کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
516795 1449104 2015 11 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Designing for privacy management in hospitals: Understanding the gap between user activities and IT staff’s understandings
ترجمه فارسی عنوان
طراحی برای مدیریت حریم خصوصی در بیمارستان ها: درک شکاف بین فعالیت های کاربر و درک مفاهیم کارکنان IT
کلمات کلیدی
کارکنان IT؛ راه حل ها؛ همکاری؛ حریم خصوصی؛ پرونده الکترونیک سلامت (EHR)؛ کاربران
موضوعات مرتبط
مهندسی و علوم پایه مهندسی کامپیوتر نرم افزارهای علوم کامپیوتر
چکیده انگلیسی


• EHR privacy mechanisms can negatively impact collaboration amongst clinical users.
• Users utilize privacy-compromising workarounds to address EHR limitations.
• IT staff’s understandings of EHR users’ privacy management practices are limited.
• Need to reduce barriers between groups to design effective privacy mechanisms.

PurposeWe examined the role of privacy in collaborative clinical work and how it is understood by hospital IT staff. The purpose of our study was to identify the gaps between hospital IT staff members’ perceptions of how electronic health record (EHR) users’ protect the privacy of patient information and how users actually protect patients’ private information in their daily collaborative activities. Since the IT staff play an important role in implementing and maintaining the EHR, any gaps that exist between the IT staff’s perceptions of user work practices and the users’ actual work practices can result in a number of problems in the configuration, implementation, or customization of the EHR, which can lead to collaboration challenges, interrupted workflow, and privacy breaches.MethodsWe used qualitative data collection methods for this study. We conducted semi-structured interviews with 20 hospital IT staff members. We also conducted observations of EHR users in the in-patient units of the same hospital.ResultsWe identified gaps in IT staff’s understandings of users’ work activities, especially in regards to privacy-compromising workarounds that are used by users and why they are used.DiscussionWe discuss the reasons why this gap may exist between IT staff and users and ways to improve IT staff's understanding of why users perform certain privacy-compromising workarounds.ConclusionA hospital’s IT staff face a daunting task in ensuring users’ collaborative work practices are supported by the system while providing effective privacy mechanisms. In order to achieve both goals, the IT staff must have a clear understanding of their users’ practices. However, as this study highlights, there may be a mismatch between the IT staff’s understandings of how users protect patient privacy and how users actually protect privacy.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Medical Informatics - Volume 84, Issue 12, December 2015, Pages 1065–1075
نویسندگان
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