Quality discrimination in healthcare markets DOI
Rosa Branca Esteves, Ziad Ghandour, Odd Rune Straume

и другие.

Journal of Economics & Management Strategy, Год журнала: 2023, Номер 34(1), С. 24 - 41

Опубликована: Дек. 20, 2023

Abstract Recent advances in healthcare information technologies allow providers to more accurately track patient characteristics and predict the future treatment costs of previously treated patients, which increases scope for quality discriminate across different types. We theoretically analyze potential implications such discrimination a duopoly setting with profit‐maximizing hospitals, fixed prices, heterogeneous patients. Our analysis shows that ability tends intensify competition lead higher provision, benefits patients but makes hospitals less profitable. Nevertheless, effect on social welfare is priori ambiguous, since also leads an inefficient allocation hospitals.

Язык: Английский

Managing legal risks in health information exchanges: A comprehensive approach to privacy, consent, and liability DOI Open Access
Tariq K. Alhasan

Journal of Healthcare Risk Management, Год журнала: 2025, Номер unknown

Опубликована: Март 4, 2025

Abstract Health Information Exchanges (HIEs) are revolutionizing healthcare by facilitating secure and timely patient data sharing across diverse organizations. However, their rapid expansion has introduced significant legal ethical challenges, particularly regarding privacy, informed consent, liability risks. This paper critically assesses the effectiveness of existing frameworks, including Insurance Portability Accountability Act (HIPAA) General Data Protection Regulation (GDPR), in addressing these revealing gaps application within HIEs. It argues that current consent models fail to provide meaningful control for patients, while privacy protections weakened issues such as re‐identification jurisdictional inconsistencies. Moreover, breaches remains complex due ambiguous responsibility among stakeholders. The study concludes reforms needed, dynamic models, standardized enhanced governance structures, ensure secure, ethical, effective sharing. These changes essential fostering trust, improving delivery, aligning with Sustainable Development Goal (SDG) 3—ensuring healthy lives promoting well‐being all.

Язык: Английский

Процитировано

2
Privacy concerns among the users of a national patient portal: A cross-sectional population survey study DOI Creative Commons
Maiju Kyytsönen, Tuulikki Vehko, Virpi Jylhä

и другие.

International Journal of Medical Informatics, Год журнала: 2024, Номер 183, С. 105336 - 105336

Опубликована: Янв. 5, 2024

Seeking and receiving care requires disclosure of personal information which is recorded as health data in electronic records. Thereafter, restricting the flow dependent on protection, security, ethical conduct, law. Privacy concerns may arise patients' options concerning privacy have been balanced to cater both patients needs healthcare, well secondary use data. This study examined among users a national patient portal representative sample Finnish adults aged 20 99 years old (n = 3,731). We used logistic regression analysis with population weights seek answers factors are associated concerns. The cross-sectional survey was collected 2020. Every third user had Those who were 50 59 (p 0.030) more often than 49-year-olds. financial difficulties 0.003) also while those, good digital skills (p=<0.026), did not need guidance telehealth service (p=<0.001) found be beneficial 0.008), less often. usefulness seems play an important role Another factor required services. encourage providing those lack necessary for use. putting effort only into protection security measures services, but transparent comprehensible common.

Язык: Английский

Процитировано

5
Adoption and perception of prescribable digital health applications (DiGA) and the advancing digitalization among German internal medicine physicians: a cross-sectional survey study DOI Creative Commons

Lasse Cirkel,

Fabian Lechner,

Nadine Schlicker

и другие.

BMC Health Services Research, Год журнала: 2024, Номер 24(1)

Опубликована: Ноя. 6, 2024

Abstract Background Therapeutic digital health applications (DiGAs) are expected to significantly enhance access evidence-based care. Since 2020, German physicians and psychotherapists have been able prescribe approved DiGAs, which reimbursed by statutory insurance. This study investigates the usage, knowledge perception of DiGAs as well growing digitalization among internal medicine in Germany. Methods A web-based survey was distributed at 2024 annual congress Society for Internal Medicine. Participants could respond scanning a QR code or directly on tablet. Results total 100 completed survey, with mean age 43.4 years. The majority were (85%). Of respondents, 31% had already prescribed 29% tested one. Self-rated low (median score 3.17/10). main barriers identified lack about effective implementation (60%), time patient onboarding (27%), concerns adherence (21%). However, 92% believed that improve care, 88% expressed interest specific training. (64%) stated positive impact medical care 39% their daily workload decrease due digitalization. In addition, 38% physician-patient relationship would result Conclusions While widely acknowledged potential benefits adoption understanding remain limited. Specific training is crucial accelerate medicine.

Язык: Английский

Процитировано

4
Benefits for thee, not for me? mHealth engagement through the lens of privacy calculus theory and trust DOI Creative Commons

Georgios Tsirozidis,

Ulrik Bak Kirk, Michael A. Zaggl

и другие.

