Privacy Survey Topline Results

Privacy Survey Topline Results
September 28, 2011
Created for: National Partnership for Women and Families
Presented by: Harris Interactive
Research Methodology
Harris Interactive® conducted the study online within the United States between August 3 – 22, 2011.
Initially, a nationally representative sample of 4,612 US adults aged 18 or over was contacted in order to
determine who would be eligible for the full survey.
Among the 4,612 adults, 1,961 (representing 56%of all adults after the sample was weighted to reflect the
proper demographic distribution of the adult population) of these adults indicated that they have a primary
doctor and their doctor either kept medical and health information as electronic health records or paper
charts. Of these, 1,153 adults are those in EHR systems and 808 are in paper systems.
Further, in order to help ensure that we had sufficient number of Hispanics for analytical purposes, we
purposely oversampled this population. The initial sample of 4,612 included 993 Hispanics. These
interviews we were eventually weighted to properly reflect Hispanic population. Among these 993
interviews, 227 Hispanics were eligible to complete the full survey. These surveys were conducted in both
Spanish and English. Approximately a quarter of the surveys were completed in Spanish.
Weighting: The data was weighted to be representative of the US 18+ population (estimated to be 230
million people) on age, gender, education, geographical region, income plus a proprietary propensity score
designed to account for the bias inherent in online panel samples. We separately weighted Hispanics (both
from general sample and oversample), African Americans/Blacks and Others for added precision within
race/ethnic group. The demographic targets came from the US Census Bureau’s March supplement of the
2010 Current Population Survey.
Survey Error: All sample surveys and polls, whether or not they use probability sampling, are subject to
multiple sources of error which are most often not possible to quantify or estimate, including sampling
error, coverage error, error associated with nonresponse, error associated with question wording and
response options, and post-survey weighting and adjustments. Therefore, Harris Interactive avoids the
words “margin of error” as they are misleading. All that can be calculated are different possible sampling
errors with different probabilities for pure, unweighted, random samples with 100% response rates. These
are only theoretical because no published polls come close to this ideal.
Respondents for this survey were selected from among those who have agreed to participate in Harris
Interactive surveys. The data have been weighted to reflect the composition of the adult population.
Because the sample is based on those who agreed to participate in the Harris Interactive panel, no
estimates of theoretical sampling error can be calculated.
NPWF Privacy Survey Results
J#40187
1
About Harris Interactive
Harris Interactive is one of the world’s leading custom market research firms, leveraging research,
technology, and business acumen to transform relevant insight into actionable foresight. Known widely for
The Harris Poll and for pioneering innovative research methodologies, Harris offers expertise in a wide
range of industries including healthcare, technology, public affairs, energy, telecommunications, financial
services, insurance, media, retail, restaurant, and consumer package goods. Serving clients worldwide
through our North American and European offices and a network of independent market research firms,
Harris specializes in delivering research solutions that help us – and our clients – stay ahead of what’s next.
For more information, please visit www.harrisinteractive.com.
NOTE: A ( * ) means less than one-half percent responding; and a ( - ) means non-response or zero percent
NPWF Privacy Survey Results
J#40187
2
SECTION 600: SAMPLE PRELOAD AND SCREENING QUESTIONS
BASE: ALL US 18+ RESPONDENTS (Q264/244 AND Q280/18+)
Q605 (Q1) Which of the following best describes your main doctor?
BASE
A doctor in a solo physician practice, with one doctor in it.
A doctor in a physician group practice, with two or more
doctors in it.
I do not have a primary doctor.
EHR
1153
17%
PAPER
808
38%
83%
62%
-
-
BASE: HAVE PRIMARY DOCTOR EITHER SOLO OR GROUP (Q605/1-2)
Q610 (Q2) Which of the following best describes the medical record system your main doctor uses?
BASE
I believe my medical and health information is kept primarily
in electronic health records (EHRs).
I believe my medical and health information is kept primarily
in paper charts.
I don't know what medical record-keeping system my main
doctor uses.
EHR
1153
PAPER
808
100%
-
-
100%
-
-
BASE: PRIMARY DOCTOR USES EHRs (Q610/1)
Q615 Does your main doctor, the doctor you see most often, give you online access to your medical
information?
EHR
PAPER
1153
NA
BASE
26%
Yes
74%
No
BASE: PRIMARY DOCTOR PROVIDES ONLINE ACCESS (Q615/1)
Q620 (Q3) How often do you log into the website offered by your doctor to see your medical information?
BASE
3 or more times a month
1-2 times a month
7-11 times a year
NPWF Privacy Survey Results
J#40187
EHR
323
3%
7%
12%
PAPER
NA
3
3-6 times a year
Once or twice a year
Never
26%
32%
20%
-
BASE: ACCESSED ONLINE EHRs (Q620/2-6)
Q625 (Q4) How has having access to your medical and health information online impacted the following?
SUMMARY TABLE OF TOP 2 BOX: Positive Impact
BASE
Knowledge of my health
Ability to communicate with main doctor and other health
care professionals
Ability to correct errors if any in medical record
Quality of care
Decision to stay with my physician
Desire to do something to improve my health
EHR
254
80%
76%
PAPER
NA
-
64%
56%
55%
55%
-
EHR
254
4%
4%
5%
4%
4%
PAPER
NA
-
SUMMARY TABLE OF BOTTOM 2 BOX: Negative Impact
BASE
Decision to stay with my physician
Knowledge of my health
Ability to correct errors if any in medical record
Desire to do something to improve my health
Quality of care
Ability to communicate with main doctor and other health
care professionals
4%
Quality of care
BASE
TOP 2 BOX (NET)
Very positive impact
Somewhat positive impact
No impact
BOTTOM 2 BOX (NET)
Somewhat negative impact
Very negative impact
NPWF Privacy Survey Results
J#40187
EHR
254
56%
31%
26%
40%
4%
3%
1%
PAPER
NA
-
4
Desire to do something to improve my health
BASE
TOP 2 BOX (NET)
Very positive impact
Somewhat positive impact
No impact
BOTTOM 2 BOX (NET)
Somewhat negative impact
Very negative impact
EHR
254
55%
24%
31%
41%
4%
3%
*
PAPER
NA
-
EHR
254
76%
38%
38%
20%
4%
2%
1%
PAPER
NA
-
EHR
254
64%
29%
35%
31%
5%
3%
2%
PAPER
NA
-
EHR
254
80%
42%
37%
17%
4%
3%
PAPER
NA
-
Ability to communicate with main doctor and other health care professionals
BASE
TOP 2 BOX (NET)
Very positive impact
Somewhat positive impact
No impact
BOTTOM 2 BOX (NET)
Somewhat negative impact
Very negative impact
Ability to correct errors if any in medical record
BASE
TOP 2 BOX (NET)
Very positive impact
Somewhat positive impact
No impact
BOTTOM 2 BOX (NET)
Somewhat negative impact
Very negative impact
Knowledge of my health
BASE
TOP 2 BOX (NET)
Very positive impact
Somewhat positive impact
No impact
BOTTOM 2 BOX (NET)
Somewhat negative impact
NPWF Privacy Survey Results
J#40187
5
Very negative impact
*
-
EHR
254
55%
31%
23%
41%
4%
4%
*
PAPER
NA
-
Decision to stay with my physician
BASE
TOP 2 BOX (NET)
Very positive impact
Somewhat positive impact
No impact
BOTTOM 2 BOX (NET)
Somewhat negative impact
Very negative impact
BASE: NEGATIVE OR NEUTRAL IMPACT (Q625/3 AND Q626/1-3)
Q900 (NEW) What was the reason for the negative or neutral impact?
