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Public and physician's expectations and ethical concerns about electronic health record: Benefits outweigh risks except for information security.
Int J Med Inform. 2018 02; 110:98-107.IJ

Abstract

INTRODUCTION

Electronic Health Record systems (EHRs) offer numerous benefits in health care but also pose certain risks. As we progress toward the implementation of EHRs, a more in-depth understanding of attitudes that influence overall levels of EHR support is required.

OBJECTIVES

To record public and physicians' awareness, expectations for, and ethical concerns about the use of EHRs.

METHODS

A convenience sample was surveyed for both the public and physicians. The Public's Questionnaire was distributed to the public in a printed and an online version. The Physicians' Questionnaire was distributed to physicians in an online version. The questionnaires requested demographic characteristics followed by close-ended questions enquiring about awareness, perceived impact, perceived risks, and ethical issues raised by EHR use.

RESULTS

In total, 46% of the public and 91% of physicians were aware of EHRs. Physicians' and public opinions were comparable concerning the positive impact of EHRs on better, more effective, and faster decisions on the patients' health, on better coordination between hospitals/clinics and on quality and reduced cost of health care. However, physicians were concerned that an EHR system would be a burden for their finances, for their time concerning training on the system, for their everyday workload and workflow. The majority of the public generally agreed that they would worry about the possibility that a non-authorized, third party might gain access to their personal health information (48.8%), and that they would worry about future discriminations due to possible disclosure of their health information (48.8%). Most physicians disagreed that EHRs will disrupt the doctor-patient relationship (58.1%) but they would worry about the safety of their patients' information (53.1%). Overall, both the public and physicians were in favor of the implementation of an EHR system, evaluating that possible benefits are more important than possible risks. The majority of the public believed that physicians should have full access to an EHR (90.9%), whereas nursing staff, pharmacists, laboratory staff, and other healthcare professional should have partial access.

CONCLUSIONS

The factors identified in the present study present actionable insights that may increase awareness about EHRs. The survey illustrates that both the public and physicians acknowledge the benefits and support EHRs on the condition that sufficient guarantees are provided about privacy and security.

Authors+Show Affiliations

Technological Educational Institution of Athens, Faculty of Health and Caring Professions, Department of Medical Laboratories, Athens, Greece.Technological Educational Institution of Athens, Faculty of Health and Caring Professions, Department of Medical Laboratories, Athens, Greece.Technological Educational Institution of Athens, Faculty of Health and Caring Professions, Department of Medical Laboratories, Athens, Greece; Hellenic National Bioethics Commission, Athens, Greece. Electronic address: v.mollaki@bioethics.gr.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29331259

Citation

Entzeridou, Eleni, et al. "Public and Physician's Expectations and Ethical Concerns About Electronic Health Record: Benefits Outweigh Risks Except for Information Security." International Journal of Medical Informatics, vol. 110, 2018, pp. 98-107.
Entzeridou E, Markopoulou E, Mollaki V. Public and physician's expectations and ethical concerns about electronic health record: Benefits outweigh risks except for information security. Int J Med Inform. 2018;110:98-107.
Entzeridou, E., Markopoulou, E., & Mollaki, V. (2018). Public and physician's expectations and ethical concerns about electronic health record: Benefits outweigh risks except for information security. International Journal of Medical Informatics, 110, 98-107. https://doi.org/10.1016/j.ijmedinf.2017.12.004
Entzeridou E, Markopoulou E, Mollaki V. Public and Physician's Expectations and Ethical Concerns About Electronic Health Record: Benefits Outweigh Risks Except for Information Security. Int J Med Inform. 2018;110:98-107. PubMed PMID: 29331259.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Public and physician's expectations and ethical concerns about electronic health record: Benefits outweigh risks except for information security. AU - Entzeridou,Eleni, AU - Markopoulou,Evgenia, AU - Mollaki,Vasiliki, Y1 - 2017/12/12/ PY - 2017/06/28/received PY - 2017/12/07/revised PY - 2017/12/08/accepted PY - 2018/1/15/entrez PY - 2018/1/15/pubmed PY - 2018/11/9/medline KW - EHR KW - Electronic health record KW - Ethics KW - Expectations KW - Perceptions KW - Physicians’ opinion KW - Public opinion SP - 98 EP - 107 JF - International journal of medical informatics JO - Int J Med Inform VL - 110 N2 - INTRODUCTION: Electronic Health Record systems (EHRs) offer numerous benefits in health care but also pose certain risks. As we progress toward the implementation of EHRs, a more in-depth understanding of attitudes that influence overall levels of EHR support is required. OBJECTIVES: To record public and physicians' awareness, expectations for, and ethical concerns about the use of EHRs. METHODS: A convenience sample was surveyed for both the public and physicians. The Public's Questionnaire was distributed to the public in a printed and an online version. The Physicians' Questionnaire was distributed to physicians in an online version. The questionnaires requested demographic characteristics followed by close-ended questions enquiring about awareness, perceived impact, perceived risks, and ethical issues raised by EHR use. RESULTS: In total, 46% of the public and 91% of physicians were aware of EHRs. Physicians' and public opinions were comparable concerning the positive impact of EHRs on better, more effective, and faster decisions on the patients' health, on better coordination between hospitals/clinics and on quality and reduced cost of health care. However, physicians were concerned that an EHR system would be a burden for their finances, for their time concerning training on the system, for their everyday workload and workflow. The majority of the public generally agreed that they would worry about the possibility that a non-authorized, third party might gain access to their personal health information (48.8%), and that they would worry about future discriminations due to possible disclosure of their health information (48.8%). Most physicians disagreed that EHRs will disrupt the doctor-patient relationship (58.1%) but they would worry about the safety of their patients' information (53.1%). Overall, both the public and physicians were in favor of the implementation of an EHR system, evaluating that possible benefits are more important than possible risks. The majority of the public believed that physicians should have full access to an EHR (90.9%), whereas nursing staff, pharmacists, laboratory staff, and other healthcare professional should have partial access. CONCLUSIONS: The factors identified in the present study present actionable insights that may increase awareness about EHRs. The survey illustrates that both the public and physicians acknowledge the benefits and support EHRs on the condition that sufficient guarantees are provided about privacy and security. SN - 1872-8243 UR - https://www.unboundmedicine.com/medline/citation/29331259/Public_and_physician's_expectations_and_ethical_concerns_about_electronic_health_record:_Benefits_outweigh_risks_except_for_information_security_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1386-5056(17)30447-1 DB - PRIME DP - Unbound Medicine ER -