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Brief ReportBrief Report

Variation in Support for Documentation Among Primary Care Physicians by Gender

Lisa S. Rotenstein, Nate C. Apathy, David W. Bates and Bruce Landon
The Journal of the American Board of Family Medicine September 2022, jabfm.2022.AP.220071; DOI: https://doi.org/10.3122/jabfm.2022.AP.220071
Lisa S. Rotenstein
From Brigham and Women’s Hospital, Department of Medicine, Boston, MA (LSR, DWB); Harvard Medical School, Boston, MA (LSR, DWB); Wharton School, Leonard Davis Institute of Health Economics, Philadelphia, PA (NA); Perelman School of Medicine, Department of Medicine, Philadelphia, PA (NA); Regenstrief Institute, Indianapolis, IN (NA); Harvard School of Public Health, Department of Health Policy and Management, Boston, MA (DWB); Harvard Medical School, Department of Healthcare Policy, Boston, MA (BL); Beth Israel Deaconess Medical Center, Department of Medicine, Boston, MA (BL).
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Nate C. Apathy
From Brigham and Women’s Hospital, Department of Medicine, Boston, MA (LSR, DWB); Harvard Medical School, Boston, MA (LSR, DWB); Wharton School, Leonard Davis Institute of Health Economics, Philadelphia, PA (NA); Perelman School of Medicine, Department of Medicine, Philadelphia, PA (NA); Regenstrief Institute, Indianapolis, IN (NA); Harvard School of Public Health, Department of Health Policy and Management, Boston, MA (DWB); Harvard Medical School, Department of Healthcare Policy, Boston, MA (BL); Beth Israel Deaconess Medical Center, Department of Medicine, Boston, MA (BL).
PhD
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David W. Bates
From Brigham and Women’s Hospital, Department of Medicine, Boston, MA (LSR, DWB); Harvard Medical School, Boston, MA (LSR, DWB); Wharton School, Leonard Davis Institute of Health Economics, Philadelphia, PA (NA); Perelman School of Medicine, Department of Medicine, Philadelphia, PA (NA); Regenstrief Institute, Indianapolis, IN (NA); Harvard School of Public Health, Department of Health Policy and Management, Boston, MA (DWB); Harvard Medical School, Department of Healthcare Policy, Boston, MA (BL); Beth Israel Deaconess Medical Center, Department of Medicine, Boston, MA (BL).
MD, MSc
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Bruce Landon
From Brigham and Women’s Hospital, Department of Medicine, Boston, MA (LSR, DWB); Harvard Medical School, Boston, MA (LSR, DWB); Wharton School, Leonard Davis Institute of Health Economics, Philadelphia, PA (NA); Perelman School of Medicine, Department of Medicine, Philadelphia, PA (NA); Regenstrief Institute, Indianapolis, IN (NA); Harvard School of Public Health, Department of Health Policy and Management, Boston, MA (DWB); Harvard Medical School, Department of Healthcare Policy, Boston, MA (BL); Beth Israel Deaconess Medical Center, Department of Medicine, Boston, MA (BL).
MD, MBA
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    Figure 1.

    Adjusted odds ratios for presence of staff support; Abbreviations: M/AHC, medical/academic health center; HMO, Health Maintenance Organization.

Tables

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    Table 1.

    Sample Characteristics

    CharacteristicAll
    N = 813 (%)
    Female Physicians
    N = 344 (%)
    Male Physicians
    N = 469 (%)
    Age Group
     <50 years old29.241.618.6
     50 years or older70.858.481.4
    Practice Ownership
     Physician/physician group53.754.653.0
     Insurance company, health plan,  HMO, or other healthcare  corporation20.425.216.2
     Community health center6.95.97.8
     Medical/academic health center or  other hospital19.014.323.0
    Practice Size
     1 physician17.416.418.3
     2 to 3 physicians24.020.926.8
     4 to 10 physicians32.237.327.8
     11 to 50 physicians10.79.212.1
     >50 physicians15.516.115.0
    Percent of Patients Insured by Medicaid
     0%16.022.210.7
     1% to 24%43.438.847.4
     25% to 50%27.624.030.7
     Over 50%13.015.011.3
    • Abbreviation: HMO, Health Maintenance Organization.

    • View popup
    Table 2.

    Staff Support for Documentation by Gender and Additional Demographic and Practice Characteristics

    CharacteristicFemale Physicians
    (N = 344)
    (% in category reporting documentation support)
    Male Physicians
    (N = 469)
    (% in category reporting documentation support)
    P Value for difference between male and female physicians
    Overall25.137.30.04
    Age Group
     <50 years old23.033.90.39
     50 years or older26.538.00.14
    Practice Ownership
     Physician/physician group26.535.60.26
     Insurance company, health plan, HMO or other healthcare corporation28.743.60.31
     Community health center21.841.70.27
     Medical/academic health center or other hospital15.235.00.06
    Practice Size
     1 physician10.845.10.004
     2 to 3 physicians25.239.80.25
     4 to 10 physicians33.837.10.78
     11 to 50 physicians21.214.00.53
     >50 physicians21.542.20.11
    Percent of Patients Insured by Medicaid
     0%30.534.20.76
     1 to 24%27.529.80.82
     25 to 50%28.655.10.05
     Over 50%5.022.80.007
    • Abbreviation: HMO, Health Maintenance Organization.

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The Journal of the American Board of Family     Medicine: 37 (6)
The Journal of the American Board of Family Medicine
Vol. 37, Issue 6
November-December 2024
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Variation in Support for Documentation Among Primary Care Physicians by Gender
Lisa S. Rotenstein, Nate C. Apathy, David W. Bates, Bruce Landon
The Journal of the American Board of Family Medicine Sep 2022, jabfm.2022.AP.220071; DOI: 10.3122/jabfm.2022.AP.220071

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Variation in Support for Documentation Among Primary Care Physicians by Gender
Lisa S. Rotenstein, Nate C. Apathy, David W. Bates, Bruce Landon
The Journal of the American Board of Family Medicine Sep 2022, jabfm.2022.AP.220071; DOI: 10.3122/jabfm.2022.AP.220071
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Keywords

  • Cross-Sectional Studies
  • Documentation
  • Electronic Health Records
  • Family Medicine
  • Logistic Models
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  • Primary Health Care
  • Professional Burnout
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