TY - JOUR AU - Tjora, Aksel AU - Tran, Trung AU - Faxvaag, Arild PY - 2005 DA - 2005/5/31 TI -隐私vs可用性:与他们的全科医生进行安全互联网通信的患者体验的定性探索JO - J Med Internet Res SP - e15 VL - 7 IS - 2 KW -互联网KW -医患通信KW -电子邮件KW -定性研究AB -背景:患者和医生之间的直接电子通信有可能增强患者的能力并改善医疗保健服务。然而，在许多国家，通过常规电子邮件交流被认为是一种安全威胁，因此不建议使用。现在已经出现了提供安全通信的系统。与常规的电子邮件不同，安全系统要求用户进行身份验证。然而，身份验证步骤本身可能成为减少使用的障碍。目的:目的是研究使用安全电子通信系统的患者的经验。研究的重点是用户的隐私和系统的可用性。方法:对15名使用安全通信系统(MedAxess)与初级保健医生交换个人健康信息的患者进行定性访谈。结果:从访谈中确定了六个主要主题:(1)支持简单的问题，(2)安全问题，(3)书面沟通方面，(4)对医生的信任，(5)MedAxess的简单性，以及(6)使用系统的麻烦。 By using the system, about half of the patients (8/15) experienced easier access to their physician, with whom they tended to solve minor health problems and elaborate on more complex illness experiences. Two thirds of the respondents (10/15) found that their physician quickly responded to their MedAxess requests. As a result of the security barriers, the users felt that the system was secure. However, due to the same barriers, the patients considered the log-in procedure cumbersome, which had considerable negative impact on the actual use of the system. Conclusions: Despite a perceived need for secure electronic patient-physician communication systems, security barriers may diminish their overall usefulness. A dual approach is necessary to improve this situation: patients need to be better informed about security issues, and, at the same time, their experiences of using secure systems must be studied and used to improve user interfaces. SN - 1438-8871 UR - //www.mybigtv.com/2005/2/e15/ UR - https://doi.org/10.2196/jmir.7.2.e15 UR - http://www.ncbi.nlm.nih.gov/pubmed/15998606 DO - 10.2196/jmir.7.2.e15 ID - info:doi/10.2196/jmir.7.2.e15 ER -