Skip to main content
. 2022 Mar 31;24(3):e36200. doi: 10.2196/36200

Table 3.

Summary of the analysis, sorted most recent to oldest.

Authors Patient satisfaction themes Barrier themes Facilitator themes
Hu et al [24] EHRa time in clinic negatively affects patient satisfaction; patient dissatisfaction negatively affects doctor-patient relationship; patient dissatisfaction negatively affects physician burnout. Not reported Exercise relieves symptoms of burnout; annual vacation relieves symptoms of burnout.
Rialon et al [25] Not reported Excessive hours spent in the EHR affect work-life balance, excessive hours spent in the EHR exacerbates symptoms of physician burnout, administrative time in the EHR takes time away from clinic and patients. Focus on mission of care relieves symptoms of burnout.
Giess et al [27] Not reported EHR does not help coordinate care. Not reported
Kinslow et al [28] Not reported Excessive hours spent in the EHR exacerbate symptoms of physician burnout. Small group sessions
Anderson et al [26] Not reported Excessive hours spent in the EHR exacerbate symptoms of physician burnout. Not reported
Khairat et al [11] Not reported EHR must undergo redesign, high number of clicks per process is inefficient. Not reported
Murphy et al [31] Not reported The administrative overhead of the EHR is not conducive to efficient workflow, excessive hours spent in the EHR affect work-life balance, administrative overhead of the EHR is not conducive to efficient workflow. Local customization (eg, templates, menus) improves efficiency, localized workflow redesign relieves symptoms of burnout.
Tran et al [34] Not reported Excessive hours spent in the EHR exacerbate symptoms of physician burnout. Not reported
Gardner et al [29] Not reported Administrative time in the EHR takes time away from clinic and patients, excessive hours spent in the EHR affect work-life balance. Not reported
Kroth et al [30] Not reported EHR must undergo redesign, excessive hours spent in the EHR exacerbate symptoms of physician burnout, high number of clicks per process is inefficient, administrative time in the EHR takes time away from clinic and patients, excessive hours spent in the EHR affect work-life balance. Not reported
Sieja et al [33] Not reported Administrative overhead of the EHR is not conducive to efficient workflow. Local customization (eg, templates, menus) improves efficiency.
Quinn et al [32] Not reported EHR reliability and speed, some patient information is not available due to lack of interoperability, EHR must undergo redesign. Training increases efficiency.
Robinson and Kersey [41] Not reported EHR training takes time away from the clinic. Institutional endorsement of EHR increases user acceptance of EHR, training increases efficiency.
Pozdnyakova et al [40] Patient satisfaction not affected by scribe or physician partner in clinic during exam Some patients do not like scribes or physician partners in the exam room, excessive hours spent in the EHR exacerbate symptoms of physician burnout. Presence of scribe or physician partner relieves symptoms of burnout, localized workflow redesign relieves symptoms of burnout.
Marmor et al [39] Time of day affects patient satisfaction more than time spent with patient. Excessive hours spent in the EHR exacerbate symptoms of physician burnout. Localized workflow redesign relieves symptoms of burnout.
Denton et al [35] Not reported EHR must undergo redesign, high number of clicks per process is inefficient, administrative overhead of the EHR is not conducive to efficient workflow. EHR increases safety, decreases admission decision time, and decreases length of stay.
Kroth et al [38] Not reported EHR must undergo redesign, EHR reliability and speed, some patient information is not available due to lack of interoperability, administrative overhead of the EHR is not conducive to efficient workflow. Training increases efficiency, presence of scribe or physician partner relieves symptoms of burnout.
Hauer et al [36] Not reported EHR must undergo redesign, lack of supporting practice environment, EHR creates a loss of autonomy, excessive hours spent in the EHR affects work-life balance. Not reported
Young et al [42] Not reported Administrative time in the EHR takes time away from clinic and patients. Not reported
Khairat et al [37] Not reported EHR must undergo redesign, EHR reliability and speed. Not reported
Arndt et al [47] Not reported EHR must undergo redesign, excessive hours spent in the EHR affect work-life balance, administrative overhead of the EHR is not conducive to efficient workflow. Not reported
Shahmoradi et al [44] Not reported EHR reliability and speed, excessive hours spent in the EHR exacerbate symptoms of physician burnout, some patient information is not available due to lack of interoperability, administrative overhead of the EHR is not conducive to efficient workflow, EHR investment inhibits short-term profit, EHR must undergo redesign, no standardized vocabulary. EHR enables rapid access to information, decreases duplicate testing, increases speed of delivery of care, increases accuracy of documentation, increases safety, enables computerized analysis and interpretation of data.
Gregory et al [43] Not reported EHR must undergo redesign, administrative overhead of the EHR is not conducive to efficient workflow. Not reported
Jamoom et al [45] Not reported Not reported Level of physician experience with EHR increases perceived usefulness of EHR
Reuben et al [46] Patient satisfaction not affected by scribe or physician partner in clinic during exam Scribes or physician partners cost more money. Presence of scribe or physician partner relieves symptoms of burnout.

aEHR: electronic health record.