EHR
60
BASE
IN PERSON COMMUNICATIONS (NET)
18%
My doctor is good/Thorough on communicating with me in
9%
person/At my appointment
Prefer to communicate in person/On the phone
8%
Doctor doesn't spend much time with his patients
1%
You can't communicate/Interact with doctor through the on6%
line access
Don't use/Need the on-line access to my medical/Health
22%
information
On-line access doesn't contain full medical records/Records
3%
are incomplete
Prefer to use on-line access for other reasons than
13%
communications with doctor/Health care professional
Healthy/No serious health issues that require
1%
further/Constant communications with doctor
Expensive Co pay/Can only afford to see doctor twice a year
2%
No impact/Hasn't made a difference
13%
Other mentions
1%
None/Nothing
5%
Don't know
1%
Declined to answer
17%
NPWF Privacy Survey Results
J#40187
PAPER
NA
-
6
BASE: NEGATIVE OR NEUTRAL IMPACT (Q625/4 AND Q626/1-3)
Q901 (NEW) What was the reason for the negative or neutral impact?
EHR
96
BASE
ERROR CORRECTION (NET)
55%
They have not corrected errors that needed corrected
1%
Errors must be corrected by physician
1%
Did not find any errors that needed corrected
49%
Do not know how to personally correct errors online
8%
Do not have access to the entire records/Unable to see
3%
detailed information on this system
Do not know how to access/View medical/Health
2%
information/Records
Do not use online access/Prefer to do it in person
8%
Only view my annual lab reports online
1%
Other mentions
1%
None/Nothing
18%
Don't know
3%
Declined to answer
9%
NPWF Privacy Survey Results
J#40187
PAPER
NA
-
7
SECTION 700 MAIN QNR
BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q705 (Q5) How much has your main doctor or his or her staff told you about the following patient
protections?
SUMMARY TABLE OF TOP 2 BOX: A Great Deal/A Moderate Amount
BASE
My right to be informed and exercise choice before my
personal medical or health information is made available to
others for purposes beyond my health care
How the privacy and confidentiality of my personal medical
and health information are being protected
My right to see all or parts of medical record and have a copy
made if I wished to
How the security of my health information is being protected
from being disclosed accidentally or maliciously
EHR
1153
PAPER
808
52%
43%
49%
42%
47%
43%
41%
33%
EHR
1153
PAPER
808
59%
67%
53%
57%
51%
58%
48%
57%
SUMMARY TABLE OF BOTTOM 2 BOX: A Little/Told me Nothing
BASE
How the security of my health information is being protected
from being disclosed accidentally or maliciously
My right to see all or parts of medical record and have a copy
made if I wished to
How the privacy and confidentiality of my personal medical
and health information are being protected
My right to be informed and exercise choice before my
personal medical or health information is made available to
others for purposes beyond my health care
How the privacy and confidentiality of my personal medical and health information are being protected
BASE
TOP 2 BOX (NET)
A great deal
A moderate amount
BOTTOM 2 BOX (NET)
A little
Told me nothing
NPWF Privacy Survey Results
J#40187
EHR
1153
49%
23%
26%
51%
17%
34%
PAPER
808
42%
19%
23%
58%
24%
34%
8
My right to see all or parts of medical record and have a copy made if I wished to
BASE
TOP 2 BOX (NET)
A great deal
A moderate amount
BOTTOM 2 BOX (NET)
A little
Told me nothing
EHR
1153
47%
21%
26%
53%
18%
35%
PAPER
808
43%
21%
22%
57%
20%
37%
My right to be informed and exercise choice before my personal medical or health information is made available to
others for purposes beyond my health care
BASE
TOP 2 BOX (NET)
A great deal
A moderate amount
BOTTOM 2 BOX (NET)
A little
Told me nothing
EHR
1153
52%
23%
29%
48%
17%
30%
PAPER
808
43%
17%
26%
57%
23%
35%
How the security of my health information is being protected from being disclosed accidentally or maliciously?
BASE
TOP 2 BOX (NET)
A great deal
A moderate amount
BOTTOM 2 BOX (NET)
A little
Told me nothing
NPWF Privacy Survey Results
J#40187
EHR
1153
41%
20%
21%
59%
18%
41%
PAPER
808
43%
14%
19%
67%
21%
46%
9
BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q710 (Q6) How often do you do the following things as a patient?
SUMMARY TABLE OF TOP 2 BOX: All of the time/Most of the time
BASE
Take the medications prescribed for me
Take all the tests recommended by my doctor
Follow up with specialists my doctor suggests
EHR
1153
92%
90%
82%
PAPER
808
87%
86%
82%
See a doctor on a regular basis
75%
73%
Research information about health conditions
61%
64%
Follow a regular exercise routine
45%
43%
BASE
Follow a regular exercise routine
Research information about health conditions
See a doctor on a regular basis
EHR
1153
54%
37%
24%
PAPER
808
55%
34%
25%
Follow up with specialists my doctor suggests
11%
10%
Take all the tests recommended by my doctor
9%
12%
Take the medications prescribed for me
4%
6%
EHR
1153
92%
74%
17%
4%
3%
*
5%
PAPER
808
87%
70%
18%
6%
3%
3%
6%
SUMMARY TABLE OF BOTTOM 2 BOX: Some of the time/Never
Take the medications prescribed for me
BASE
TOP 2 BOX (NET)
All of the time
Most of the time
BOTTOM 2 BOX (NET)
Some of the time
Never
Doesn't apply
NPWF Privacy Survey Results
J#40187
10
Follow a regular exercise routine
BASE
TOP 2 BOX (NET)
All of the time
Most of the time
BOTTOM 2 BOX (NET)
Some of the time
Never
Doesn't apply
EHR
1153
45%
20%
25%
54%
37%
17%
1%
PAPER
808
43%
19%
23%
55%
35%
20%
3%
EHR
1153
75%
50%
26%
24%
21%
3%
1%
PAPER
808
73%
46%
26%
25%
20%
5%
2%
EHR
1153
82%
54%
29%
11%
10%
1%
6%
PAPER
808
82%
55%
26%
10%
7%
3%
8%
See a doctor on a regular basis
BASE
TOP 2 BOX (NET)
All of the time
Most of the time
BOTTOM 2 BOX (NET)
Some of the time
Never
Doesn't apply
Follow up with specialists my doctor suggests
BASE
TOP 2 BOX (NET)
All of the time
Most of the time
BOTTOM 2 BOX (NET)
Some of the time
Never
Doesn't apply
NPWF Privacy Survey Results
J#40187
11
Take all the tests recommended by my doctor
BASE
TOP 2 BOX (NET)
All of the time
Most of the time
BOTTOM 2 BOX (NET)
Some of the time
Never
Doesn't apply
EHR
1153
90%
60%
30%
9%
8%
1%
1%
PAPER
808
86%
60%
26%
12%
8%
4%
2%
EHR
1153
61%
34%
27%
37%
34%
4%
2%
PAPER
808
64%
31%
33%
34%
30%
5%
2%
Research information about health conditions
BASE
TOP 2 BOX (NET)
All of the time
Most of the time
BOTTOM 2 BOX (NET)
Some of the time
Never
Doesn't apply
BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q715 (Q7) Have you ever been notified that your medical or health information or that of a close family
member has been either lost or stolen?
