Sağlık Hizmetlerinde Bilgi Mahremiyeti Endişesi Ve Korunma Davranışlarını Etkileyen Faktörler

Yıl 2023, Cilt: 12 Sayı: 4, 1498 - 1517, 26.12.2023

Cihan Unal Cemal Sezer

https://doi.org/10.37989/gumussagbil.1362638

Öz

Bu çalışmanın temel amacı, bireylerin sağlık bilgi mahremiyeti endişesi düzeylerini, endişeye etki eden faktörleri ve bilgi mahremiyeti endişesi nedeniyle sergilenebilecek korunma davranışlarını ve bu davranışlara etki eden faktörleri belirlemektir. Diğer bir amaç bu çalışmada kullanılan ölçeği Türkçeye uyarlamaktır. Veriler Ankara ilinde toplam 692 katılımcıdan elde edilmiştir. Verilerin analizinde tanımlayıcı istatistiksel yöntemler ve lojistik regresyon analizi kullanılmıştır.
Araştırmanın bulgularında katılımcılar arasında, kişisel sağlık bilgilerinin gizliliği endişesi nedeniyle bilgi saklama eğilimi ve sağlık hizmetlerini ertelemek gibi korunma davranışları gözlemlenmiştir. Bilgi toplama endişesi, bireylerin kişisel sağlık bilgilerini daha az ifşa etmelerine ve bilgi saklama olasılığının artmasına yol açmaktadır. Ayrıca, bilgi toplama endişesi, bireylerin doktorlarına bilerek yanlış sağlık bilgisi verme davranışında bulunma, sağlık hizmetlerini erteleme veya almama olasılığını da artırmaktadır. Önceden sağlık bilgilerinin ihlal edildiğini düşünen bireyler, bilgi toplama endişesi, bilgi saklama, doktordan ve sağlık kurumundan bilgi saklama, doktordan hakkındaki bilgiyi kaydetmemesini isteme ve başka bir tanı yazılmasını isteme olasılıklarının arttığını göstermektedir. Çalışmada hasta-hekim iletişimi ve teknolojik mekanizmalara olan güvenin, sağlık bilgileriyle ilgili endişeler ve korunma davranışları üzerinde önemli bir rol oynadığı tespit edilmiştir. Hekimleri ile iyi iletişim kuran katılımcıların sağlık bilgilerinin ikincil kullanımı konusunda daha fazla endişe duydukları, ancak sağlık hizmetlerini ertelememe veya almama olasılıklarının daha düşük bulunmuştur. Ayrıca, bireylerin kendilerini internet ve bilgi teknolojilerini anlama ve kullanma konusunda yeterli hissetmeleri, sağlık bilgilerinin ikincil kullanımı endişesini arttırmaktadır. Bu durumun aksine sağlık hizmeti kalitesini yüksek değerlendiren katılımcıların bilgi toplama endişesi olasılıklarının daha düşük olduğu görülmüştür. Bu araştırmanın sonuçlarına göre, sağlık hizmetlerinde bilgi mahremiyeti politikalarının güçlendirilmesi ve iletişim stratejilerinin geliştirilmesi gerekmektedir.

Anahtar Kelimeler

Sağlık Bilgi Mahremiyeti Endişesi, Mahremiyet Odaklı Korunma Davranışları, Mahremiyet Endişesini Etkileyen Faktörler, Korunma Davranışlarını Etkileyen Faktörler

Information Privacy Concern in Health Services and Factors Affecting Protective Behaviors*

Öz

The primary objective of this study is to determine the levels of individuals' concern about health information privacy, the factors influencing this concern, and the protective behaviors that may be displayed due to concerns about information privacy, along with the factors influencing these behaviors. Another aim is to adapt the measurement tool in Turkish, used in this study. Data was collected from 692 participants in the province of Ankara. Descriptive statistical methods and logistic regression analysis were used in the analysis of the data.
The study's findings indicate protective behaviors such as the tendency to withhold information and postpone health services due to concerns about the confidentiality of personal health information among participants. Information collection concern leads individuals to disclose less of their personal health information, increasing the likelihood of information withholding. Moreover, information collection concern increases the behavior of intentionally providing incorrect health information to their doctors and also increases the likelihood of delaying or not obtaining health services. Individuals who believe their health information has been violated before show an increased likelihood of information collection concern, information withholding, withholding information from doctors and health institutions, requesting doctors not to record information about them, and requesting another diagnosis to be written. Trust in patient-doctor communication and technological mechanisms has been found to play a significant role in concerns related to health information and protective behaviors. Participants who have good communication with their doctors are more concerned about the secondary use of their health information, but their likelihood of delaying or not obtaining health services is lower. Additionally, individuals feeling competent in understanding and using the internet and information technologies increases their concern about the secondary use of health information. Contrarily, participants who rated the quality of health service highly have been found to have lower probabilities of information collection concern. The findings of this study emphasize the need to strengthen information privacy policies in health services and develop communication strategies.

Anahtar Kelimeler

Health Information Privacy Concern, Privacy-Oriented Protective Responses, Factors Influencing Privacy Concern, Factors Influencing Protective Responses

Kaynakça

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