Study: Telehealth could increase physicians’ after-hours work

The use of telemedicine and telehealth elevated dramatically throughout the COVID-19 pandemic. For the physicians who used the expertise extra intensely throughout that interval, extra time was spent on after-hours EHR-based scientific and administrative work.

These have been among the many conclusions ofa study of two,129 physicians that was carried out at New York University Langone Health.

The report, revealed in JMIR in July, discovered that point spent on work-related duties exterior scientific hours, sometimes called “work outside work” (WOW), elevated “significantly” for these physicians who spent a bigger proportion of their time offering care through telemedicine.

“Our study found that telemedicine was less efficient than in-person-based care and increased physicians’WOW burden,” the researchers famous. “A number of factors may be responsible for our findings that telemedicine increased the after-hours work burden of physicians.”

The examine famous, nevertheless, that a number of challenges uncovered in early-stage deployments of telehealth throughout the pandemic together with organizational and technological inefficiencies in design and deployment could be a key issue within the elevated after-hours EHR work burden.

“These issues have been highlighted elsewhere in EHR and digital health technology implementation research, particularly regarding usability and user-experience barriers exacerbated by the scale and abruptness of the transition to telemedicine due to the pandemic,” the examine famous.

The disruption of work norms, together with new strategies of offering care and scheduling preparations, could even have contributed to the WOW burden.

“Overall, our results suggest that telemedicine is not [a] panacea for the work challenges facing clinicians,” the report famous. “In fact, our evidence during the acute pandemic and after the acute pandemic suggests that rather than reducing administrative burden, telemedicine intensity may increase it, shifting the work temporally and spatially to after -hours work and home.”


Healthcare’s ongoing digital transformation is each contributing to and assuaging clinician burnout.

two in three clinicians now say treating sufferers in virtual-only or hybrid care settings most closely fits their way of life, regardless of a big lack of curiosity in telehealth earlier than the pandemic.

Some within the trade advise clinicians thinking about telehealth to search for alternatives that prioritize and personalize their expertise as clinicians.


Telehealth adoption is highest among the many younger, educated and rich, in line with a December 2021 survey by Rock Health, which revealed an increase in dwell video telemedicine and a lower in satisfaction with telehealth in contrast with in-person care.

Other research have indicated elemental healthcare is related to elevated outpatient contact and hospitalization follow-ups

However, that examine discovered that higher use of telehealth amongst sufferers with extreme psychological sickness didn’t have an effect on treatment adherence.


“Taking physicians’clinical load into account, physicians who devoted a higher proportion of their clinical time to telemedicine throughout various stages of the pandemic engaged in higher levels of EHR-based after-hours work compared to those who used telemedicine less intensively,” the examine concluded. “This suggests that telemedicine, as currently delivered, may be less efficient than in-person-based care and may increase the after-hours work burden of physicians.”


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