Empirical Research Methods in Usable Privacy and Security

Distler, Verena; Fassl, Matthias; Habib, Hana; Krombholz, Katharina; Lenzini, Gabriele; Lallemand, Carine; Koenig, Vincent; Cranor, Lorrie Faith

doi:10.1007/978-3-031-28643-8_3

Cited by 2 publications

References 53 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Influence of Disease-Related Stigma on Patients’ Decisions to Upload Medical Reports to the German Electronic Health Record: Randomized Controlled Trial

von Kalckreuth,

Feufel

2024

JMIR Hum Factors

View full text Add to dashboard Cite

Background The rollout of the electronic health record (EHR) represents a central component of the digital transformation of the German health care system. Although the EHR promises more effective, safer, and faster treatment of patients from a systems perspective, the successful implementation of the EHR largely depends on the patient. In a recent survey, 3 out of 4 Germans stated that they intend to use the EHR, whereas other studies show that the intention to use a technology is not a reliable and sufficient predictor of actual use. Objective Controlling for patients’ intention to use the EHR, we investigated whether disease-specific risk perceptions related to the time course of the disease and disease-related stigma explain the additional variance in patients’ decisions to upload medical reports to the EHR. Methods In an online user study, 241 German participants were asked to interact with a randomly assigned medical report that varied systematically in terms of disease-related stigma (high vs low) and disease time course (acute vs chronic) and to decide whether to upload it to the EHR. Results Disease-related stigma (odds ratio 0.154, P<.001) offset the generally positive relationship between intention to use and the upload decision (odds ratio 2.628, P<.001), whereas the disease time course showed no effect. Conclusions Even if patients generally intend to use the EHR, risk perceptions such as those related to diseases associated with social stigma may deter people from uploading related medical reports to the EHR. To ensure the reliable use of this key technology in a digitalized health care system, transparent and easy-to-comprehend information about the safety standards of the EHR are warranted across the board, even for populations that are generally in favor of using the EHR.

show abstract

Influence of Disease-Related Stigma on Patients’ Decisions to Upload Medical Reports to the German Electronic Health Record: Randomized Controlled Trial

von Kalckreuth,

Feufel

2024

JMIR Hum Factors

View full text Add to dashboard Cite

show abstract

Influence of Disease-Related Stigma on Patients’ Decisions to Upload Medical Reports to the German Electronic Health Record: Randomized Controlled Trial (Preprint)

von Kalckreuth,

Feufel

2023

Preprint

View full text Add to dashboard Cite

BACKGROUND The rollout of the electronic health record (EHR) represents a central component of the digital transformation of the German healthcare system. Although the EHR promises more effective, safer, and faster treatment of patients from a systems perspective, the successful implementation of the EHR largely depends on the patient. In a recent survey, three out of four Germans stated that they intend to use the EHR, but other studies show that intention to use a technology is not a reliable and sufficient predictor of actual use. OBJECTIVE Controlling for patients’ intention to use the EHR, we investigate whether disease-specific risk perceptions related to the time course of the disease and disease-related stigma explain additional variance in patients’ decisions to upload medical reports to the EHR. METHODS In an online user study, each of N=241 German participants were asked to interact with a randomly assigned medical report that varied systematically in terms of disease-related stigma (high vs. low) and time course (acute vs. chronic) and to decide whether to upload it to the EHR. RESULTS Whereas disease-related stigma (OR 0.154; P<.001) offset the generally positive relationship between intention to use and the upload decision (OR 2.628; P<.001), time course showed no effect. CONCLUSIONS Even if patients generally intend to use the EHR, risk perceptions, for example, related to diseases that are associated with social stigma, may deter people from uploading related medical reports to the EHR. To ensure reliable use of this key technology in digitalized healthcare system, transparent and easy-to-comprehend information about the safety standards of the EHR are warranted across the board, even for populations that are generally in favor of using the EHR

show abstract

Empirical Research Methods in Usable Privacy and Security

Cited by 2 publications

References 53 publications

Influence of Disease-Related Stigma on Patients’ Decisions to Upload Medical Reports to the German Electronic Health Record: Randomized Controlled Trial

Influence of Disease-Related Stigma on Patients’ Decisions to Upload Medical Reports to the German Electronic Health Record: Randomized Controlled Trial

Influence of Disease-Related Stigma on Patients’ Decisions to Upload Medical Reports to the German Electronic Health Record: Randomized Controlled Trial (Preprint)

Contact Info

Product

Resources

About