HIV patients' willingness to share personal health information electronically.
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.


CONCLUSIONS
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.


CONCLUSIONS
As electronic storage and sharing of PHI is increasing, clinicians and PLWH should discuss patients' attitudes towards sharing PHI electronically.
Teixeira
Paul A
PA
Department of Biomedical Informatics, Columbia University, New York, NY 10032, USA.
Gordon
Peter
P
Camhi
Eli
E
Bakken
Suzanne
S
D022126:Access to Information; D000328:Adult; D003219:Confidentiality; D003266:Continuity of Patient Care; D003299:Cooperative Behavior; D057286:Electronic Health Records; D005260:Female; D006678:HIV; D015658:HIV Infections / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D055991:Health Records, Personal; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009519:New York City; D010817:Physician-Patient Relations; D011795:Surveys and Questionnaires; D055815:Young Adult