医生对敏感医疗记录的看法不同:调查和采访研究研究
Ipsha Banerjee1, Kazi Syed1, Aishwarya Potturu1
1Arizona State University, Scottsdale, AZ, US.
Health informatics journal
|August 6, 2023
概括
医生们经常在电子健康记录 (EHR) 数据敏感性的分类上存在分歧. 大多数人希望增加更多的类别,以便更好地共享患者数据和数字医疗记录管理.
科学领域:
- 医疗信息学 医疗信息学
- 医学数据分类医学数据分类
- 患者数据隐私 患者数据隐私
背景情况:
- 电子健康记录 (EHR) 数据需要对隐私进行敏感分类.
- 医生对EHR数据分类充足性的看法尚未得到充分理解.
研究的目的:
- 评估医生对电子病历数据的分类,将其分为敏感类别.
- 评估医生对当前数据类别充足性的看法.
- 为推动数字患者控制颗粒式数据共享的发展提供信息.
主要方法:
- 20名医生 (10名精神病医生,10名非精神病医生) 通过调查对1000个EHR数据项进行了分类.
- 统计分析包括集群调整的千平方测试和混合模型.
- 后续采访主题分析了100个选定的项目.
主要成果:
- 医生对电子病历数据分类的同意率为50%,部分同意率为32.5%.
- 不同意见因医生的专业和患者病史而异.
- 非精神病学家使用的类别比精神病学家更多 (p=.016);心理健康和物质使用类别是相关的 (p=.001).
结论:
- 目前的EHR数据类别不足以进行精确的分类.
- 医生建议扩大数据类别,以提高灵敏度和共享.
- 结果可以指导数字健康数据共享技术的进步.
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