Le Thai, Thompson Hilaire, Demiris George
Biomedical Informatics and Medical Education, School of Medicine, University of Washington, WA, USA.
Stud Health Technol Inform. 2013;192:709-13.
Older adults are the quickest growing demographic group and are key consumers of health services. As the United States health system transitions to electronic health records, it is important to understand older adult perceptions of privacy and security. We performed a secondary analysis of the Health Information National Trends Survey (2012, Cycle 1), to examine differences in perceptions of electronic health information privacy between older adults and the general population. We found differences in the level of importance placed on access to electronic health information (older adults placed greater emphasis on provider as opposed to personal access) and tendency to withhold information out of concerns for privacy and security (older adults were less likely to withhold information). We provide recommendations to alleviate some of these privacy concerns. This may facilitate greater use of electronic health communication between patient and provider, while promoting shared decision making.
老年人是增长最快的人口群体，也是健康服务的主要消费者。随着美国医疗系统向电子健康记录过渡，了解老年人对隐私和安全的看法很重要。我们对《健康信息国家趋势调查》（2012年，第1轮）进行了二次分析，以研究老年人与普通人群在电子健康信息隐私观念上的差异。我们发现，在对获取电子健康信息的重视程度（老年人更强调由医疗服务提供者获取而非个人获取）以及因隐私和安全担忧而隐瞒信息的倾向（老年人隐瞒信息的可能性较小）方面存在差异。我们提出了一些建议来缓解其中一些隐私担忧。这可能有助于促进患者与医疗服务提供者之间更多地使用电子健康通信，同时推动共同决策。