My medical or health information
BASE
Yes
No
EHR
1153
4%
96%
PAPER
808
4%
96%
EHR
1153
4%
96%
PAPER
808
4%
96%
A close family member’s medical or health information
BASE
Yes
No
NPWF Privacy Survey Results
J#40187
12
BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q720 (Q8) How much do you agree or disagree with each of the following statements?
SUMMARY TABLE OF TOP 2 BOX: Agree
BASE
''In general, I trust my main doctor and other health care
professionals to protect the privacy and confidentiality of my
personal medical and health information.''
''Patients today have reasonably good opportunities to decide
who can get access to their medical records and information
for purposes beyond their direct health care.''
''Widespread adoption of electronic health record systems
will lead to even more personal information being lost or
stolen than we have now.''
''The privacy of personal medical records and health
information is not currently well protected by federal and
state laws and organizational practices.''
EHR
1153
PAPER
808
91%
92%
76%
74%
59%
66%
51%
53%
EHR
1153
PAPER
808
49%
47%
41%
34%
24%
26%
9%
8%
SUMMARY TABLE OF BOTTOM 2 BOX: Disagree
BASE
''The privacy of personal medical records and health
information is not currently well protected by federal and
state laws and organizational practices.''
''Widespread adoption of electronic health record systems
will lead to even more personal information being lost or
stolen than we have now.''
''Patients today have reasonably good opportunities to decide
who can get access to their medical records and information
for purposes beyond their direct health care.''
''In general, I trust my main doctor and other health care
professionals to protect the privacy and confidentiality of my
personal medical and health information.''
“In general, I trust my main doctor and other health care professionals to protect the privacy and confidentiality of my
personal medical and health information.”
BASE
TOP 2 BOX (NET)
Strongly agree
Somewhat agree
BOTTOM 2 BOX (NET)
Somewhat disagree
NPWF Privacy Survey Results
J#40187
EHR
1153
91%
42%
49%
9%
7%
PAPER
808
92%
44%
47%
8%
7%
13
Strongly disagree
2%
2%
“Patients today have reasonably good opportunities to decide who can get access to their medical records and
information for purposes beyond their direct health care.”
BASE
TOP 2 BOX (NET)
Strongly agree
Somewhat agree
BOTTOM 2 BOX (NET)
Somewhat disagree
Strongly disagree
EHR
1153
76%
21%
55%
24%
19%
5%
PAPER
808
74%
20%
53%
26%
19%
7%
“Widespread adoption of electronic health record systems will lead to even more personal information being lost or
stolen than we have now.”
BASE
TOP 2 BOX (NET)
Strongly agree
Somewhat agree
BOTTOM 2 BOX (NET)
Somewhat disagree
Strongly disagree
EHR
1153
59%
14%
45%
41%
31%
10%
PAPER
808
66%
24%
42%
34%
28%
7%
“The privacy of personal medical records and health information is not currently well protected by federal and state
laws and organizational practices.”
BASE
TOP 2 BOX (NET)
Strongly agree
Somewhat agree
BOTTOM 2 BOX (NET)
Somewhat disagree
Strongly disagree
NPWF Privacy Survey Results
J#40187
EHR
1153
51%
12%
39%
49%
37%
12%
PAPER
808
53%
13%
40%
47%
33%
14%
14
BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q725 (Q9) How useful do you think electronic health records are/would be when it comes to each of the
following?
SUMMARY TABLE OF TOP 2 BOX: Useful
BASE
Making sure that all the different health care providers who
treat a patient have timely access to all the relevant
information for his or her care, like test results and diagnoses
Getting test or laboratory results to patients in a timely
manner
Helping patients make sure the information in their medical
record is accurate
Helping patients follow their health care providers'
instructions for treatment or care of themselves or a family
member
Helping patients make or change their appointments
Helping patients communicate directly with their health care
providers
Helping patients take and refill their medications as
prescribed
EHR
1153
PAPER
808
97%
97%
96%
93%
94%
89%
92%
84%
89%
82%
89%
80%
88%
80%
EHR
1153
PAPER
808
12%
20%
11%
20%
11%
18%
8%
16%
6%
11%
4%
7%
3%
3%
SUMMARY TABLE OF BOTTOM 2 BOX: Not Useful
BASE
Helping patients take and refill their medications as
prescribed
Helping patients communicate directly with their health care
providers
Helping patients make or change their appointments
Helping patients follow their health care providers'
instructions for treatment or care of themselves or a family
member
Helping patients make sure the information in their medical
record is accurate
Getting test or laboratory results to patients in a timely
manner
Making sure that all the different health care providers who
treat a patient have timely access to all the relevant
information for his or her care, like test results and diagnoses
NPWF Privacy Survey Results
J#40187
15
Helping patients make or change their appointments
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
EHR
1153
89%
53%
35%
11%
8%
3%
PAPER
808
82%
39%
43%
18%
14%
5%
EHR
1153
89%
50%
39%
11%
9%
2%
PAPER
808
80%
44%
36%
20%
16%
4%
Helping patients communicate directly with their health care providers
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
Helping patients follow their health care providers’ instructions for treatment or care of themselves or a family
member
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
EHR
1153
92%
51%
41%
8%
6%
2%
PAPER
808
84%
38%
46%
16%
12%
3%
EHR
1153
88%
51%
37%
12%
9%
3%
PAPER
808
80%
44%
35%
20%
16%
4%
Helping patients take and refill their medications as prescribed
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
NPWF Privacy Survey Results
J#40187
16
Making sure that all the different health care providers who treat a patient have timely access to all the relevant
information for his or her care, like test results and diagnoses
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
EHR
1153
97%
70%
27%
3%
2%
1%
PAPER
808
97%
62%
34%
3%
2%
1%
EHR
1153
96%
65%
31%
4%
3%
1%
PAPER
808
93%
57%
36%
7%
5%
2%
Getting test or laboratory results to patients in a timely manner
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
Helping patients make sure the information in their medical record is accurate
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
NPWF Privacy Survey Results
J#40187
EHR
1153
94%
63%
32%
6%
4%
1%
PAPER
808
89%
51%
37%
11%
10%
1%
17
BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q730 (Q10) How useful do you think electronic health records are/would be when it comes to each of the
following?
SUMMARY TABLE OF TOP 2 BOX: Useful
BASE
Letting patients see a record of who has accessed their
medical information
Complying with privacy and confidentiality laws and rules
Giving patients more control over how their personal medical
and health information is used for purposes beyond their
direct care
Earning the trust of patients in the way their personal medical
and health information is being handled by their provider's
medical record system
Giving patients confidence that their medical and health
information is safe so that unauthorized people don't see it
EHR
1153
PAPER
808
84%
89%
81%
72%
78%
76%
81%
70%
73%
67%
EHR
1153
PAPER
808
27%
33%
19%
30%
22%
24%
19%
28%
16%
11%
SUMMARY TABLE OF BOTTOM 2 BOX: Not Useful
BASE
Giving patients confidence that their medical and health
information is safe so that unauthorized people don't see it
Earning the trust of patients in the way their personal medical
and health information is being handled by their provider's
medical record system
Giving patients more control over how their personal medical
and health information is used for purposes beyond their
direct care
Complying with privacy and confidentiality laws and rules
Letting patients see a record of who has accessed their
medical information
Giving patients confidence that their medical and health information safe so that unauthorized people don’t see it
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
NPWF Privacy Survey Results
J#40187
EHR
1153
73%
37%
37%
27%
21%
6%
PAPER
808
67%
26%
40%
33%
23%
10%
18
Complying with privacy and confidentiality laws and rules
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
EHR
1153
81%
39%
42%
19%
14%
4%
PAPER
808
72%
31%
41%
28%
19%
9%
Giving patients more control over how their personal medical and health information is used for purposes beyond their
direct care
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
EHR
1153
78%
39%
40%
22%
17%
4%
PAPER
808
76%
33%
43%
24%
18%
6%
EHR
1153
84%
46%
38%
16%
11%
5%
PAPER
808
89%
51%
39%
11%
8%
3%
Letting patients see a record of who has accessed their medical information
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
Earning the trust of patients in the way their personal medical and health information is being handled by their
provider’s medical record system
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
NPWF Privacy Survey Results
J#40187
EHR
1153
81%
33%
47%
19%
15%
4%
PAPER
808
70%
26%
44%
30%
21%
9%
19
BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q735 (Q11) How useful do you think paper record-keeping systems are/would be when it comes to each of
the following?
