Team and Electronic Health Record Features and Burnout Among Family Physicians.

Importance: In the context of a growing volume of electronic health record (EHR)-based work and post-COVID-19 pandemic staffing pressures, health system leaders need an up-to-date understanding of changes in family physicians' experiences of burnout, determinants of burnout, and how to enhance the family physicians' experience.

Objective: To evaluate the association of family physicians' perceptions of team structure and EHR experiences with burnout and identify modifiable practice structure factors associated with team and EHR experiences.

Design, Setting, And Participants: A serial cross-sectional survey study was conducted from December 1, 2016, to October 24, 2023.

A machine learning technology for addressing medication-related risk in older, multimorbid patients.

Objectives: To evaluate the FeelBetter machine learning system's ability to accurately identify older patients with multimorbidity at Brigham and Women's Hospital at highest risk of medication-associated emergency department (ED) visits and hospitalizations, and to assess the system's ability to provide accurate medication recommendations for these patients.

Study Design: Retrospective cohort study.

Methods: The system uses medications, demographics, diagnoses, laboratory results, health care utilization patterns, and costs to stratify patients' risk of ED visits and hospitalizations.

Impact of response bias in three surveys on primary care providers' experiences with electronic health records.

Objective: To identify impacts of different survey methodologies assessing primary care physicians' (PCPs') experiences with electronic health records (EHRs), we compared three surveys: the 2022 Continuous Certification Questionnaire (CCQ) from the American Board of Family Medicine, the 2022 University of California San Francisco (UCSF) Physician Health IT Survey, and the 2021 National Electronic Health Records Survey (NEHRS).

Materials And Methods: We evaluated differences between survey pairs using Rao-Scott corrected chi-square tests, which account for weighting.

Results: CCQ received 3991 responses from PCPs (100% response rate), UCSF received 1375 (3.

Comparison of Hospital Mortality and Readmission Rates by Physician and Patient Sex.

Background: Little is known as to whether the effects of physician sex on patients' clinical outcomes vary by patient sex.

Objective: To examine whether the association between physician sex and hospital outcomes varied between female and male patients hospitalized with medical conditions.

Design: Retrospective observational study.

System-Level Factors and Time Spent on Electronic Health Records by Primary Care Physicians.

Importance: Primary care physicians (PCPs) spend the most time on the electronic health record (EHR) of any specialty. Thus, it is critical to understand what factors contribute to varying levels of PCP time spent on EHRs.

Objective: To characterize variation in EHR time across PCPs and primary care clinics, and to describe how specific PCP, patient panel, clinic, and team collaboration factors are associated with PCPs' time spent on EHRs.

Proportion Of Preventive Primary Care Visits Nearly Doubled, Especially Among Medicare Beneficiaries, 2001-19.

There is debate about the value of preventive visits in primary care, and multiple policy trends during the past fifteen years may have influenced the likelihood of US adults undergoing preventive primary care visits. Using nationally representative, serial cross-sectional data on adult visits to primary care physicians from the 2001-19 National Ambulatory Medical Care Survey, we characterized temporal trends in the proportion of primary care visits with a preventive focus and the differential characteristics of these visits. Based on a sample of 139,783 unweighted (5,902,144,258 weighted) US primary care visits, we found that the proportion of primary care visits with a preventive focus increased between 2001 and 2019 (12.

Trends in Scientific Collaboration Between Men and Women Following the #MeToo Movement.

Background: The #MeToo movement raised global awareness about harassment in the workplace. Concerns were raised, however, that the movement may have unintendedly harmed women in academia by decreasing collaboration invitations from men in senior positions, who might be more reluctant to collaborate.

Objective: To analyze whether collaborations between first author women and last author men decreased after the #MeToo movement.

Ctrl-C: a cross-sectional study of the electronic health record usage patterns of US oncology clinicians.

Despite some positive impact, the use of electronic health records (EHRs) has been associated with negative effects, such as emotional exhaustion. We sought to compare EHR use patterns for oncology vs nononcology medical specialists. In this cross-sectional study, we employed EHR usage data for 349 ambulatory health-care systems nationwide collected from the vendor Epic from January to August 2019.

Comparison of Work Patterns Between Physicians and Advanced Practice Practitioners in Primary Care and Specialty Practice Settings.

Importance: Despite the increasing involvement of advanced practice practitioners (APPs; ie, nurse practitioners and physician assistants) in care delivery across specialties, the work patterns of APPs compared with physicians and how they are integrated into care teams have not been well characterized.

Objective: To characterize differences between physicians and APPs across specialty types related to days with appointments, visit types seen, and time spent using the electronic health record (EHR).

Design, Setting, And Participants: This nationwide, cross-sectional study used EHR data from physicians and APPs (ie, nurse practitioners and physician assistants) at all US institutions that used Epic Systems' EHR between January and May 2021.

Association of Clinician Practice Ownership With Ability of Primary Care Practices to Improve Quality Without Increasing Burnout.

Importance: Work environments and practice structural features are associated with both burnout and the ability of practices to enhance quality of care.

Objective: To characterize factors associated with primary care practices successfully improving quality scores without increasing clinician and staff burnout.

Design, Setting, And Participants: This cross-sectional study assessed small- to medium-sized primary care practices that participated in the EvidenceNOW: Advancing Heart Health initiative using surveys that were administered at baseline (September 2015 to April 2017) and after the intervention (January 2017 to October 2018).

The Association of Work Overload with Burnout and Intent to Leave the Job Across the Healthcare Workforce During COVID-19.

Background: Burnout has risen across healthcare workers during the pandemic, contributing to workforce turnover. While prior literature has largely focused on physicians and nurses, there is a need to better characterize and identify actionable predictors of burnout and work intentions across healthcare role types.

Objective: To characterize the association of work overload with rates of burnout and intent to leave (ITL) the job in a large national sample of healthcare workers.

Variation in Family Physicians' Experiences Across Different Electronic Health Record Platforms: a Descriptive Study.

Background: Electronic health records (EHRs) have been connected to excessive workload and physician burnout. Little is known about variation in physician experience with different EHRs, however.

Objective: To analyze variation in reported usability and satisfaction across EHRs.

Adult Primary Care Physician Visits Increasingly Address Mental Health Concerns.

A high prevalence of mental health diagnoses in adults alongside ongoing shortages of mental health specialists and expansion of the patient-centered medical home have increased the involvement of primary care clinicians in treating mental health concerns. Using nationally representative serial cross-sectional data from the 2006-18 National Ambulatory Medical Care Surveys regarding visits to outpatient primary care physicians by patients ages eighteen and older, we sought to characterize temporal trends in primary care visits addressing a mental health concern. Based on a sample of 109,898 visits representing 3,891,233,060 weighted visits, we found that the proportion of visits that addressed mental health concerns increased from 10.

Physician Note Composition Patterns and Time on the EHR Across Specialty Types: a National, Cross-sectional Study.

Background: The burden of clinical documentation in electronic health records (EHRs) has been associated with physician burnout. Numerous tools (e.g.

Association Between Electronic Health Record Time and Quality of Care Metrics in Primary Care.

Importance: Physicians across the US spend substantial time working in the electronic health record (EHR), with primary care physicians (PCPs) spending the most time. The association between EHR time and ambulatory care quality outcomes is unclear.

Objective: To characterize measures of EHR use and ambulatory care quality performance among PCPs.

Variation in Support for Documentation Among Primary Care Physicians by Gender.

METHODS: RESULTS: CONCLUSIONS: