Privacy vs usability: a qualitative exploration of patients' experiences with secure Internet communication with their general practitioner.
Privacy vs usability: a qualitative exploration of patients' experiences with secure Internet communication with their general practitioner.
复制标题
DOI：
10.2196/jmir.7.2.e15
复制
发表时间：
2005-05-31
影响因子：
7.4
通讯作者：
Faxvaag A
中科院分区：
文献类型：
--
作者：
Tjora A;Tran T;Faxvaag A
患者和医生之间的直接电子通信有可能增强患者的能力并改善医疗保健服务。然而，在许多国家，通过常规电子邮件进行通信被认为是一种安全威胁，不建议使用。现在已经出现了提供安全通信的系统。与普通电子邮件不同，安全系统要求用户进行身份验证。然而，认证步骤本身可能成为减少使用的障碍。 目的是研究使用安全电子通信系统的患者的体验。研究的重点是用户的隐私与系统的可用性。 对15名使用安全通信系统（MedAxess）与其初级保健医生交换个人健康信息的患者进行了定性访谈。 从访谈中确定了六个主题：（1）支持简单的问题，（2）安全问题，（3）书面沟通的方面，（4）对医生的信任，（5）MedAxess的简单性，（6）使用系统的麻烦。通过使用该系统，大约一半的患者（8/15）更容易接触到他们的医生，他们倾向于解决轻微的健康问题，并详细说明更复杂的疾病经历。三分之二的受访者（10/15）发现他们的医生很快就回复了他们的MedAxess请求。由于存在安全屏障，用户认为系统是安全的。然而，由于相同的障碍，患者认为登录程序繁琐，这对系统的实际使用产生了相当大的负面影响。 尽管认为需要安全的电子医患通信系统，但安全障碍可能会降低其整体实用性。需要采取双重方法来改善这种情况：患者需要更好地了解安全问题，同时，必须研究他们使用安全系统的经验，并用于改善用户界面。
Direct electronic communication between patients and physicians has the potential to empower patients and improve health care services. Communication by regular email is, however, considered a security threat in many countries and is not recommended. Systems which offer secure communication have now emerged. Unlike regular email, secure systems require that users authenticate themselves. However, the authentication steps per se may become barriers that reduce use. The objective was to study the experiences of patients who were using a secure electronic communication system. The focus of the study was the users' privacy versus the usability of the system. Qualitative interviews were conducted with 15 patients who used a secure communication system (MedAxess) to exchange personal health information with their primary care physician. Six main themes were identified from the interviews: (1) supporting simple questions, (2) security issues, (3) aspects of written communication, (4) trust in the physician, (5) simplicity of MedAxess, and (6) trouble using the system. By using the system, about half of the patients (8/15) experienced easier access to their physician, with whom they tended to solve minor health problems and elaborate on more complex illness experiences. Two thirds of the respondents (10/15) found that their physician quickly responded to their MedAxess requests. As a result of the security barriers, the users felt that the system was secure. However, due to the same barriers, the patients considered the log-in procedure cumbersome, which had considerable negative impact on the actual use of the system. Despite a perceived need for secure electronic patient-physician communication systems, security barriers may diminish their overall usefulness. A dual approach is necessary to improve this situation: patients need to be better informed about security issues, and, at the same time, their experiences of using secure systems must be studied and used to improve user interfaces.
登录
查看更多内容
影响因子：
120.7
作者：
Borowitz, SM;Wyatt, JC
通讯作者：
Wyatt, JC
影响因子：
105.7
作者：
Ralston, JD;Revere, D;Goldberg, HI
通讯作者：
Goldberg, HI
DOI：
10.1016/j.ijmedinf.2004.02.004
发表时间：
2004-05-01
影响因子：
4.9
作者：
Kittler, AF;Wald, JS;Bates, DW
通讯作者：
Bates, DW
影响因子：
3.5
作者：
Sittig, Dean F
通讯作者：
Sittig, Dean F
DOI：
10.1016/s1386-5056(00)00134-9
发表时间：
2001-04-01
影响因子：
4.9
作者：
Sittig, DF;King, S;Hazlehurst, BL
通讯作者：
Hazlehurst, BL