SUMMARY TABLE OF TOP 2 BOX: Useful
BASE
Helping patients follow their health care providers'
instructions for treatment or care of themselves or a family
member
Helping patients make sure the information in their medical
record is accurate
Giving test or laboratory results to patients in a timely
manner
Helping patients take and refill their medications as
prescribed
Making sure that all the different health care providers who
treat a patient have timely access to all the relevant
information for his or her care, like test results and diagnoses
Helping patients communicate directly with their health care
providers
Helping patients make or change their appointments
EHR
1153
PAPER
808
66%
68%
62%
65%
56%
62%
57%
59%
54%
52%
51%
57%
48%
53%
EHR
1153
52%
PAPER
808
47%
49%
43%
46%
48%
43%
41%
44%
38%
38%
35%
34%
32%
SUMMARY TABLE OF BOTTOM 2 BOX: Not Useful
BASE
Helping patients make or change their appointments
Helping patients communicate directly with their health care
providers
Making sure that all the different health care providers who
treat a patient have timely access to all the relevant
information for his or her care, like test results and diagnoses
Helping patients take and refill their medications as
prescribed
Giving test or laboratory results to patients in a timely
manner
Helping patients make sure the information in their medical
record is accurate
Helping patients follow their health care providers'
instructions for treatment or care of themselves or a family
member
NPWF Privacy Survey Results
J#40187
20
Helping patients make or change their appointments
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
EHR
1153
48%
18%
30%
52%
33%
19%
PAPER
808
53%
15%
38%
47%
29%
17%
EHR
1153
51%
18%
34%
49%
35%
13%
PAPER
808
57%
19%
38%
43%
28%
14%
Helping patients communicate directly with their health care providers
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
Helping patients follow their health care providers’ instructions for treatment or care of themselves or a family
member
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
EHR
1153
66%
22%
44%
34%
26%
8%
PAPER
808
68%
20%
47%
32%
25%
7%
EHR
1153
57%
19%
39%
43%
33%
PAPER
808
59%
19%
40%
41%
29%
Helping patients take and refill their medications as prescribed
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
NPWF Privacy Survey Results
J#40187
21
Not at all useful
9%
11%
Making sure that all the different health care providers who treat a patient have timely access to all the relevant
information for his or her care, like test results and diagnoses
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
EHR
1153
54%
23%
32%
46%
31%
15%
PAPER
808
52%
17%
35%
48%
37%
11%
EHR
1153
56%
23%
33%
44%
34%
9%
PAPER
808
62%
18%
44%
38%
29%
9%
Giving test or laboratory results to patients in a timely manner
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
Helping patients make sure the information in their medical record is accurate
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
NPWF Privacy Survey Results
J#40187
EHR
1153
62%
24%
38%
38%
28%
10%
PAPER
808
65%
21%
44%
35%
25%
11%
22
BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q740 (Q12) How useful do you think paper record-keeping systems are/would be when it comes to each of
the following?
SUMMARY TABLE OF TOP 2 BOX: Useful
BASE
Complying with privacy and confidentiality laws and rules
Earning the trust of patients in the way their personal medical
and health information is being handled by their provider's
medical record system
Giving patients confidence that their medical and health
information is safe and unauthorized people don't see it
Giving patients more control over how their personal medical
and health information is used for purposes beyond their
direct care
Letting patients see a record of who has accessed their
medical information
EHR
1153
68%
PAPER
808
76%
63%
71%
62%
64%
52%
56%
51%
48%
EHR
1153
PAPER
808
49%
52%
48%
44%
38%
36%
37%
29%
32%
24%
SUMMARY TABLE OF BOTTOM 2 BOX: Not Useful
BASE
Letting patients see a record of who has accessed their
medical information
Giving patients more control over how their personal medical
and health information is used for purposes beyond their
direct care
Giving patients confidence that their medical and health
information is safe and unauthorized people don't see it
Earning the trust of patients in the way their personal medical
and health information is being handled by their provider's
medical record system
Complying with privacy and confidentiality laws and rules
Giving patients confidence that their medical and health information is safe and unauthorized people don’t see it
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
NPWF Privacy Survey Results
J#40187
EHR
1153
62%
23%
39%
38%
27%
11%
PAPER
808
64%
26%
38%
36%
29%
7%
23
Complying with privacy and confidentiality laws and rules
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
EHR
1153
68%
22%
46%
32%
24%
7%
PAPER
808
76%
26%
50%
24%
20%
4%
Giving patients more control over how their personal medical and health information is used for purposes beyond their
direct care
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
EHR
1153
52%
18%
34%
48%
32%
16%
PAPER
808
56%
17%
39%
44%
35%
9%
EHR
1153
51%
20%
32%
49%
27%
22%
PAPER
808
48%
17%
31%
52%
31%
21%
Letting patients see a record of who has accessed their medical information
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
Earning the trust of patients in the way their personal medical and health information is being handled by their
provider’s medical record system
BASE
TOP 2 BOX (NET)
Very useful
Somewhat useful
BOTTOM 2 BOX (NET)
Not very useful
Not at all useful
NPWF Privacy Survey Results
J#40187
EHR
1153
63%
17%
46%
37%
27%
10%
PAPER
808
71%
18%
53%
29%
25%
5%
24
SECTION 800 RECORD SYSTEM QUESTIONS RESPONDENTS
BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q805 (Q13) Overall, how satisfied are you as a patient with the electronic health/in a paper medical record
system your main doctor is using?
EHR
PAPER
1153
808
BASE
TOP 2 BOX (NET)
94%
86%
Very satisfied
43%
31%
Somewhat satisfied
51%
54%
BOTTOM 2 BOX (NET)
6%
14%
Not very satisfied
5%
11%
Not at all satisfied
1%
3%
BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q810 (Q14) What impact do you believe your doctor’s use of an electronic health/in a paper medical
record system has on the overall quality of your health care services?
EHR
PAPER
1153
808
BASE
TOP 2 BOX (NET)
72%
26%
Very positive impact
31%
11%
Somewhat positive impact
42%
15%
No impact
25%
58%
BOTTOM 2 BOX (NET)
3%
16%
Somewhat negative impact
2%
15%
Very negative impact
1%
1%
BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q815(Q15) How well do you feel your doctor and his or her staff have informed you about how medical
and health information is collected and used by the electronic health/in a paper medical record system?
