{"id":"https://openalex.org/W2782253498","doi":"https://doi.org/10.1055/s-0037-1620263","title":"The Impact of Physician EHR Usage on Patient Satisfaction","display_name":"The Impact of Physician EHR Usage on Patient Satisfaction","publication_year":2018,"publication_date":"2018-01-01","ids":{"openalex":"https://openalex.org/W2782253498","doi":"https://doi.org/10.1055/s-0037-1620263","mag":"2782253498","pmid":"https://pubmed.ncbi.nlm.nih.gov/29298451"},"language":"en","primary_location":{"id":"doi:10.1055/s-0037-1620263","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0037-1620263","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0037-1620263.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0037-1620263.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5072659654","display_name":"Rebecca A. Marmor","orcid":"https://orcid.org/0000-0002-3192-6477"},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Rebecca Marmor","raw_affiliation_strings":["Department of Biomedical Informatics and Surgery, University of California San Diego, San Diego, California, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics and Surgery, University of California San Diego, San Diego, California, United States","institution_ids":["https://openalex.org/I36258959"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033863582","display_name":"Brian Clay","orcid":"https://orcid.org/0000-0002-5780-3459"},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brian Clay","raw_affiliation_strings":["Department of Biomedical Informatics and Medicine, University of California San Diego, San Diego, California, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics and Medicine, University of California San Diego, San Diego, California, United States","institution_ids":["https://openalex.org/I36258959"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005892580","display_name":"Marlene Millen","orcid":"https://orcid.org/0000-0002-2671-5755"},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marlene Millen","raw_affiliation_strings":["Department of Biomedical Informatics and Medicine, University of California San Diego, San Diego, California, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics and Medicine, University of California San Diego, San Diego, California, United States","institution_ids":["https://openalex.org/I36258959"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064835981","display_name":"Thomas J. Savides","orcid":"https://orcid.org/0000-0001-5585-5979"},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thomas Savides","raw_affiliation_strings":["Department of Medicine, University of California San Diego, San Diego, California, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, University of California San Diego, San Diego, California, United States","institution_ids":["https://openalex.org/I36258959"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5052938070","display_name":"Chris Longhurst","orcid":"https://orcid.org/0000-0003-4908-6856"},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christopher Longhurst","raw_affiliation_strings":["Department of Biomedical Informatics and Pediatrics, University of California San Diego, San Diego, California, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics and Pediatrics, University of California San Diego, San Diego, California, United States","institution_ids":["https://openalex.org/I36258959"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5072659654"],"corresponding_institution_ids":["https://openalex.org/I36258959"],"apc_list":null,"apc_paid":null,"fwci":11.8698,"has_fulltext":true,"cited_by_count":67,"citation_normalized_percentile":{"value":0.98558018,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":100},"biblio":{"volume":"09","issue":"01","first_page":"011","last_page":"014"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11722","display_name":"Patient Satisfaction in Healthcare","score":0.4578000009059906,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11722","display_name":"Patient Satisfaction in Healthcare","score":0.4578000009059906,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.19200000166893005,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.1445000022649765,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"Patient satisfaction","score":0.6704041361808777},{"id":"https://openalex.org/keywords/observational-study","display_name":"Observational