Table 7.

Barriers to the electronic health record (EHR) and physician burnout.

Barrier theme or observation	Reference(s)	Frequency, n
EHR must undergo redesign	[11,30,32,35-38,43,44,47]a	12
Excessive hours spent in the EHR exacerbate symptoms of physician burnout	[25,26,28,30,34,39,40,44]	8
The administrative overhead of the EHR is not conducive to efficient workflow	[31,33,35,38,43,44,47]a	8
Excessive hours spent in the EHR affect work-life balance	[25,29-31,36,47]	6
EHR reliability and speed	[32,37,38,44]	4
Administrative time in the EHR takes time away from clinic and patients	[25,29,30,42]	4
Some patient information is not available due to lack of interoperability	[32,38,44]	3
High number of clicks per process is inefficient	[11,30,35]	3
EHR creates a loss of autonomy	[25,36]	2
EHR does not help coordinate care	[27]	1
Some patients do not like scribes or physician partners in the exam room	[40]	1
EHR training takes time away from clinic	[41]	1
Scribes or physician partners cost more money	[46]	1
Lack of supporting practice environment	[36]	1
No standardized vocabulary	[44]	1
EHR investment inhibits short-term profit	[44]	1
Not reported	[24,45]	2

^aMultiple occurrences observed in one study.