EHR
PAPER
1153
808
BASE
TOP 2 BOX (NET)
51%
46%
Explained it very well
13%
10%
Explained it well
38%
36%
BOTTOM 2 BOX (NET)
49%
54%
Explained it fairly poorly
16%
13%
Did not explain it at all
33%
41%
NPWF Privacy Survey Results
J#40187
25
BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q820 (Q16) How important is it to you as a patient to understand how your medical and health
information is collected and used by the electronic health/in a paper medical record system?
EHR
PAPER
1153
808
BASE
TOP 2 BOX (NET)
88%
83%
Very important
47%
37%
Somewhat important
41%
45%
BOTTOM 2 BOX (NET)
12%
17%
Not very important
9%
14%
Not at all important
3%
3%
BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q825 (Q17) How much do you believe the electronic health/paper medical” record system helps your
doctor and his or her staff with the following?
SUMMARY TABLE OF TOP 2 BOX: A great deal/A lot
BASE
Keeping up with my medication history
Making sure that all the other health care providers who treat
me have timely access to the relevant information for my care
(i.e., test results, medications, allergies, etc.)
Managing and keeping up with my health conditions and
treatments
Not having to repeat medical tests unnecessarily
Being able to correct errors or incomplete information in my
medical record
Being able to avoid medical errors, like prescribing drugs that
conflict with each other, or to which you are allergic
EHR
1153
84%
PAPER
808
46%
80%
29%
80%
45%
79%
44%
75%
38%
75%
38%
EHR
1153
6%
PAPER
808
25%
6%
30%
6%
31%
5%
20%
4%
42%
SUMMARY TABLE OF BOTTOM 2 BOX: A little/None
BASE
Not having to repeat medical tests unnecessarily
Being able to avoid medical errors, like prescribing drugs that
conflict with each other, or to which you are allergic
Being able to correct errors or incomplete information in my
medical record
Managing and keeping up with my health conditions and
treatments
Making sure that all the other health care providers who treat
me have timely access to the relevant information for my care
NPWF Privacy Survey Results
J#40187
26
(i.e., test results, medications, allergies, etc.)
Making sure that all the other health care providers who treat me have timely access to the relevant information for
my care (i.e., test results, medications, allergies, etc.)
BASE
TOP 2 BOX (NET)
A great deal
A lot
A moderate amount
BOTTOM 2 BOX (NET)
A little
None
EHR
1153
80%
49%
31%
16%
4%
2%
2%
PAPER
808
29%
12%
17%
29%
42%
28%
14%
EHR
1153
80%
42%
38%
15%
5%
4%
1%
PAPER
808
45%
16%
29%
35%
20%
16%
4%
EHR
1153
84%
49%
34%
12%
4%
3%
1%
PAPER
808
46%
18%
28%
35%
19%
15%
4%
Managing and keeping up with my health conditions and treatments
BASE
TOP 2 BOX (NET)
A great deal
A lot
A moderate amount
BOTTOM 2 BOX (NET)
A little
None
Keeping up with my medication history
BASE
TOP 2 BOX (NET)
A great deal
A lot
A moderate amount
BOTTOM 2 BOX (NET)
A little
None
NPWF Privacy Survey Results
J#40187
27
Being able to correct errors or incomplete information in my medical record
BASE
TOP 2 BOX (NET)
A great deal
A lot
A moderate amount
BOTTOM 2 BOX (NET)
A little
None
EHR
1153
75%
39%
37%
19%
6%
4%
2%
PAPER
808
38%
16%
23%
31%
31%
23%
7%
EHR
1153
79%
45%
35%
14%
6%
4%
3%
PAPER
808
44%
17%
27%
32%
25%
17%
7%
Not having to repeat medical tests unnecessarily
BASE
TOP 2 BOX (NET)
A great deal
A lot
A moderate amount
BOTTOM 2 BOX (NET)
A little
None
Being able to avoid medical errors, like prescribing drugs that conflict with each other, or to which you are allergic
BASE
TOP 2 BOX (NET)
A great deal
A lot
A moderate amount
BOTTOM 2 BOX (NET)
A little
None
NPWF Privacy Survey Results
J#40187
EHR
1153
75%
43%
32%
19%
6%
4%
2%
PAPER
808
38%
16%
23%
32%
30%
20%
10%
28
BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q830 (Q18) How much does the electronic health/paper medical record system your provider uses help
you personally with the following?
SUMMARY TABLE OF TOP 2 BOX: A great deal/A lot
BASE
Avoiding having to repeatedly fill out forms regarding my
medical information
Sharing information with all of my health care providers
Finding and correcting errors or incomplete information in my
medical record
Understanding my health condition better
Keeping up with my medications, including remembering to
take them and getting timely refills
Helping maintain a healthy lifestyle, including having good
nutrition, exercising regularly, not smoking, etc.
EHR
1153
PAPER
808
64%
36%
63%
27%
46%
27%
46%
29%
43%
27%
34%
24%
EHR
1153
PAPER
808
44%
51%
38%
46%
33%
43%
30%
50%
20%
43%
19%
40%
SUMMARY TABLE OF BOTTOM 2 BOX: A little/None
BASE
Helping maintain a healthy lifestyle, including having good
nutrition, exercising regularly, not smoking, etc.
Keeping up with my medications, including remembering to
take them and getting timely refills
Understanding my health condition better
Finding and correcting errors or incomplete information in my
medical record
Sharing information with all of my health care providers
Avoiding having to repeatedly fill out forms regarding my
medical information
Avoiding having to repeatedly fill out forms regarding my medical information
BASE
TOP 2 BOX (NET)
A great deal
A lot
A moderate amount
BOTTOM 2 BOX (NET)
A little
None
NPWF Privacy Survey Results
J#40187
EHR
1153
64%
39%
25%
17%
19%
9%
10%
PAPER
808
36%
13%
23%
24%
40%
15%
25%
29
Understanding my health condition better
BASE
TOP 2 BOX (NET)
A great deal
A lot
A moderate amount
BOTTOM 2 BOX (NET)
A little
None
EHR
1153
46%
22%
24%
21%
33%
14%
19%
PAPER
808
29%
10%
18%
28%
43%
17%
27%
EHR
1153
63%
35%
29%
17%
20%
9%
11%
PAPER
808
27%
10%
17%
30%
43%
21%
22%
Sharing information with all of my health care providers
BASE
TOP 2 BOX (NET)
A great deal
A lot
A moderate amount
BOTTOM 2 BOX (NET)
A little
None
Keeping up with my medications, including remembering to take them and getting timely refills
BASE
TOP 2 BOX (NET)
A great deal
A lot
A moderate amount
BOTTOM 2 BOX (NET)
A little
None
EHR
1153
43%
24%
19%
19%
38%
12%
26%
PAPER
808
27%
11%
16%
26%
46%
17%
29%
Helping maintain a healthy lifestyle, including having good nutrition, exercising regularly, not smoking, etc.
BASE
TOP 2 BOX (NET)
A great deal
A lot
A moderate amount
BOTTOM 2 BOX (NET)
A little
NPWF Privacy Survey Results
J#40187
EHR
1153
34%
16%
17%
23%
44%
12%
PAPER
808
24%
9%
15%
25%
51%
16%
30
None
31%
35%
Finding and correcting errors or incomplete information in my medical record
BASE
TOP 2 BOX (NET)
A great deal
A lot
A moderate amount
BOTTOM 2 BOX (NET)
A little
None
EHR
1153
46%
23%
24%
24%
30%
13%
17%
PAPER
808
27%
9%
18%
23%
50%
24%
26%
BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q835 (Q19) Since your doctor uses an electronic health/a paper medical record system, have you ever
decided not to provide medical or health-related information to a doctor or health care professional
because you were worried that this would not be kept confidential?