study","score":0.635850191116333},{"id":"https://openalex.org/keywords/incentive","display_name":"Incentive","score":0.6002668142318726},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.5776321887969971},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.5503182411193848},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.5249000787734985},{"id":"https://openalex.org/keywords/quality","display_name":"Quality (philosophy)","score":0.47587504982948303},{"id":"https://openalex.org/keywords/medline","display_name":"MEDLINE","score":0.460647851228714},{"id":"https://openalex.org/keywords/patient-experience","display_name":"Patient experience","score":0.413190633058548},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.3695841431617737}],"concepts":[{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.6704041361808777},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.635850191116333},{"id":"https://openalex.org/C29122968","wikidata":"https://www.wikidata.org/wiki/Q1414816","display_name":"Incentive","level":2,"score":0.6002668142318726},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5776321887969971},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5503182411193848},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5249000787734985},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.47587504982948303},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.460647851228714},{"id":"https://openalex.org/C2777896191","wikidata":"https://www.wikidata.org/wiki/Q22907655","display_name":"Patient experience","level":3,"score":0.413190633058548},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3695841431617737},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D003142","descriptor_name":"Communication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003142","descriptor_name":"Communication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003142","descriptor_name":"Communication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008511","descriptor_name":"Medicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008511","descriptor_name":"Medicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008511","descriptor_name":"Medicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017060","descriptor_name":"Patient Satisfaction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017060","descriptor_name":"Patient Satisfaction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017060","descriptor_name":"Patient Satisfaction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1055/s-0037-1620263","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0037-1620263","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0037-1620263.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},{"id":"pmid:29298451","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/29298451","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied clinical informatics","raw_type":null},{"id":"pmh:oai:europepmc.org:5284214","is_oa":false,"landing_page_url":"http://europepmc.org/pmc/articles/PMC5801886","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:5801886","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5801886","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Appl Clin Inform","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1055/s-0037-1620263","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0037-1620263","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0037-1620263.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2782253498.pdf","grobid_xml":"https://content.openalex.org/works/W2782253498.grobid-xml"},"referenced_works_count":16,"referenced_works":["https://openalex.org/W22309152","https://openalex.org/W1829767946","https://openalex.org/W1898918309","https://openalex.org/W1976925830","https://openalex.org/W2020951813","https://openalex.org/W2024641550","https://openalex.org/W2078841988","https://openalex.org/W2080097856","https://openalex.org/W2106581899","https://openalex.org/W2119200560","https://openalex.org/W2134657159","https://openalex.org/W2270372117","https://openalex.org/W2434099711","https://openalex.org/W2566716996","https://openalex.org/W4255411484","https://openalex.org/W7062298258"],"related_works":["https://openalex.org/W2224217193","https://openalex.org/W2733139206","https://openalex.org/W2143805299","https://openalex.org/W2519285274","https://openalex.org/W2775523818","https://openalex.org/W2920965414","https://openalex.org/W2736862140","https://openalex.org/W3025542118","https://openalex.org/W38189499","https