A comparative study of the intention to protect the privacy of the electronic medical record by physicians and non-physician staff

April 2014
Taiwan Journal of Publich Health / Taiwan Gong Gong Wei Sheng Za;Apr2014, Vol. 33 Issue 2, p162
Academic Journal
Objectives: The aims of this study were to explore the factors that influenced hospital staff in protecting the privacy of the electronic medical record (EMR) and to conduct a multi-group analysis comparing perceptions about EMR privacy protection by physicians and other hospital staff. Methods: Based on the Theory of Planned Behavior, a cross-sectional survey was conducted to collect data from one military hospital in southern Taiwan. The study subjects were all hospital staff and were recruited via convenience sampling. Results: A total of 129 valid questionnaires was collected. Attitude (AT), subjective norm (SN), and perceived behavioral control (PBC) were positively related to hospital staffs' intention (I) to protect EMR privacy. Moreover, the relationships of AT→I, SN→I, and PBC→I varied significantly between physicians and other hospital staff. Physicians had stronger beliefs about the relationships between SN→I and PBC→I. Conclusions: This study suggested that the subject hospital should offer more training programs pertinent to the protection of EMR privacy. Physicians should also be reminded to engage in these training programs. The hospital could improve staff intention to protect EMR privacy through the influence of the director or their colleagues and also by providing sufficient software and hardware to protect EMR privacy. These measures could decrease patients' concerns about privacy of the EMR and be beneficial to the promotion of the EMR in the future.


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