Table 1. Factors associated with pediatrician work–life balance and satisfaction: results of multivariable logistic regression models.
| Adjusted odds ratio (aOR), 95% confidence interval (CI) | |||||
|---|---|---|---|---|---|
| Work–life balance | Satisfaction | ||||
| Very or moderately stressed balancing work and personal responsibilities | Daily work at home as part of job (e.g., patient charting) | Very satisfied or satisfied with time for personal interests/hobbies | Strongly agreed or agreed career as physician is satisfying | Very or completely satisfied with life overall | |
| EHR documentation burden | |||||
| Minor or no burden | Reference | Reference | Reference | Reference | Reference |
| Major or moderate burden | 3.79, 2.76–5.19 | 3.05, 2.08–4.47 | 0.43, 0.32–0.59 | 0.63, 0.41–0.98 | 0.49, 0.35–0.69 |
| Level of input in decisions regarding EHR | |||||
| Minor or no input | Reference | Reference | Reference | Reference | Reference |
| Major or moderate input | 0.87, 0.62–1.21 | 1.27, 0.89–1.81 | 0.92, 0.65–1.31 | 1.19, 0.76–1.89 | 1.25, 0.88–1.76 |
| Study cohort | |||||
| Between 2002 and 2004 Residency Graduates | Reference | Reference | Reference | Reference | Reference |
| Between 2009 and 2011 Residency Graduates | 1.57, 1.20–2.06 | 0.80, 0.60–1.06 | 0.72, 0.54–0.95 | 1.01, 0.71–1.45 | 0.79, 0.60–1.04 |
| Sex | |||||
| Male | Reference | Reference | Reference | Reference | Reference |
| Female | 1.55, 1.14–2.11 | 1.35, 0.97–1.89 | 0.66, 0.48–0.92 | 0.76, 0.50–1.16 | 0.80, 0.58–1.09 |
| Race and ethnicity | |||||
| White, not Hispanic | Reference | Reference | Reference | Reference | Reference |
| Hispanic | 1.47, 0.90–2.39 | 0.89, 0.53–1.50 | 0.91, 0.55–1.52 | 1.59, 0.77–3.29 | 1.54, 0.92–2.58 |
| Black or African American | 1.89, 0.98–3.61 | 0.98 0.48–1.99 | 1.13, 0.59–2.15 | 4.01, 1.05–15.37 | 0.58, 0.31–1.08 |
| Asian | 0.94, 0.65–1.35 | 1.45, 0.99–2.13 | 0.81, 0.55–1.19 | 0.83, 0.52–1.31 | 0.79, 0.55–1.14 |
| Other | 0.86, 0.33–2.29 | 0.56, 0.17–1.81 | 0.89, 0.32–2.51 | 2.06, 0.44–9.72 | 1.29, 0.46–3.61 |
| Medical school location | |||||
| United States or Canada | Reference | Reference | Reference | Reference | Reference |
| Outside United States or Canada | 0.68, 0.48–0.97 | 0.75, 0.51–1.11 | 1.21, 0.84–1.73 | 1.55, 0.92–2.59 | 0.67, 0.47–0.96 |
| Married | |||||
| No | Reference | Reference | Reference | Reference | Reference |
| Yes | 1.30, 0.81–2.09 | 1.75, 1.03–2.99 | 0.68, 0.42–1.10 | 0.78, 0.41–1.49 | 1.39, 0.87–2.23 |
| Have children | |||||
| No | Reference | Reference | Reference | Reference | Reference |
| Yes | 1.42, 0.90–2.23 | 0.65, 0.40–1.04 | 0.34, 0.22–0.53 | 1.43, 0.80–2.54 | 1.51, 0.97–2.37 |
| Career specialty | |||||
| Generalist | Reference | Reference | Reference | Reference | Reference |
| Subspecialist | 1.65, 1.21–2.25 | 1.30, 0.93–1.83 | 0.77, 0.56–1.06 | 1.21, 0.80–1.82 | 1.06, 0.77–1.45 |
| Hospitalist | 1.50, 0.93–2.41 | 2.01, 1.23–3.29 | 0.64, 0.38–1.06 | 1.01, 0.55–1.84 | 1.41, 0.86–2.31 |
| Full or part owner | |||||
| No (employee or other) | Reference | Reference | Reference | Reference | Reference |
| Yes | 1.07, 0.72–1.61 | 1.11, 0.72–1.72 | 0.99, 0.65–1.31 | 1.56, 0.87–2.82 | 1.47, 0.95–2.27 |
| Work hours | |||||
| Full-time | Reference | Reference | Reference | Reference | Reference |
| Part-time | 0.61, 0.43–0.88 | 1.18, 0.81–1.71 | 1.86, 1.28–2.71 | 0.83, 0.53–1.29 | 0.95, 0.67–1.37 |
Abbreviation: EHR, electronic health record.