Doctors' Orders or Patients' Preferences? Examining the Role of Physicians in Patients' Privacy Decisions on Health Information Exchange Platforms

Yaraghi, Niam1,2; Gopal, Ram D.3; Ramesh, Ramaswamy4

2019

10.17705/1jais.00557

Journal of the Association for Information Systems   影响因子和分区

1536-9323

1558-3457

Health information exchange (HIE) platforms could increase the efficiency of health care services by enabling providers to instantly access the medical records of their patients. However, these benefits cannot be realized unless patients disclose their information on HIE platforms. We examine actual privacy decisions made by patients on an HIE platform, study the influence of physicians' recommendations on patients' decisions, and explore the process through which this effect takes place. By analyzing a unique data set consisting of the privacy decisions of 12,444 patients, we show that contrary to common belief, patients do not simply follow physician recommendations, but rather carefully consider the risks and benefits of providing consent. We show that competition among medical providers does not hinder patient participation in HIEs, but that providers' decisions to ask for consent are primarily driven by the potential benefits of HIE for themselves and their patients.

Health Information Exchange Patient Privacy Information Disclosure

SCI ; EI ; SSCI

英语

其他

Computer Science ; Information Science & Library Science

Computer Science, Information Systems ; Information Science & Library Science

WOS:000499153000003

ASSOC INFORMATION SYSTEMS

20202308799950

Information Dissemination:903.2

Web of Science

1.Univ Connecticut, Sch Business, Operat & Informat Management, Storrs, CT 06269 USA
2.Brookings Inst, Ctr Technol Innovat, Washington, DC 20036 USA
3.Southern Univ Sci & Technol, Shenzhen, Guangdong, Peoples R China
4.SUNY Buffalo, Sch Management, Dept Management Sci & Syst, Buffalo, NY USA

Yaraghi, Niam,Gopal, Ram D.,Ramesh, Ramaswamy. Doctors' Orders or Patients' Preferences? Examining the Role of Physicians in Patients' Privacy Decisions on Health Information Exchange Platforms[J]. Journal of the Association for Information Systems,2019,20(7):928-952.

Yaraghi, Niam,Gopal, Ram D.,&Ramesh, Ramaswamy.(2019).Doctors' Orders or Patients' Preferences? Examining the Role of Physicians in Patients' Privacy Decisions on Health Information Exchange Platforms.Journal of the Association for Information Systems,20(7),928-952.

Yaraghi, Niam,et al."Doctors' Orders or Patients' Preferences? Examining the Role of Physicians in Patients' Privacy Decisions on Health Information Exchange Platforms".Journal of the Association for Information Systems 20.7(2019):928-952.