Branford Greta L, Bucala Matthew D, Hepper Amy, Hadeed Nicole M, Northway Rebecca M, Brenner Michael J
Department of Internal Medicine, Division of General Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.
Division of General Medicine, University of Michigan Medical Center, Ann Arbor, MI, USA.
J Gen Intern Med. 2025 May 29. doi: 10.1007/s11606-025-09629-w.
Gender disparities in emotional exhaustion and burnout are well-recognized, but few studies have assessed gender differences in EHR patient portal workload and implications for clinician well-being.
To investigate gender differences in EHR in basket activity, workload, and burnout among physicians.
Observational analysis of EHR usage data and survey responses.
406 physicians (43.1% men, 56.9% women) at a large academic medical center.
Time spent on EHR activities, including in basket tasks, orders, and notes. Survey responses were collected on factors contributing to burnout, experiences with patient portal messages, and perceptions of EHR usability.
Women physicians spent significantly more time on orders (34.00 vs 28.39 min/day, p = 0.004) and notes (70.38 vs 53.17 min/day, p = 0.004) than men physicians. Women physicians were more likely to report that patient portal messages required more clinical assessment (OR = 1.60, 95% CI: 1.05-2.45, p = 0.0297) and contributed to burnout (OR = 1.76, 95% CI: 1.12-2.79, p = 0.0152). They were also more likely to receive negative messages from patients (OR = 1.61, 95% CI: 1.08-2.42, p = 0.0204). Interestingly, women physicians found EHR systems easier to learn (OR = 2.03, 95% CI: 1.37-3.02, p < .0001) and were less likely to feel EHRs inhibited quality care (OR = 0.57, 95% CI: 0.43-0.74, p < .0001) compared to men physicians.
Gender disparities exist in EHR usage and patient communication, and these disparities are associated with increased burnout risk among women physicians. Effective leadership engagement is essential for optimizing EHR workflows, promoting equitable work practices, and implementing flexible work provisions that ensure safe and sustainable care delivery.
情绪耗竭和职业倦怠中的性别差异已得到广泛认可，但很少有研究评估电子健康记录（EHR）患者门户工作量中的性别差异及其对临床医生幸福感的影响。
调查医生在EHR待办事项活动、工作量和职业倦怠方面的性别差异。
对EHR使用数据和调查回复进行观察性分析。
一家大型学术医疗中心的406名医生（男性占43.1%，女性占56.9%）。
花在EHR活动上的时间，包括待办事项任务、医嘱和记录。收集关于导致职业倦怠的因素、患者门户消息的体验以及对EHR可用性的看法的调查回复。
女医生在医嘱（34.00分钟/天对28.39分钟/天，p = 0.004）和记录（70.38分钟/天对53.17分钟/天，p = 0.004）上花费的时间明显多于男医生。女医生更有可能报告患者门户消息需要更多临床评估（比值比[OR]=1.60，95%置信区间[CI]：1.05 - 2.45，p = 0.0297）且会导致职业倦怠（OR = 1.76，95% CI：1.12 - 2.79，p = 0.0152）。她们也更有可能收到患者的负面消息（OR = 1.61，95% CI：1.08 - 2.42，p = 0.0204）。有趣的是，与男医生相比，女医生发现EHR系统更容易学习（OR = 2.03，95% CI：1.37 - 3.02，p < 0.0001），并且感觉EHR阻碍优质护理的可能性更小（OR = 0.57，95% CI：0.43 - 0.74，p < 0.0001）。
在EHR使用和患者沟通方面存在性别差异，这些差异与女医生职业倦怠风险增加有关。有效的领导参与对于优化EHR工作流程、促进公平的工作实践以及实施确保安全和可持续护理提供的灵活工作安排至关重要。
