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. 2014 Mar-Apr;21(2):374-8.
doi: 10.1136/amiajnl-2013-002079. Epub 2013 Aug 23.

Concern about security and privacy, and perceived control over collection and use of health information are related to withholding of health information from healthcare providers

Israel T Agaku  1 , Akinyele O Adisa, Olalekan A Ayo-Yusuf, Gregory N Connolly
Affiliations

Concern about security and privacy, and perceived control over collection and use of health information are related to withholding of health information from healthcare providers

Israel T Agaku et al. J Am Med Inform Assoc. 2014 Mar-Apr.

Abstract

Introduction: This study assessed the perceptions and behaviors of US adults about the security of their protected health information (PHI).

Methods: The first cycle of the fourth wave of the Health Information National Trends Survey was analyzed to assess respondents' concerns about PHI breaches. Multivariate logistic regression was used to assess the effect of such concerns on disclosure of sensitive medical information to a healthcare professional (p<0.05).

Results: Most respondents expressed concerns about data breach when their PHI was being transferred between healthcare professionals by fax (67.0%; 95% CI 64.2% to 69.8%) or electronically (64.5%; 95% CI 61.7% to 67.3%). About 12.3% (95% CI 10.8% to 13.8%) of respondents had ever withheld information from a healthcare provider because of security concerns. The likelihood of information withholding was higher among respondents who perceived they had very little say about how their medical records were used (adjusted OR=1.42; 95% CI 1.03 to 1.96).

Conclusions: This study underscores the need for enhanced measures to secure patients' PHI to avoid undermining their trust.

Keywords: Protected health information; breaches; data; electronic; medical records; security.

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References

    1. Ponemon Institute LLC Third Annual Benchmark Study on Patient Privacy & Data Security. 2012. http://www.ponemon.org/ (accessed 5 Jun 2013)
    1. Warren B. Identity theft prevention in the healthcare setting. J Healthc Prot Manage 2005;21:101–11 - PubMed
    1. Raymond C. Taking aim at medical identity theft. Document security key element to comply with government regulations . J Med Pract Manage 2010;25:383–5 - PubMed
    1. U.S. Department of Health & Human Services Uses and Disclosures for Treatment, Payment, and Health Care Operations. http://www.hhs.gov/ocr/privacy/hipaa/understanding/coveredentities/usesa... (accessed 16 Jul 2013)
    1. Centers for Disease Control and Prevention (CDC) Summary of notifiable diseases—United States, 2010. MMWR Morb Mortal Wkly Rep 2012;59:1–111 - PubMed