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Medical record privacy: is it a facade?

Published: 07 May 2011 Publication History

Abstract

Part of the job of healthcare providers is to manage patient information. Most is routine, but some is sensitive. For these reasons physicians' offices provide a rich environment for understanding complex, sensitive information management issues as they pertain to privacy and security. In this paper we present findings from interviews and observations of 15 offices in rural-serving southwest Virginia. Our work demonstrates how the current socio-technical system fails to meet the security needs of the patient. In particular, we found that the tensions between work practice and security, and between electronic and paper records resulted in insecure management of files.

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Adams & Blandford (2005). Bridging the gap between organizational and user perspectives of security in the clinical domain, IJHCS, 63(1--2).
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Adams & Sasse (1999). Users are not the enemy. Communications of the ACM, ACM.
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Bellotti & Sellen (1993). Design for Privacy in Ubiquitous Computing Environments, Conference on CSCW, Kluwer Academic Publishers.
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Palen & Dourish (2003). Unpacking "privacy" for a networked world, Conference on Human Factors in Comp Sys, ACM.
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Starks & Trinidad (2007). Choose your method: A comparison of phenomenology, discourse analysis, and grounded theory, Qual Health Res, 17(10).
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Berner, Detmer & Simborg (2005). Will the Wave Finally Break? A Brief View of the Adoption of Electronic Medical Records in the United States, JAMIA, 12(1).
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Satchell & Dourish (2009). Beyond the user: Use and non-use in HCI, OZCHI, ACM.

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  • (2019)Rural HCI ResearchProceedings of the ACM on Human-Computer Interaction10.1145/33592983:CSCW(1-33)Online publication date: 7-Nov-2019
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  1. Medical record privacy: is it a facade?

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    cover image ACM Conferences
    CHI EA '11: CHI '11 Extended Abstracts on Human Factors in Computing Systems
    May 2011
    2554 pages
    ISBN:9781450302685
    DOI:10.1145/1979742

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    Association for Computing Machinery

    New York, NY, United States

    Publication History

    Published: 07 May 2011

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    Author Tags

    1. healthcare
    2. privacy
    3. security
    4. usable security
    5. work practice

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    • (2024)HIV Client Perspectives on Digital Health in MalawiProceedings of the 2024 CHI Conference on Human Factors in Computing Systems10.1145/3613904.3642245(1-13)Online publication date: 11-May-2024
    • (2023)MedCare4Home: A Mobile Medical System for Families2023 IEEE International Conference on E-health Networking, Application & Services (Healthcom)10.1109/Healthcom56612.2023.10472350(259-264)Online publication date: 15-Dec-2023
    • (2019)Rural HCI ResearchProceedings of the ACM on Human-Computer Interaction10.1145/33592983:CSCW(1-33)Online publication date: 7-Nov-2019
    • (2013)Preprocess before You BuildProceedings of the 2013 International Conference on Social Computing10.1109/SocialCom.2013.85(564-569)Online publication date: 8-Sep-2013
    • (2012)Implications of modified waterfall model to the roles and education of health IT professionals2012 IEEE Network Operations and Management Symposium10.1109/NOMS.2012.6212076(1368-1369)Online publication date: Apr-2012

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