BASE
Yes
No
NPWF Privacy Survey Results
J#40187
EHR
1153
5%
95%
PAPER
808
8%
92%
31
BASE: WORRIED THAT NOT KEPT CONFIDENTIAL (Q835/1)
Q840 (Q20) You mentioned you have decided not to provide medical or health-related information to a
doctor or health care professional. Please describe what was involved and what happened when that
occurred.
BASE
MEDICAL/HEALTH RELATED INFORMATION NOT PROVIDED
(NET)
LIFESTYLE CHOICES (SUB-NET)
Lifestyle choices (Unspec.)
Amount of alcohol consumed
If I'm a smoker/How many cigarettes I smoke per day
Sexual activity
Recreational drug use
OTHER MEDICAL/HEALTH RELATED INFORMATION NOT
PROVIDED (SUB-NET)
Did not give all medical information/Held out some health
related conditions
Refused to give my weight/Height
Didn't want to share information about previous doctor
care
Diabetes
Acute illness
COPD
Infertility problems
Feminine care
Have chosen not to sign releases for my medical records
Refuse to disclose prescribed medications
Refused to give social security number
Other medical/health related information not provided
mentions
OUTCOME/RESULTS (NET)
Doctors fail to provide appropriate care
No record for the insurance company
Refused to take medication prescribed
Prescribed the wrong medicine
Doctor refused to treat me
Records/Test results were not issued
Diagnosis was recorded incorrectly/Inaccurate entries into
historical data
Errors in my medical records have never been corrected
NPWF Privacy Survey Results
J#40187
EHR
66
PAPER
53
37%
35%
3%
*
2%
-
2%
2%
*
*
*
35%
33%
19%
7%
1%
17%
1%
4%
6%
1%
2%
*
2%
*
3%
*
*
*
1%
*
*
3%
*
-
*
13%
12%
1%
*
*
1%
1%
*
8%
*
*
1%
3%
*
-
*
32
CON’T
Complete medical history will be on paper and certain things
will not be entered into the EMR
Afraid insurance rates will increase/Be denied insurance
Doctor was supportive/Encouraging
Other outcome/Results mentions
PRIVACY/SECURITY (NET)
Could not guarantee privacy protection
Feel that my private medical records should remain private
Worried that the Government has the right to access these
records
Too many people have access to privacy records
Unsecured office/Practice
Doctor/Staff discuss medical records with other family
members
MISCELLANEOUS (NET)
Doctor is not trustworthy
Errors online are not able to be corrected
Other mentions
Nothing
Don't know/Remember
Declined to answer
EHR
PAPER
1%
*
1%
3%
2%
7%
2%
*
*
3%
23%
*
10%
4%
*
1%
*
1%
12%
1%
*
4%
2%
1%
17%
3%
27%
*
*
3%
*
33%
BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q845 (Q21) Since your doctor uses “an electronic health” “a paper medical” record system, have you ever
had any of your personal medical or health information that you did not want others to know about
disclosed to someone or some organization in a way that you felt was not appropriate, made you feel
uncomfortable, or you felt violated your sense of confidentiality?
BASE
Yes
No
Not that I know of
EHR
1153
3%
45%
51%
PAPER
808
4%
49%
47%
BASE: INFORMATION HAS BEEN DISCLOSED (Q845/1)
Q850 (Q21a) Did you tell your doctor or a member of his or her staff?
BASE
Yes
NPWF Privacy Survey Results
J#40187
EHR
48
74%
PAPER
32
65%
33
No
26%
35%
BASE: REPORTED THE INCIDENT (Q850/1)
Q855 (Q21b) How satisfied were you with the way your doctor or his or her staff responded to the
incident?
EHR
PAPER
BASE
30
21
TOP 2 BOX (NET)
73%
68%
Very satisfied
19%
42%
Somewhat satisfied
54%
26%
BOTTOM 2 BOX (NET)
27%
32%
Not very satisfied
2%
8%
Not at all satisfied
26%
24%
NPWF Privacy Survey Results
J#40187
34
BASE: INFORMATION HAS BEEN DISCLOSED (Q845/1)
Q860 (Q21c) Please describe what took place.
BASE
PRIVACY/SECURITY (NET)
Social security number was stolen
Records lost/Stolen
Computer was stolen from the office
Too many people have access to privacy records
High security
COMPLIANCE (NET)
My Alumni college was informed without my consent
Sent my medical records to another doctor without my
permission
Submitted information to insurance when I specifically
directed them not to
Refused to give out medical information to a party that had
my permission to my medical records
Medical information has to/Has been shared with insurance
company
I received mailings/Advertisings for a specific condition I
have
Discussed with me with their privacy/Confidential disclosure
policy
Other compliance mentions
SERVICES/TREATMENT PROVIDED BY PRACTICE/OFFICE (NET)
Doctor stopped admitting patients to that hospital for a
period of time
Gossips to other staff members/Shared information with my
family member
I was not taken seriously/They were rude with me
Gave me good service/Advice
PRACTICE/OFFICE EFFICIENCIES (NET)
Diagnosis was recorded incorrectly/Inaccurate entries into
historical data
Doctor/Staff read my/Other patients chart where I/Others
could hear
Reason for visit/Test results goes/Went through multiple
departments
Office visit was billed under the wrong doctor and they were
holding payment
SOLUTION TO ISSUE (NET)
Filed a complaint with the state
Considering a law suit against the doctor
NPWF Privacy Survey Results
J#40187
EHR
48
7%
*
1%
1%
4%
1%
11%
*
PAPER
32
12%
8%
3%
*
1%
*
18%
11%
*
1%
*
-
1%
*
3%
3%
4%
2%
*
2%
3%
13%
*
19%
*
1%
4%
6%
8%
1%
14%
13%
*
3%
7%
*
3%
1%
6%
1%
*
2%
4%
*
1%
13%
2%
2%
35
CON’T
Left the practice/Going to a new practice/Thinking of
changing doctors
Complete medical history will be on paper and certain things
will not be entered into the EMR
Issue was brought up/Discussed at the hospital board
meeting with the CEO
Doctor asked me to find another primary care provider
Told the Doctor/Staff and they had apologized
Hospital paid for credit report tracking for 1 year
MISCELLANEOUS (NET)
Called my listed emergency contact person with a false
financial request
Billing error I refused to pay and my file was turned into a
collection agency
Test preformed was much higher than given estimate cost
and results of test never given
Doctor is honest/Trustworthy
Things are normal/Going well now
Nothing
Don't know
Declined to answer
EHR
PAPER
1%
3%
2%
*
*
1%
*
1%
*
8%
1%
4%
3%
1%
*
1%
5%
*
2%
*
1%
1%
15%
3%
32%
*
*
1%
42%
BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q865 (Q22) Overall, how much do you trust your doctor and his or her staff to protect your privacy and
other patient rights?
EHR
PAPER
BASE
1153
808
TOP 2 BOX (NET)
73%
76%
Completely
31%
32%
A lot
42%
44%
A moderate amount
21%
20%
BOTTOM 2 BOX (NET)
6%
4%
A little
5%
2%
Not at all
1%
1%
NPWF Privacy Survey Results
J#40187
36
BASE: TRUST DOCTOR (Q865/3-5)
Q870 (Q23) What factors help you trust that your doctor and his/her staff will protect the privacy of your
personal medical and health information?