://openalex.org/W2803028833"],"abstract_inverted_index":{"Background":[0],"and":[1,56,108,127,150,179,264,377],"Significance:":[2],"The":[3,23,236],"increased":[4,370],"emphasis":[5,265],"on":[6,139,194,266,354],"patient":[7,105,128,218,234,248,267,357,378],"satisfaction":[8,106,268,358],"has":[9,142,164,314],"coincided":[10],"with":[11,83,176,217,272],"the":[12,21,30,49,69,77,101,116,125,134,137,146,153,159,171,195,224,247,251,292,300,321,331,334,343,375],"growing":[13],"adoption":[14,79,263,283],"of":[15,26,40,53,80,85,104,115,124,136,148,213,233,250,253,303,336],"electronic":[16],"health":[17,42,65],"records":[18],"(EHRs)":[19],"throughout":[20],"U.S.":[22],"2001":[24],"Institute":[25],"Medicine":[27],"Report,":[28],"\u201cCrossing":[29],"Quality":[31],"Chasm,\u201d":[32],"identified":[33],"patient-centered":[34],"care":[35,66],"as":[36,348],"a":[37,90,112,229,257,355],"key":[38],"element":[39],"quality":[41],"care.[1]":[43],"In":[44],"response":[45],"to":[46,62,184,209,244,287,299,318,329,342,374],"this":[47,288],"call,":[48],"Hospital":[50],"Consumer":[51],"Assessment":[52],"Healthcare":[54],"Providers":[55],"Systems":[57],"(HCAHPS)":[58],"survey":[59],"was":[60],"developed":[61],"assess":[63],"patients'":[64],"experiences":[67],"in":[68,93,158,297,316,341,373],"inpatient":[70],"setting.":[71],"Simultaneously,":[72],"financial":[73],"incentives":[74],"have":[75,269],"facilitated":[76],"rapid":[78],"EHR":[81,92,126,138,157,172,255,262,282,293,376],"applications,":[82],"84%":[84],"hospitals":[86],"maintaining":[87],"at":[88,193],"least":[89],"basic":[91],"2015":[94],"(a":[95],"ninefold":[96],"increase":[97],"since":[98],"2008).[2]":[99],"Despite":[100],"concurrent":[102],"deployment":[103],"surveys":[107],"EHRs,":[109],"there":[110,365],"is":[111,242,363,366],"poor":[113],"understanding":[114],"relationship":[117,332,368],"that":[118,166,180,204,239,281,364],"may":[119,284,294],"exist":[120],"between":[121,333,369],"physician":[122,214,274],"usage":[123],"satisfaction.":[129,235,379],"Most":[130],"prior":[131],"research":[132,163],"into":[133,308],"impact":[135],"physician\u2013patient":[140],"communication":[141,215],"been":[143],"observational,":[144],"describing":[145],"behaviors":[147,216],"physicians":[149,169,305,338],"patients":[151,186],"when":[152],"clinician":[154],"accesses":[155],"an":[156,254],"exam":[160],"room.":[161],"Past":[162],"shown":[165],"encounters":[167],"where":[168],"access":[170],"are":[173,191],"often":[174],"filled":[175],"long":[177,311],"pauses,[3]":[178],"few":[181],"clinicians":[182],"attempt":[183],"engage":[185],"by":[187,220],"sharing":[188],"what":[189],"they":[190],"looking":[192],"screen.[4]":[196],"A":[197],"recent":[198],"meta-analysis":[199],"reviewing":[200],"53":[201],"papers":[202],"found":[203],"only":[205],"7":[206],"studies":[207],"attempted":[208],"correlate":[210],"objective":[211],"observations":[212],"perceptions":[219],"eliciting":[221],"feedback":[222],"from":[223,291],"patients.[5]":[225],"No":[226],"study":[227],"used":[228,325],"standardized":[230],"assessment":[231],"tool":[232],"authors":[237],"conclude":[238],"additional":[240],"work":[241,279],"necessary":[243],"better":[245],"understand":[246],"perspective":[249],"presence":[252],"during":[256,345],"clinical":[258],"encounter.":[259],"Additionally,":[260],"increasing":[261],"also":[270],"corresponded":[271],"rising":[273],"burnout":[275],"rates.[6]":[276],"[7]":[277],"Prior":[278],"suggests":[280],"be":[285,295],"contributing":[286],"trend.[8]":[289],"Burnout":[290],"due":[296],"part":[298],"significant":[301],"amount":[302,335],"time":[304,337,371],"spend":[306,339],"logged":[307,340,372],"systems,":[309],"documenting":[310],"after":[312,350],"clinic":[313,351],"ended":[315],"effort":[317],"avoid":[319],"disrupting":[320],"patient\u2013physician":[322],"relationship.[9]":[323],"We":[324],"existing":[326],"data":[327],"sources":[328],"describe":[330],"EHR\u2014both":[344],"daytime":[346],"hours":[347],"well":[349],"hours\u2014and":[352],"performance":[353],"validated":[356],"survey.":[359],"Our":[360],"null":[361],"hypothesis":[362],"no":[367]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":7},{"year":2024,"cited_by_count":6},{"year":2023,"cited_by_count":6},{"year":2022,"cited_by_count":18},{"year":2021,"cited_by_count":12},{"year":2020,"cited_by_count":9},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":4}],"updated_date":"2026-08-04T08:18:43.703281","created_date":"2025-10-10T00:00:00"}
