一项：用于记录的时间差/边际时间，在家中花费在电子健康记录（EHR）上的时间中等偏高/过多，以及同意使用EHR增加日常挫折感。我们使用logistic回归评估每个HIT相关的压力措施和倦怠之间的关联，调整受访者的人口统计学，实践特点，和其他的压力measures.Results的1792名医生受访者（43%的响应率），26%的倦怠。在EHR用户（91%）中，70%的人报告了HIT相关的压力，其中以初级护理专业的患病率最高。调整后，报告记录时间差/边缘时间的医生有2.8倍的倦怠几率（95%CI：2.0-4.1; P
Objective To quantify how stress related to use of health information technology (HIT) predicts burnout among physicians.Methods All 4197 practicing physicians in Rhode Island were surveyed in 2017 on their HIT use. Our main outcome was self-reported burnout. The presence of HIT-related stress was defined by report of at least 1 of the following: poor/marginal time for documentation, moderately high/excessive time spent on the electronic health record (EHR) at home, and agreement that using an EHR adds to daily frustration. We used logistic regression to assess the association between each HIT-related stress measure and burnout, adjusting for respondent demographics, practice characteristics, and the other stress measures.Results Of the 1792 physician respondents (43% response rate), 26% reported burnout. Among EHR users (91%), 70% reported HIT-related stress, with the highest prevalence in primary care-oriented specialties. After adjustment, physicians reporting poor/marginal time for documentation had 2.8 times the odds of burnout (95% CI: 2.0-4.1; P