EHR
PAPER
1081
777
BASE
11%
9%
PRIVACY/SECURITY (NET)
3%
3%
Efficient security system/Protocols they have in place/Follow
Computer screens/Personal records are in a secure/Private
2%
3%
area
3%
*
Records are password protected
1%
Using the electronic health records/EHR method/System
1%
1%
Limited amount of people have access to privacy records
2%
1%
Other privacy/Security mentions
35%
41%
REPUTABLE/TRUSTWORTHINESS (NET)
10%
12%
Trust Doctor/Staff
2%
4%
Good reputation/Respectable practice
4%
4%
Honesty/Integrity
2%
2%
Ethical practice/Office/Staff/Doctors confidentially oath
6%
4%
I have confidence/Believe in Doctor/Staff
Know them well/Been going to this Doctor/office a long
10%
15%
time/For years
6%
7%
Never had a problem
1%
Other reputable/Trustworthy mentions
16%
13%
COMPLIANCE (NET)
5%
4%
It's the law/Federal law to protect my privacy rights
4%
3%
HIPPA laws
They provide/Discuss with me with their privacy disclosure
4%
3%
policy/Confidentiality form
Require my permission/Signature to release any personal
2%
3%
information
*
*
HMO policy
1%
1%
Other compliance mentions
17%
20%
SERVICES/TREATMENT PROVIDED BY PRACTICE/OFFICE (NET)
4%
4%
Good Doctor/staff behavior/Patient relationship
7%
9%
They are a professional practice/Staff
They look out for the best interest of the patients/Good bed
3%
2%
side manners/They care
3%
5%
Personal relationship/Friend with Doctor/Staff
2%
1%
Good communications
1%
1%
Other services/Treatment by practice/Office mentions
5%
10%
PRACTICE/OFFICE EFFICIENCIES (NET)
2%
3%
Efficient/Competent doctor/Practice/Office
1%
2%
They are careful/Follow standard protocols
NPWF Privacy Survey Results
J#40187
37
Organized office/Staff
CON’T
Other practice/Office efficiencies mentions
PRACTICE/HOSPITAL AFFILIATIONS (NET)
It's the VA/Military hospital
Other practice/Hospital affiliations mentions
SIZE OF PRACTICE (NET)
Small office/Practice
Other size of practice mentions
MISCELLANEOUS (NET)
No motive/Benefit from sharing my medical information
Past experience (Unspec.)
Personal observation
I/Family/Friend works there/I'm in the medical field
Other mentions
All negative mentions
Nothing
Don't know
Declined to answer
NPWF Privacy Survey Results
J#40187
-
1%
EHR
2%
3%
1%
2%
2%
1%
1%
6%
1%
2%
1%
1%
1%
2%
6%
7%
7%
PAPER
4%
1%
1%
4%
4%
*
6%
1%
2%
2%
1%
1%
8%
3%
6%
38
BASE: DOES NOT TRUST DOCTOR (Q865/1-2)
Q875 (Q24) Why don’t you have much trust in your doctor and his/her staff’s ability to protect the privacy
of your personal medical and health information?
EHR
PAPER
BASE
72
31
44%
16%
PRIVACY/SECURITY (NET)
Don't trust/Using the electronic health records/EHR
14%
*
system/vulnerable to computer/Internet hacking
Too many people have access to records/Know why your
8%
3%
visiting doctor
4%
7%
It's not hard to access privacy information
Computer screens/Personal records are left unattended/Not
6%
*
in a secure/Private area
*
2%
Using paper health record method/System
*
Do not have the resources to protect privacy
Not careful/Don't see a big effort being made to keep things
6%
5%
private
1%
Small town/Everyone knows each other
4%
*
Other privacy/Security mentions
14%
7%
REPUTABLE/TRUSTWORTHY (NET)
9%
4%
Don't trust anyone/Have proven they can't be trusted
1%
I don't have confidence in Doctor/Staff
*
2%
There are no guarantees
4%
*
New/Unfamiliar with my current doctor
3%
6%
COMPLIANCE (NET)
Have not been informed/Discuss with me with their privacy
2%
*
disclosure policy/Confidentiality form
*
5%
State/Government regulations require too much disclosure
*
Doctor/Staff doesn't follow HIPPA regulations
*
1%
There is no permission process in place
5%
12%
SERVICES/TREATMENT PROVIDED BY PRACTICE/OFFICE (NET)
*
12%
Doctor/staff inappropriate behavior/Patient relationship
*
They are more concerned with financial matters
3%
*
Doctor/Staff doesn't know me well/Care
3%
*
Never received test results/Follow up
*
*
Doctor couldn't diagnose my illness
28%
37%
PRACTICE/OFFICE EFFICIENCIES (NET)
3%
3%
Office staff gossip too much/Too loud
15%
5%
Inefficient/Incompetent practice/Office
13%
Too busy of an office/Practice
*
6%
Unorganized practice/Office
*
5%
Billing errors
NPWF Privacy Survey Results
J#40187
39
Inaccurate/Incomplete documentation
CON’T
Have lost my medical records before
High staff turn over
Doesn't follow standard office protocols
Office technology is not up to date
PRACTICE/HOSPITAL AFFILIATIONS (NET)
It is a government agency
Insurance companies/Doctors work with insurance
companies
It's a community hospital
It's the VA/Military hospital
MISCELLANEOUS (NET)
Too young of a doctor
Mistakes happen
Personal observation
I/Family/Friend works in the medical field and see what
really happens with records
Other mentions
None/Nothing
Don't know
Declined to answer
NPWF Privacy Survey Results
J#40187
2%
*
EHR
1%
5%
2%
1%
4%
3%
PAPER
1%
5%
*
*
25%
*
1%
13%
*
4%
3%
*
-
12%
*
35%
12%
4%
*
1%
*
1%
3%
1%
7%
19%
2%
*
3%
40
BASE: ALL QUALIFIED RESPONDENTS AND DOCTOR’S USING PAPER MEDICAL RECORD SYSTEM (Q99/1
AND Q610/2)
Q880 (Q37) Regardless of whether you have access currently, how important is it to you that you be
provided with access to your medical and health information online?
BASE
TOP 2 BOX (NET)
Very important
Somewhat important
BOTTOM 2 BOX (NET)
Not very important
Not at all important
EHR
NA
-
PAPER
808
65%
24%
41%
35%
23%
12%
BASE: ALL QUALIFIED RESPONDENTS AND DOCTOR’S USING PAPER MEDICAL RECORD SYSTEM (Q99/1
AND Q610/2)
Q885 (Q38) Although you mentioned your main doctor currently uses a paper medical record system, how
valuable would it be to you as a patient that your main doctor adopt and use an electronic health record
system?
EHR
PAPER
BASE
NA
808
TOP 2 BOX (NET)
73%
Very valuable
21%
Somewhat valuable
52%
BOTTOM 2 BOX (NET)
27%
Not very valuable
18%
Not valuable at all
10%
BASE: ALL QUALIFIED RESPONDENTS AND DOCTOR’S USING PAPER MEDICAL RECORD SYSTEM (Q99/1
AND Q610/2)
Q890 (NEW) If your doctor switched to an electronic health record system, what impact do you believe
your doctor’s use of an electronic health record system would have on the overall quality of your health
care services?