Behaviour and Information Technology, Год журнала: 2025, Номер unknown, С. 1 - 21

Опубликована: Апрель 3, 2025

Язык: Английский

Процитировано

0
Heterogeneity in willingness to share personal health information: a nationwide cluster analysis of 20,000 adults in Japan DOI Creative Commons
Miho Sassa, Akifumi Eguchi, Keiko Maruyama‐Sakurai

и другие.

Archives of Public Health, Год журнала: 2025, Номер 83(1)

Опубликована: Апрель 18, 2025

While Personal Health Records (PHRs) are increasingly adopted globally, understanding public attitudes toward health information sharing remains crucial for successful implementation. This study investigated patterns in willingness to share personal among Japanese adults and identified factors influencing their decisions. A nationwide cross-sectional web-based survey was conducted 20,000 December 2023. Participants were recruited through quota sampling based on age, gender, prefecture population ratios from the 2020 National Census. The examined with nine types of recipients (healthcare providers, ambulance crew, application family members, local authorities, employers, pharmaceutical companies, government agencies, research institutions), trust levels these recipients, 17 decisions across benefits, convenience, economic incentives, social significance, details, transparency, privacy considerations. Clustering analysis using Uniform Manifold Approximation Projection (UMAP) Ordering Points Identify Structure (OPTICS) algorithms performed identify distinct preferences. Despite low PHR familiarity (88.4% unfamiliar), participants showed healthcare providers (65.0%) members (65.6%), but expressed lower agencies (28.6%) institutions (28.8%). Five clusters identified: family-only sharers (3.9%), mixed preference (47.9%), comprehensive (12.9%), non-sharers (22.1%), healthcare-selective (13.2%). Trust highest (85.6%) professionals (78.8%), while significantly (44.2%). Higher education, income, associated greater share, security concerns universal all clusters. heterogeneous preferences suggest need tailored implementation strategies that address varying different segments. Success adoption requires balanced approaches trust-building, robust data protection, targeted communication acknowledge diverse user needs promoting benefits sharing.

Язык: Английский

Процитировано

0
Digital Literacy and Interpersonal Trust as Predictors of Willingness to Share Patient-Generated Health Data Among Korean Internet Users: A Cross-sectional Study Using Privacy Calculus and Communication Privacy Management Theories (Preprint) DOI

dongsu lee,

Won Seuk Jang

Опубликована: Апрель 20, 2025

BACKGROUND The proliferation of wearable devices and advances in data analytics are accelerating the adoption personalized digital healthcare. Patient-Generated Health Data (PGHD), created recorded directly by individuals, plays a critical role this transformation. However, willingness to share such sensitive remains limited due privacy concerns, perceived risks, uncertainty about use. While previous studies have examined factors influencing health sharing, most focused on specific patient populations lacked comprehensive analysis psychological social determinants among general public. OBJECTIVE This study aimed examine individuals' applying Privacy Calculus Communication Management (CPM) theories, with particular focus literacy interpersonal trust. METHODS We conducted cross-sectional using from 2023 Intelligent Information Society User Panel Survey, nationally representative sample 4,518 Internet users Korea aged 15–69. Key variables included (dependent), risk benefit, (use, understanding, engagement), trust, control variables. Digital was measured media framework modeled as latent construct structural equation modeling (SEM). SEM performed lavaan lavaan.survey packages R WLSMV estimation population weights. Hypothesis 9 tested via Wald tests assess differential effects subcomponents, mediation were also estimated. RESULTS Of respondents (weighted N = 38.4 million), 55.8% female, largest age group ≤20. average 2.73 5-point scale. revealed that negatively affected (β –0.045, P .049), while benefit 0.046, .024), trust 0.073, < .001), moral motivation 0.309, .001) had significant positive effects. showed no direct effect –0.001, .945), but indirect 0.035, .038). Interpersonal indirectly increased reducing 0.045, .001). indicated differences subcomponents their (χ² 54.496, .001); “understanding” strongest effect. No subcomponent total CONCLUSIONS Willingness is influenced combination risk, motivation, literacy, understanding emerged key drivers through paths. These findings highlight importance trust-based governance, context-sensitive consent, education. Future research should incorporate health-specific tools how contextual factors, sensitivity purpose use, influence sharing decisions.

Язык: Английский

Процитировано

0
What are patient perspectives on privacy and trust in digital genomic tools? A qualitative study DOI Creative Commons
Vedika Jha, Saumeh Saeedi,

Marc Clausen

и другие.

