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

Journal of Medical Systems volume 36, pages 3783–3793 (2012)Cite this article

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.

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Author information

Affiliations

  1. Institute of Information Management, National Chiao-Tung University, Hsin-Chu City, Taiwan, Republic of China

    Hsin-Ginn Hwang

  2. Institute of Information Management, National Chung-Cheng University, Min-Hsiung, Chia-Yi, Taiwan, Republic of China

    Hwai-En Han

  3. Department of Healthcare Administration, I-Shou University, Yanchao District, Kaohsiung City, Taiwan, Republic of China

    Kuang-Ming Kuo

  4. Department of Information Management, Chia-Nan University of Pharmacy and Science, Jen-Te District, Tainan City, Taiwan, Republic of China

    Chung-Feng Liu

Authors
  1. Hsin-Ginn Hwang
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  2. Hwai-En Han
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  3. Kuang-Ming Kuo
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  4. Chung-Feng Liu
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Correspondence to Kuang-Ming Kuo.

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Hwang, HG., Han, HE., Kuo, KM. et al. The Differing Privacy Concerns Regarding Exchanging Electronic Medical Records of Internet Users in Taiwan. J Med Syst 36, 3783–3793 (2012). https://doi.org/10.1007/s10916-012-9851-1

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  • DOI: https://doi.org/10.1007/s10916-012-9851-1

Keywords

  • Concern for information privacy (CFIP)
  • Electronic medical records (EMRs)
  • Health information exchange (HIE)