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While this is a very interesting analysis, the findings will be of no surprise to any primary care physician. Clinicians and health systems continue to struggle with the time-consuming issue of EHR workload.
I would like to second the notion that this study likely underestimates the time required of clinicians to respond to the growing EHR demands. For instance, I frequently check EHR messages from fellow clinicians and (especially) from patients BETWEEN visits and through my "lunch break" (usually neither lunch nor break). I don't believe that this study adequately captured that time responding to EHR messages.
In addition, if the EHR stopped counting the time required when responding to messages when there was no entry for several seconds, it would miss counting the often significant time that I was researching an answer before responding (Epic, UpToDate, etc.).
Thanks to the authors for confirming what we have all felt regarding this growing (and usually uncompensated) intrusion on our clinical and family time.