Park Ye-Eun, Beck Sang Sook, Lee Yura
Department of Information Medicine, Asan Medical Center, College of Medicine, University of Ulsan, Seoul 05505, Republic of Korea.
Asian Institute for Bioethics and Health Law, General Complex B/D Yonsei University Health System, Seoul 03722, Republic of Korea.
Int J Environ Res Public Health. 2025 Jul 11;22(7):1099. doi: 10.3390/ijerph22071099.
Patient-generated health data (PGHD) enhance traditional healthcare by enabling continuous monitoring and supporting personalized care, yet concerns over privacy, security, and integration into existing systems hinder broader adoption. This study examined the perceptions, awareness, and concerns of patients and caregivers regarding PGHD and assessed their willingness to share such data for clinical, research, and commercial purposes. A cross-sectional survey was conducted from 6 to 12 November 2023, involving 400 individuals with experience using PGHD. Participants completed structured questionnaires addressing health information management, PGHD usage, and attitudes toward its application. PGHD was most commonly used by patients with chronic conditions and guardians of minors, with tethered personal health record apps frequently utilized. Respondents identified improved self-management and better access to information as key benefits. However, significant concerns about data privacy and security emerged, especially regarding non-clinical use. Younger adults, particularly those in their 20s, showed lower willingness to engage with PGHD due to heightened privacy concerns. These findings suggest that, while support for clinical use of PGHD is strong, barriers related to trust and consent remain. Addressing privacy concerns and simplifying consent processes will be essential to promote equitable and responsible PGHD utilization across diverse patient populations.
患者生成的健康数据(PGHD)通过实现持续监测和支持个性化护理来增强传统医疗保健,但对隐私、安全以及与现有系统集成的担忧阻碍了其更广泛的采用。本研究调查了患者和护理人员对PGHD的看法、认识和担忧,并评估了他们为临床、研究和商业目的分享此类数据的意愿。2023年11月6日至12日进行了一项横断面调查,涉及400名有使用PGHD经验的个人。参与者完成了关于健康信息管理、PGHD使用情况及其应用态度的结构化问卷。慢性病患者和未成年人监护人最常使用PGHD,经常使用的是绑定式个人健康记录应用程序。受访者认为改善自我管理和更好地获取信息是主要益处。然而,出现了对数据隐私和安全的重大担忧,特别是关于非临床用途。由于隐私担忧加剧,较年轻的成年人,尤其是20多岁的人,参与PGHD的意愿较低。这些发现表明,虽然对PGHD临床使用的支持力度很大,但与信任和同意相关的障碍仍然存在。解决隐私问题并简化同意程序对于促进不同患者群体公平、负责任地使用PGHD至关重要。