Journal of Genetic Counseling, Год журнала: 2025, Номер 34(3)

Опубликована: Апрель 30, 2025

Digital tools have emerged as a promising solution to increase the efficiency and capacity of genomic services. However, accessing information through internet-based applications raises concerns about privacy security risks. As patient-facing digital are developed for medicine, it is vital understand incorporate patients' perspectives on security. A qualitative study was conducted using semi-structured interviews interpretive description. Thirty participants who previously received genetic testing themselves (n = 17) or their child 13) were interviewed 20 females, n 15 above 50 years old). Participants willing store access genomics personal health (PHI) in platform. The main benefit identified by ability control own PHI. expressed that benefits services, such patient empowerment personalized care, outweighed perceived risks, potential data leaks. In order minimize emphasized importance transparency measures place would These findings inform design platforms enhance sense security, which critical uptake usage any

Язык: Английский

Процитировано

0
The perception of facilitators and barriers to the use of e-health solutions in Poland: a qualitative study DOI Creative Commons

P Smoła,

Iwona Młoźniak,

M Wojcieszko

и другие.

BMC Medical Informatics and Decision Making, Год журнала: 2024, Номер 24(1)

Опубликована: Дек. 18, 2024

Abstract Background E-health entails the use of information and communication technologies in support health health-related activities. increased significantly during COVID-19 pandemic Poland. The showed that e-health environment may be an important element response to epidemiological challenges. Polish citizens were provided with array tools supporting provision services. Methods main aim study was assess knowledge, use, opinions about solutions society. Fifty participants representing general population took part in-depth interviews. interviews conducted face-to-face their homes or via a teleconferencing platform from November 2023 January 2024. At first, interviewees recruited by convenience, at later stage, snowballing approach applied. A semi-structured guide covered knowledge solutions, attitudes toward new technologies, artificial intelligence robots healthcare. interviewers interviewed 50 participants, whom 26 females. interview transcriptions analyzed MAXQDA Analytics Pro 2022 (Release 22.7.0). An based on thematic analysis employed evaluate interviews’ content. Results Thematic resulted identification three themes: (1) e-health, (2) barriers, (3) facilitators use. Recognition term ‘e-health’ limited among although they used frequently. barriers included digital skills unfavorable technologies. Some complained technical difficulties, e.g., poor Internet access. identified include saving time reducing costs, as well ability access medical records one repository, case Patient Account. people believed progress. Overall, supported sharing data for research. Conclusions Implementing seems perceived inevitable consequence technological However, lack adequate remains major obstacles efficiently utilizing e-health’s potential.

Язык: Английский

Процитировано

0
KEAMANAN DAN KERAHASIAAN DATA MEDIS PASIEN DALAM IMPLEMENTASI REKAM MEDIS ELEKTRONIK : TINJAUAN SISTEMATIS DOI Creative Commons

Dini Puteri Astianto Pramesti,

Dumilah Ayuningtyas,

Riandi Verdi

и другие.

PREPOTIF Jurnal Kesehatan Masyarakat, Год журнала: 2024, Номер 8(3), С. 7691 - 7702

Опубликована: Дек. 30, 2024

Keamanan dan Kerahasiaan data medis pasien merupakan salah satu aspek yang penting dalam sistem kesehatan di era digitalisasi, terutama dengan meningkatnya penggunaan rekam elektronik. Data mencakup informasi digunakan pengelolaan individu terdiri dari 2 (dua) kategori utama yaitu klinis pasien. Rekam memiliki nilai rahasia harus dijaga fasilitas pelayanan karena didalamnya terdapat riwayat pengobatan awal sampai akhir kesehatan. Tujuan penelitian ini adalah menganalisa keamanan kerahasiaan implementasi elektronik strategi dapat untuk meminimalisir terjadinya kebocoran menggunakan tinjauan literatur sistematis berskala luas. Tinjauan dilakukan 4 (empat) database ProQuest, PubMed, ScienceDirect Scopus kata kunci Electronic medical record, health EMR, security and confidentiality of data. Model PRISMA menyaring judul abstrak, sehingga 412 total artikel ditemukan, didapatkan 8 sesuai kriteria inklusi. Kesimpulannya, Implementasi mempertimbangkan berbagai supaya memberikan manfaat maksimal.

Процитировано

0
Quality discrimination in healthcare markets DOI
Rosa Branca Esteves, Ziad Ghandour, Odd Rune Straume

и другие.

Journal of Economics & Management Strategy, Год журнала: 2023, Номер 34(1), С. 24 - 41

Опубликована: Дек. 20, 2023

Abstract Recent advances in healthcare information technologies allow providers to more accurately track patient characteristics and predict the future treatment costs of previously treated patients, which increases scope for quality discriminate across different types. We theoretically analyze potential implications such discrimination a duopoly setting with profit‐maximizing hospitals, fixed prices, heterogeneous patients. Our analysis shows that ability tends intensify competition lead higher provision, benefits patients but makes hospitals less profitable. Nevertheless, effect on social welfare is priori ambiguous, since also leads an inefficient allocation hospitals.

Язык: Английский

Процитировано

0