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Administrative burden in primary care: Critical review
Oliver Storseth1, Karen McNeil2, Agnes Grudniewicz3
1Medical student at Dalhousie University in Halifax, NS.
Canadian Family Physician Medecin De Famille Canadien
|June 16, 2025
Summary
Administrative burden in primary care, including compliance, learning, and psychological costs, exacerbates the primary care crisis. Addressing this requires solutions that consider broad costs and diverse perspectives.
Area of Science:
- Health Services Research
- Primary Care Medicine
- Healthcare Administration
Background:
- Administrative burden is a significant contributor to the current primary care crisis.
- Understanding the definition, drivers, and solutions of administrative burden is crucial for primary care reform.
Purpose of the Study:
- To critically review the literature on administrative burden in primary care.
- To explore how administrative burden is defined, its identified drivers, and proposed solutions.
Main Methods:
- A systematic literature search was conducted across MEDLINE and CINAHL databases.
- Included were peer-reviewed original research, literature reviews, and commentaries discussing administrative burden in primary care.
Main Results:
- 136 articles were included in the analysis, with most focusing on physician perspectives.
- Administrative burden encompasses compliance, learning, and psychological costs, driven by health system requirements, technology, and patient complexity.
- Technology and task shifting were identified as both drivers and potential solutions.
Conclusions:
- Administrative burden in primary care supports essential functions like care coordination.
- Solutions must address compliance, learning, and psychological costs comprehensively.
- Evaluating solutions from multiple perspectives, including patients and caregivers, is essential.
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