Understanding the Behavior of Physical Therapists and Occupational Therapists in Protecting Patient’s Medical Information - An Application of the Theory of Planned Behavior -

일부 물리치료사와 작업치료사의 환자 의료정보보호 행동 이해

  • Lee, In-Hee (Department of Medical Informatics, School of Medicine, Keimyeung) ;
  • Shin, A-Mi (Department of Medical Informatics, School of Medicine, Keimyeung) ;
  • Son, Chang-Sik (Department of Medical Informatics, School of Medicine, Keimyeung) ;
  • Park, Sang-Young (Department of Physical Therapy, NamSan Hospita) ;
  • Park, Hee-Joon (Department of biomedical engineering, School of Medicine, Keimyeung University) ;
  • Yoon, Kyung-Il (Department of Medical Informatics, School of Medicine, Keimyeung University) ;
  • Kim, Yoon-Nyun (Department of Internal Medicine, School of Medicine, Keimyeung University)
  • 이인희 (계명대학교 의과대학 의료정보학교실) ;
  • 신아미 (계명대학교 의과대학 의료정보학교실) ;
  • 손창식 (계명대학교 의과대학 의료정보학교실) ;
  • 박상영 (남산병원 물리치료실) ;
  • 박희준 (계명대학교 의과대학 의용공학과) ;
  • 윤경일 (계명대학교 의과대학 의료정보학교실) ;
  • 김윤년 (계명대학교 의과대학 내과학교실)
  • Received : 2010.02.05
  • Accepted : 2010.03.21
  • Published : 2010.04.25

Abstract

Purpose: The purpose of this study was to use the theory of planned behavior, past habit and moral obligation to better understand the behavior of physical therapists (PTs) and occupational therapists (OTs) in protecting the medical information of patients. Methods: We conducted a survey using self-writting questionnaires structured within the framework of the theory of planned behavior to understand to analyze information from 103 clinical PTs and OTs in their efforts to protect patient medical information. Results: The PTs and OTs' medical information protecting behavior was 2.85 mean points. That point failed to reach 1.0 points. Behavior intention was 3.83 mean points. That was judged to be improved. Behavioral intention was closely correlated with behavior, behavioral attitude, subjective norms, behavior control, and past habit. Variables related to the theory of planned behavior, attitude, subjective norms, and perceived behavior control all explained 50% of the behavioral intention of PTs and OTs regarding future divulgence of patient information. The past habits of PTs and OTs were also a significant predictor in explaining the behavioral intention to protect a patient's medical information (p<0.01). Conclusion: Revising the behavioral attitudes, subjective norms, perceived behavior control, and past habits of PTs and OTs helped improve their behavior regarding protection of the medical information of patents.

Keywords

References

  1. Kim HE. Kim JH. A survey on the attitude of social groups toward security, privacy, and confidentiality of health information: an original paper authors and affiliations. Journal of Korean Society of Medical Informatics. 1999;5(3):63-76.
  2. Ness RB. Influence of the HIPAA privacy rule on health research. JAMA. 2007;298(18):2164-70. https://doi.org/10.1001/jama.298.18.2164
  3. Yeun KY. Medical information and privacy protection in Japanese Law. Chung-Ang Law Review. 2005;7(4):269-97.
  4. Yoon KI. A study on medical information privacy protection law and regulation in the information age. Korea Society of Hospital Administration. 2003;8(2):111-29.
  5. Park IK. A study on the protection law for individual medical information. Yonsei University. Dissertation of Master Degree. 2007.
  6. Chang MK. Predicting unethical behavior: a comparison of the theory of reasoned action and the theory of planned behavior. Journal of business ethics. 1998;17(16):1825-34. https://doi.org/10.1023/A:1005721401993
  7. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179-211. https://doi.org/10.1016/0749-5978(91)90020-T
  8. Park SH, Han MJ. A survey on user attitudes and behavioral intention for identifying preventive campaign measures for illegal online downloading. Journal of Public Relation Research. 2007;11(2):195-230. https://doi.org/10.15814/jpr.2007.11.2.195
  9. Kim MS, Han YS. Understanding consumer behavior on on-line shopping: an application of the theory of reasoned action and theory of planned behavior. The Korean Journal of Social and Personality Psychology. 2001;15(3):17-32.
  10. Gorsuch RL, Ortber J. Moral obligation and attitudes: their relation to behavior intentions. J Pers Soc Psychol. 1983;44(1):1025-8. https://doi.org/10.1037/0022-3514.44.5.1025
  11. Kwon WA, Kin HS. A study on the stress o the family caregivers for patients with stroke. J Kor Soc Phys Ther. 2008;20(2):25-32.
  12. Amatayakul MK. Electronic health records: A practice guide for professionals and organizations. 3rd ed. Chicago, AHIMA, 2007.
  13. Ajzen I. Constructing a TpB questionnaire: conceptual and methodological consideration. 2006.
  14. Lee MY, Park YI. A study on the nurse's perception and performance of protecting patient privacy. Clinical Nursing Research. 2005;11(1):7-20.
  15. Ahn HY. A study of the smoking cessation behavior of university student-based on the theory of planned behavior, self efficacy, health locus of control-. Korean Journal of Child Health Nursing. 2001;7(3):371-82.
  16. Cha DP. Understanding binge-drinking: a test of the theory if planned behavior. Korean Journal of Journalism & Communication Studies. 2005;29(3):346-72.
  17. Hahn DW, Rhee MK. Explaining drinking and driving: an application of theory of planned behavior. The Korean Journal of Social and Personality Psychology. 2001;15(2):141-58.