The Differing Privacy Concerns Regarding Exchanging Electronic Medical Records of Internet Users in Taiwan

Hsin-Ginn Hwang, Hwai-En Han, Kuang-Ming Kuo, Ching-Feng Liu

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

This study explores whether Internet users have different privacy concerns regarding the information contained in electronic medical records (EMRs) according to gender, age, occupation, education, and EMR awareness. Based on the Concern for Information Privacy (CFIP) scale developed by Smith and colleagues in 1996, we conducted an online survey using 15 items in four dimensions, namely, collection, unauthorized access, secondary use, and errors, to investigate Internet users' concerns regarding the privacy of EMRs under health information exchanges (HIE). We retrieved 213 valid questionnaires. The results indicate that the respondents had substantial privacy concerns regarding EMRs and their educational level and EMR awareness significantly influenced their privacy concerns regarding unauthorized access and secondary use of EMRs. This study recommends that the Taiwanese government organizes a comprehensive EMR awareness campaign, emphasizing unauthorized access and secondary use of EMRs. Additionally, to cultivate the public's understanding of EMRs, the government should employ various media, especially Internet channels, to promote EMR awareness, thereby enabling the public to accept the concept and use of EMRs. People who are highly educated and have superior EMR awareness should be given a comprehensive explanation of how hospitals protect patients' EMRs from unauthorized access and secondary use to address their concerns. Thus, the public can comprehend, trust, and accept the use of EMRs, reducing their privacy concerns, which should facilitate the future implementation of HIE.
Original languageEnglish
Pages (from-to)3783-3793
Number of pages11
JournalJournal of Medical Systems
Volume36
Issue number6
DOIs
StatePublished - Dec 2012

Keywords

  • Concern for information privacy (CFIP); Electronic medical records (EMRs); Health information exchange (HIE)
  • HEALTH INFORMATION EXCHANGE; PERSONAL INFORMATION; ONLINE; CARE; TRUST; TECHNOLOGY; ATTITUDES; CONSUMERS; ADOPTION; IMPACT

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