Navigation Links
Journal of the American Medical Informatics Association
Date:12/19/2009

Although physicians support the use of electronic health records, concerns about potential privacy breaches remain an issue, according to two research articles published in the January 2010 issue of the Journal of the American Informatics Association (JAMIA), in its premiere issue as one of 30 specialty titles published by the BMJ (British Medical Journal) Group, UK.

One published study is based on views of more than 1,000 family practice and specialist physicians in Massachusetts who were asked whether they thought electronic health information exchange (HIE) would drive down costs, improve patient care, free up their time and preserve patient confidentiality. They were also asked whether they would be willing to pay a monthly fee to use the system.

The electronic exchange of health information (HIE) among different long- distance providers has become the focus of intense national interest, following recent legislation and moves to offer cash incentives for those who switch to the system.

The responses showed widespread support for the use of HIE, even though only just over half were actually using electronic health records.

Most (86%) said that HIE would improve the quality of care and seven out of 10 thought it would cut costs. Three out of four (76%) felt that it also would save time.

But 16% said they were "very concerned" about potential breaches of privacy, while a further 55% were "somewhat concerned."

The authors note that the responses indicate a lower level of concern than expressed by physicians in the UK, but suggest that this might change if breaches occur to a greater extent than currently recognized.

Despite their overall enthusiasm, physicians were not willing to support the suggested $150 monthly fee, and nearly half were unwilling to pay anything at all.

A second study reported in JAMIA, suggests that mental health professionals have significant concerns about the privacy and security of data on electronic health records.

Of 56 responding psychiatrists, psychologists, nurses, and therapistsout of 120 who were sent the survey--based at one academic medical center, most (81%) felt that the system permitted the preservation of "open therapeutic communications." Most also felt that electronic records were clearer and more complete than paper versions, although not necessarily more factual.

When it came to privacy, almost two-thirds (63%) were less willing to record highly confidential information to an electronic record than they would to a paper record.

More than eight out of 10 (83%) said they if they were to become a patient, they would not want to include their own mental health records to be routinely accessed by other providers.

The authors point out that previously published surveys of patients/consumers have reflected a lack of confidence in tight security, and that people with mental health issues already face stigmatization.

While the narrative data of patients' life histories and experiences inform clinical decision-making in psychiatric care, the threat of security breaches makes them vulnerable to potential misuse or misinterpretation, the authors say.

Adoption of electronic health records has been slower than anticipated, the authors add. And they conclude: "Designers of future systems will need to enhance electronic file security and simultaneously maintain legitimate accessibility in order to preserve confidence in psychiatric and other [electronic health record] systems."

"The ramifications of data security cover more than the psychiatric domain, implying a need for considerable reflection," they say.


'/>"/>

Contact: Nancy Light
nlight@amia.org
301-657-5903
American Medical Informatics Association
Source:Eurekalert

Related medicine news :

1. New England Journal of Medicine publishes CWRU review of the molecular basis of colorectal cancer
2. Disease of Poverty: University of South Carolina Releases Journal on Cervical Cancer, Health Disparities
3. SCAN Health Plan Arizona Named one of Areas Best Places to Work by the Phoenix Business Journal and BestCompaniesAZ, LLC
4. Data Published in Leading Respiratory Journal Reinforce Importance of Small Airways In Asthma Management
5. New England Journal of Medicine Perspective by Irwin Redlener, MD, Addresses Health Care Reform
6. Waylon Lewis of elephantjournal.com: Kathryn Budig on New Moon, Yoga & Love; Tashi King Faces Breast Cancer
7. Lombardis Shields leads special journal focused on tobacco research
8. Outpatient Palliative Care Reduces Hospitalizations, Which Impact Costs, While Improving Quality of Life for Seniors and Family Caregivers - New Study in American Journal of Managed Care
9. FDAs Woodcock Discusses Pain Management and Drug Safety in Nov. 26, 2009 Issue of The New England Journal of Medicine
10. Promoting healthy skepticism in the news: Helping journalists get it right
11. Milestone biodefense publication by Elsevier journal Vaccine
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/27/2016)... New Hampshire (PRWEB) , ... May 27, 2016 , ... ... skin care products, announced today that it has been recognized as one of the ... entering parenthood. Badger was named as one of nine small businesses providing progressive benefits ...
(Date:5/27/2016)... NY (PRWEB) , ... May 27, 2016 , ... ... casual readers, this installment is bolstered by inspiring human-interest stories, courtesy of awareness-driven ... tech within the industry, from leading advocates, associations and industry leaders such as ...
(Date:5/27/2016)... ... 27, 2016 , ... Aimed at nurses and employees in the health care ... leaders in the nursing and health care industry. It also provides insight to the ... University. , As the nursing industry is coming out of one of the ...
(Date:5/26/2016)... ... ... There are many ways to cook a hot dog, but new research commissioned ... dogs straight off the grill. Of the 90 percent of Americans who say they ... hot dog, far outpacing other cooking methods such as steaming (12 percent), microwaving (9 ...
(Date:5/26/2016)... ... May 26, 2016 , ... Georgia State University College of ... programs. , Answering to the increasing demand for curricular specializations, the Certificate in ... environmental and land use law. ,  , “The demand for lawyers with specific ...
Breaking Medicine News(10 mins):
(Date:5/25/2016)... und GERMANTOWN, Maryland , May ... mit Therawis bedient dringenden ... QIAGEN N.V. (NASDAQ: QGEN ... eine Lizenz- und Entwicklungsvereinbarung mit Therawis Diagnostics GmbH ... Onkologie eingegangen zu sein. Ein erstes Projekt wird ...
(Date:5/25/2016)... SPRINGS, Florida , May 25, 2016 ... Business Conference & Expo earlier this month, the numbers ... As revenues continue to climb into the billions, more ... the newly released 4th Edition State of Legal Marijuana ... Frontier, a cannabis-focused data-analysis firm, much of the increase ...
(Date:5/25/2016)... PUNE, India , May 25, 2016 /PRNewswire/ ... Pipeline Review, H1 2016"market research report that provides ... complete with comparative analysis at various stages, therapeutics ... route of administration (RoA) and molecule type, along ... releases. It also reviews key players involved in ...
Breaking Medicine Technology: