Electronic Health Record Use During Paid Time Off Among Primary Care Physicians

Electronic Health Record Use During Paid Time Off Among Primary Care Physicians

Burnout is increasingly prevalent among primary care physicians (PCPs) and is linked to electronic health record (EHR) use.Thus, the importance of organizational efforts to support fully disengaging from work-related activities during vacation could enhance patient care quality and reduce costs.However, a national survey of 3024 physicians across specialties between 2020 and 2021 found that 70.4% worked during vacation days. Additionally, 59.6% reported taking 15 or fewer vacation days in the previous year. Physicians cited finding clinical coverage, financial impact, and EHR inbox volume as barriers to taking vacations. Building on these findings, our study uses objective EHR data to quantitatively assess PCPs’ work during paid time off (PTO).

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This cohort study found that PCPs often engage in EHR activities during PTO, particularly at the start and end of longer vacations, reflecting challenges in fully disconnecting from work. Longer PTO blocks were associated with reduced EHR use, suggesting that extended vacations enable better disengagement. Notably, no significant differences in EHR use were observed between academic and community physicians despite differing workloads.


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