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Record W2808836420 · doi:10.5430/jha.v7n4p52

Physicians’ electronic health records use at home, job satisfaction, job stress and burnout

2018· article· en· W2808836420 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

venuePublished in a venue whose home country is Canada.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueJournal of Hospital Administration · 2018
Typearticle
Languageen
FieldHealth Professions
TopicElectronic Health Records Systems
Canadian institutionsnot available
Fundersnot available
KeywordsBurnoutJob satisfactionDocumentationJob stressPhoneMedicineNursingPsychological interventionFamily medicineHealth careOddsPsychologyClinical psychologyLogistic regressionSocial psychology

Abstract

fetched live from OpenAlex

Objective: To determine how electronic health record (EHR) use at home impacts physician job satisfaction, job stress and burnout.Methods: This study looks at survey responses from 1,048 physicians in New York in 2016 to see how time spent on EHRs at home affected physician’s job satisfaction, job stress and burnout.Results: Accounting for demographic and practice values, physicians’ moderately high to excessive time spent on EHRs at home did not significantly affect job satisfaction but did significantly increase their odds of experiencing job stress by 50% and burnout by 46%. However, length and degree of documentation requirements and extension of work life into home by means of e-mail, completion of records and phone calls significantly correlated to decreased job satisfaction and increased job stress and likelihood of burnout.Conclusions: Although technology allows for physicians to work on electronic devices in various locations, healthcare administrators, policy makers and physicians alike should be aware of negative implications of excessive EHR use, documentation completion, e-mails and phone calls at home. Greater attention is needed on the human factors in the delivery of care and the importance of joy in the practice of medicine. Suggestions for organizational interventions are discussed.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.028
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.025
GPT teacher head0.372
Teacher spread0.347 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it