Variation in Support for Documentation Among Primary Care Physicians by Gender

Journal of the American Board of Family Medicine: JABFM

article

Lisa S. Rotenstein¹  Nate C. Apathy²  David W. Bates¹  Bruce Landon⁵ 

[1]Brigham and Women’s Hospital, Department of Medicine

[2]Wharton School, Leonard Davis Institute of Health Economics

[3]Perelman School of Medicine, Department of Medicine

[4]Department of Health Policy and Management

[5]Harvard Medical School, Department of Healthcare Policy

[6]Beth Israel Deaconess Medical Center, Department of Medicine

关键词: Cross-Sectional Studies;    Documentation;    Electronic Health Records;    Family Medicine;    Logistic Models;    Practice Management;    Primary Health Care;    Professional Burnout;    Women Physicians;    Workforce;   

DOI  :  10.3122/jabfm.2022.05.220071

学科分类：过敏症与临床免疫学

来源: The American Board of Family Medicine

【 摘 要 】

Background: There are known gender differences in both time spent on the electronic health record (EHR) and burnout. Previous studies have described potential benefits of staff support for documentation for physician experience and EHR time. It is not known, however, to what extent availability of staff support for documentation differs by gender in the context of primary care.Methods: This was a cross-sectional study of primary care physicians (PCPs) using data from the 2018 and 2019 National Electronic Health Records Survey administrations. After descriptively analyzing the prevalence of staff support for documentation, we used multivariable logistic regression to identify the adjusted relationship of staff support for documentation with gender.Results: Among the 813 physicians who endorsed having an EHR (92.5% of sample, representing 296,854 physicians), female PCPs were significantly less likely than male PCPs (25.1% vs 37.3%; P = .04) to report having staff support for documentation. This difference was most pronounced in practices with a single physician and practices with more than 50% of patients insured by Medicaid. Gender differences persisted in analyses adjusted for practice ownership and percent of patients insured by Medicaid.Conclusions: Given positive effects of documentation support and known gender differences in burnout and EHR use times, the differences identified have important implications for the physician workforce. Future research should focus on identifying underlying reasons and potential solutions for the gender differences described.

【 授权许可】

CC BY