Proportion Of Preventive Primary Care Visits Nearly Doubled, Especially Among Medicare Beneficiaries, 2001-19

November 2023 – Lisa Rotenstein, John E Mafi, Bruce Landon

There is debate about the value of preventive visits in primary care, and multiple policy trends during the past fifteen years may have influenced the likelihood of US adults undergoing preventive primary care visits. Our findings demonstrate a relative increase in preventive versus problem-based visits in primary care and suggest the importance of enhanced insurance coverage in influencing preventive care delivery trends.

Pursuing Gender Equity by Paying for What Matters in Primary Care

July 2023 – Lisa Rotenstein, Richard Gitomer, Bruce Landon

Female physicians earn substantially less than their male counterparts in the United States.
These disparities exist across specialties and over the career course. Gender-based pay disparities in
medicine mirror those documented in other professions, including law and business.

Association Between Electronic Health Record Time and Quality of Care Metrics in Primary Care

October 2022 – Lisa Rotenstein, A Jay Holmgren, Michael J Healey, Daniel M Horn, David Y Ting, Stuart Lipsitz, Hojjat Salmasian, Richard Gitomer, David W Bates

This cross-sectional study found an association between EHR time and some measures of ambulatory care quality. Although increased EHR time is associated with burnout, it may represent a level of thoroughness or communication that enhances certain outcomes. It may be useful for future studies to characterize payment models, workflows, and technologies that enable high-quality ambulatory care delivery while minimizing EHR burden.

Differences in Total and After-hours Electronic Health Record Time Across Ambulatory Specialties

June 2021 – Lisa Rotenstein, A Jay Holmgren, N Lance Downing, David W Bates

This cross-sectional study measures clinicians’ time spent using electronic health records by specialty and the activities performed.

Prevalence of Burnout Among Physicians: A Systematic Review

September 2018 – Lisa Rotenstein, Matthew Torre, Marco A Ramos, Rachael C Rosales, Constance Guille, Srijen Sen, Douglas Mata

In this systematic review, there was substantial variability in prevalence estimates of burnout among practicing physicians and marked variation in burnout definitions, assessment methods, and study quality. These findings preclude definitive conclusions about the prevalence of burnout and highlight the importance of developing a consensus definition of burnout and of standardizing measurement tools to assess the effects of chronic occupational stress on physicians.