65483Catholic University of Pusan, South Korea.
Health Inf Manag. 2023 Jan;52(1):50-56. doi: 10.1177/18333583211039384. Epub 2021 Sep 3.
While information and communication technology has continued to advance, privacy of personal health information (PHI) has remained a challenge for health information management (HIM) professionals. This study aims to examine the awareness, attitude and practice relating to PHI privacy among HIM professionals in South Korea. A survey questionnaire was developed for the study based on critical appraisal of relevant literature and expert consensus. It was completed by a sample of 312 respondents who were members of the Korean Health Information Management Association, over the age of 21, and worked in a healthcare organisation. Demographic data and questionnaire items (assessed on a 5-point Likert-type scale) were analysed using descriptive statistics, t-tests and ANOVA. Mean scores and SDs for awareness, attitude and practice related to PHI privacy were calculated: 4.21 (0.60) for awareness, 4.17 (0.60) for attitude and 4.31 (0.63) for practice. Significant positive correlations were found between awareness and attitude scores (r = 0.765, < 0.01); awareness and practice scores (r = 0.585; < 0.01); and attitude and action scores (r = 0.672; < 0.01). HIM professionals' awareness, attitude, and practice towards PHI privacy differed significantly according to age, level of education, years of HIM experience, type of employment, main task, number of completed privacy education activities within the previous 3 years and whether or not they had signed a pledge of confidentiality on PHI. More highly-educated, full-time employed respondents, those who had completed a greater number of privacy education activities and had more experience as HIM professionals, achieved higher scores on awareness, attitude and practice than did other respondents. These differences were all statistically significant ( < 0.01). Although causality cannot be inferred from results of this study, findings suggest that there is a relationship between PHI being a core responsibility of HIM professionals and their subsequent awareness, attitude and practice to ensure its privacy and confidentiality. To improve privacy practice, educational efforts should be prioritised and supported at all levels, including national, organisational, individual, and by professional HIM associations.
虽然信息和通信技术不断进步，但个人健康信息 (PHI) 的隐私仍然是健康信息管理 (HIM) 专业人员面临的挑战。本研究旨在检查韩国 HIM 专业人员对 PHI 隐私的意识、态度和实践。研究基于对相关文献和专家共识的批判性评估，制定了调查问卷。它由韩国健康信息管理协会的 312 名年龄在 21 岁以上、在医疗机构工作的成员完成。使用描述性统计、t 检验和 ANOVA 分析人口统计学数据和问卷项目（评估采用 5 点李克特量表）。PHI 隐私意识、态度和实践相关的平均得分和标准差计算为：意识 4.21（0.60），态度 4.17（0.60），实践 4.31（0.63）。发现意识和态度得分之间存在显著正相关（r = 0.765， < 0.01）；意识和实践得分（r = 0.585；< 0.01）；以及态度和行为得分（r = 0.672；< 0.01）。HIM 专业人员对 PHI 隐私的意识、态度和实践因年龄、教育水平、HIM 经验年限、就业类型、主要任务、过去 3 年内完成的隐私教育活动数量以及是否签署 PHI 保密承诺书而有显著差异。受过高等教育、全职就业的受访者、完成更多隐私教育活动和拥有更多 HIM 专业经验的受访者，在意识、态度和实践方面的得分高于其他受访者。这些差异均具有统计学意义（<0.01）。尽管不能从本研究结果中推断出因果关系，但研究结果表明，PHI 是 HIM 专业人员的核心职责，与他们随后确保 PHI 隐私和保密性的意识、态度和实践之间存在关系。为了提高隐私实践，应优先并在各级（包括国家、组织、个人和专业 HIM 协会）支持教育工作。
