The Impact of Medical Record Documentation on Healthcare Provider Productivity: (Review Artical)

Document Type : Original Article

Authors

KSA, National Guard Health Affairs

Abstract

Background: Physicians often characterize the electronic health record (EHR) as a burdensome obstacle to useful tasks, which has significant ramifications for physician welfare. Aim of Study: This systematic review evaluates the organi-zational, physician, and information technology characteristics that are linked to the effects of electronic health records (EHRs) on physician well-being. Additionally, it emphasizes the sug-
gested improvements to the design and functionality of EHRs, as advised by doctors working directly with them. Methods: A comprehensive search was conducted in the MEDLINE, Embase, CINAHL, PsycINFO, ProQuest, and Web of Science databases to identify literature that discusses the use of electronic health records (EHR) by doctors and indicators of their well-being. Results: After conducting a thorough analysis of 7388 ar-ticles, it was found that only 35 of them satisfied the predeter-mined criteria for inclusion. Various characteristics at different levels were linked to the well-being of doctors in relation to electronic health records (EHR). The predictors that may be influenced by interventions and are worth mentioning are: (1) the overall time spent on electronic health record (EHR) use, (2) The time spent on EHR outside regular working hours, (3) The availability of on-site assistance for EHR usage, (4) The perceived ease of use of the EHR system, (5) The amount of workload related to managing in-basket messages, and (6) the burden of documentation. Physician suggestions also reiterated these recurring ideas.
Conclusion: EHR-related well-being among doctors is in-fluenced by several intricate elements. Our analysis reveals that doctors provide suggestions that cover a wide range of topics, including government rules, organizational policies, and adjust-ments to electronic health records (EHR). Subsequent studies should evaluate comprehensive therapies that target these char-acteristics. Physicians, being the main stakeholders, should be included in the design and execution of these changes to ensure that they are compatible with their demands and clinical work-flows
 

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