Table 1:
Specific Stressors mentioned by ASSH members.
| Number of Mentions | |
|---|---|
| EHR / EMR / IT Issues (Net) | |
| Difficulties with EMR / EHRs | 63 |
| Needing to take care of EHR/EMR documentation before / after shift | 14 |
| Would like access to different documentation methods | 7 |
| Need to use EHR / EMR to satisfy billing goals | 6 |
| Would like to improve EMR utilization | 5 |
| Billing / costs management (Net) | |
| Poor / decreasing reimbursement | 48 |
| Scheduling / Time Issues (Net) | |
| EHR/EMR documentation takes too long | 41 |
| Insurance / Regulatory / Policy Stresses (Net) | |
| Insurance policy / requirements / restrictions | 30 |
| Government policy / requirements / restrictions | 19 |
| Malpractice claims | 7 |
| Tort reform | 4 |
| Workload Issues (Net) | |
| Eliminate overnight call / On call | 22 |
| Unrealistic / improper goals set for number of patients seen / too many patients | 12 |
| Support / Management Issues (Net) | |
| Lack of independence / ability to make own decisions | 19 |
| Not enough administrative support / would like more support staff | 10 |
| Management / administration prioritizes profits over patients | 7 |
| Quality of Patient Care (Net) | |
| Poor quality of care / Not providing quality of care | 17 |
| Communication Issues (Net) | |
| Difficulties with patient / family communication | 9 |
| Eliminate / disregard patient satisfaction surveys | 7 |
| Quality of Work Environment Issues (Net) | |
| Poor compensation | 8 |
| Not enough opportunities for / recognition of / support for research | 6 |
| Poor work / life balance | 5 |
| Additional Stresses (Net) | |
| Leave medicine | 21 |
| Increase ASSH advocacy / ASSH should do more | 21 |
| Board certification process | 12 |
| Increase AMA advocacy / AMA should do more | 5 |
| Nothing can be done / part of the job | 8 |
| None / no stresses | 10 |
| Don't know | 4 |