HIV patients' willingness to share personal health information electronically

Patient Educ Couns. 2011 Aug;84(2):e9-12. doi: 10.1016/j.pec.2010.07.013. Epub 2010 Aug 17.

Abstract

Objective: To assess the attitudes of persons living with HIV/AIDS (PLWH) towards having their personal health information (PHI) stored and shared electronically.

Methods: PLWH (n = 93) in New York City completed surveys using audio computer-assisted self-interview (ACASI) that assessed willingness to share their PHI with various people and entities via a secure electronic network. The survey also included questions on satisfaction with and trust of health care providers, current health, HIV-associated stigma, and frequency of internet access. Data were analyzed with descriptive and multivariate statistical methods.

Results: The majority (84%) of individuals were willing to share their PHI with clinicians involved in their care. Fewer individuals (39%) were as willing to share with non-clinical staff. Willingness to share PHI was positively associated with trust and respect of clinicians.

Conclusion: PLWH accepted clinicians' need for access to accurate information. Patients' trust in their primary care providers highlights the importance of the clinician-patient relationship which can be used to engage patients support for health information exchange initiatives.

Practice implications: As electronic storage and sharing of PHI is increasing, clinicians and PLWH should discuss patients' attitudes towards sharing PHI electronically.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Access to Information*
  • Adult
  • Confidentiality
  • Continuity of Patient Care
  • Cooperative Behavior
  • Electronic Health Records*
  • Female
  • HIV
  • HIV Infections / psychology*
  • Health Knowledge, Attitudes, Practice
  • Health Records, Personal*
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • New York City
  • Physician-Patient Relations
  • Surveys and Questionnaires
  • Young Adult