BASE
TOP 2 BOX (NET)
Very positive impact
Somewhat positive impact
No impact
BOTTOM 2 BOX (NET)
Somewhat negative impact
NPWF Privacy Survey Results
J#40187
EHR
NA
-
PAPER
808
48%
12%
36%
41%
10%
8%
41
Very negative impact
-
2%
BASE: ALL QUALIFIED RESPONDENTS AND DOCTOR’S USING PAPER MEDICAL RECORD SYSTEM (Q99/1
AND Q610/2)
Q895 (NEW) If your doctor switched to an electronic health record system, overall, how much would you
trust your doctor and his or her staff to protect your privacy and other patient rights?
BASE
TOP 2 BOX (NET)
Completely
A lot
A moderate amount
BOTTOM 2 BOX (NET)
A little
Not at all
NPWF Privacy Survey Results
J#40187
EHR
NA
-
PAPER
808
57%
19%
38%
29%
14%
8%
6%
42
BASE: ALL RESPONDENTS
Q2500. Are you covered by health insurance?
BASE
Covered
Not Covered
EHR
1153
94%
6%
PAPER
808
91%
9%
BASE: INSURANCE COVERED (Q2500/1)
Q2505. Please indicate if you are covered by the following health insurance plan types?
BASE
Health insurance or an HMO through work or union or
someone else's work or union
Health insurance or an HMO bought directly by me or another
member of my family
Medicare or a Medicare HMO, which is a government plan
that pays health care bills for people aged 65 or older and for
some disabled people
Medicaid, Medicaid HMO or medical assistance
Health insurance from some other source
EHR
1074
PAPER
734
54%
52%
13%
14%
22%
22%
6%
6%
6%
6%
BASE: ALL RESPONDENTS
Q2510. Overall, would you say your health is excellent, pretty good, fair, or poor?
EHR
BASE
1153
TOP 2 BOX (NET)
76%
Excellent
20%
Pretty good
57%
BOTTOM 2 BOX (NET)
24%
Fair
20%
Poor
3%
NPWF Privacy Survey Results
J#40187
PAPER
808
77%
22%
55%
23%
20%
4%
43
BASE: ALL RESPONDENTS
Q2515. Have you ever…?
SUMMARY TABLE OF YES
BASE
Used the services of a psychologist, psychiatrist, or other
mental-health professional
Had a long-term medical condition such as diabetes or
epilepsy
Had a serious illness such as heart attack, stroke or cancer
Had any major physical or mental disabilities
Had a medical procedure that you did not want other people
to know about
Had any sexually transmitted health condition
Had an alcohol or drug abuse problem
EHR
1153
PAPER
808
28%
24%
22%
17%
15%
13%
12%
13%
10%
7%
8%
5%
7%
6%
EHR
1153
92%
90%
PAPER
808
93%
91%
88%
91%
84%
83%
86%
86%
76%
82%
69%
74%
SUMMARY TABLE OF NO
BASE
Had an alcohol or drug abuse problem
Had any sexually transmitted health condition
Had a medical procedure that you did not want other people
to know about
Had any major physical or mental disabilities
Had a serious illness such as heart attack, stroke or cancer
Had a long-term medical condition such as diabetes or
epilepsy
Used the services of a psychologist, psychiatrist, or other
mental-health professional
Used the services of a psychologist, psychiatrist, or other mental-health professional
EHR
PAPER
BASE
1153
808
Yes
28%
24%
No
69%
74%
Decline to answer
2%
2%
NPWF Privacy Survey Results
J#40187
44
Had a long-term medical condition such as diabetes or epilepsy
BASE
Yes
No
Decline to answer
EHR
1153
22%
76%
2%
PAPER
808
17%
82%
1%
EHR
1153
13%
84%
2%
PAPER
808
13%
86%
1%
EHR
1153
15%
83%
2%
PAPER
808
12%
86%
2%
EHR
1153
8%
90%
2%
PAPER
808
7%
91%
2%
EHR
1153
5%
92%
2%
PAPER
808
6%
93%
1%
Had any major physical or mental disabilities
BASE
Yes
No
Decline to answer
Had a serious illness such as heart attack, stroke or cancer
BASE
Yes
No
Decline to answer
Had any sexually transmitted health condition
BASE
Yes
No
Decline to answer
Had an alcohol or drug abuse problem
BASE
Yes
No
Decline to answer
Had a medical procedure that you did not want other people to know about
EHR
BASE
1153
Yes
10%
No
88%
NPWF Privacy Survey Results
J#40187
PAPER
808
7%
91%
45
Decline to answer
2%
2%
BASE: ALL RESPONDENTS
Q2520. Do you have a chronic condition – like heart disease, diabetes, severe arthritis, or high blood
pressure?
EHR
PAPER
BASE
1153
808
Yes
52%
48%
No
48%
52%
BASE: CHRONIC CONDITION SUFFERERS (Q2520/1)
Q2525. Have you ever been told by a healthcare provider that you have any of the following conditions?
EHR
PAPER
BASE
604
384
High blood pressure
62%
64%
High cholesterol
49%
49%
Overweight or obese
34%
37%
Arthritis
33%
28%
Type 2 Diabetes
23%
22%
Chronic pain
21%
16%
Depression
20%
16%
Heart disease or heart attack
15%
15%
Asthma or other respiratory disease
16%
12%
An anxiety disorder (such as generalized anxiety disorder,
panic disorder or PTSD).
13%
15%
Cancer
13%
8%
Stroke
3%
1%
Type 1 Diabetes
3%
2%
None
3%
5%
Decline to answer
1%
1%
NPWF Privacy Survey Results
J#40187
46
DEMOGRAPHICS
BASE: ALL RESPONDENTS
Q268. Are you…?
BASE
Male
Female
EHR
1153
45%
55%
PAPER
808
45%
55%
EHR
1153
2%
3%
8%
5%
8%
7%
12%
6%
11%
13%
25%
PAPER
808
4%
3%
7%
5%
10%
8%
9%
7%
14%
10%
24%
EHR
1153
79%
9%
7%
2%
2%
1%
8%
-
PAPER
808
73%
14%
10%
4%
1%
1%
9%
1%
-
BASE: ALL RESPONDENTS
Q280. Age
BASE
18-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65 and over
BASE: ALL US RESPONDENTS 18 + (Q264/244 AND Q280/18+)
Q485. Ethnicity
BASE
White
BLACK/AFRICAN AMERICAN (NET)
Black
African American
Asian or Pacific Islander
Native American or Alaskan native
Mixed racial background
Hispanic
Other race
Decline To Answer
NPWF Privacy Survey Results
J#40187
47
BASE: ALL US RESPONDENTS 18+ (Q264/244 AND Q280/18+)
Q410. Which of the following best describes your employment status?
EHR
BASE
1153
Employed full time
48%
Employed part time
17%
Self-employed
13%
Not employed, but looking for work
6%
Not employed and not looking for work
26%
Not employed, unable to work due to a disability or illness
8%
Retired
29%
Student
7%
Stay-at-home spouse or partner/Housewife/husband
10%
PAPER
808
43%
17%
11%
7%
27%
8%
29%
10%
13%
BASE: EDUCATION TO BE PRESENTED
Q437. What is the highest level of education you have completed or the highest degree you have
received?
EHR
PAPER
BASE
1153
808
HIGH SCHOOL OR LESS (NET)
30%
37%
Less than high school
1%
2%
Completed some high school
4%
9%
Completed high school
25%
26%
COLLEGE (NET)
55%
49%
Completed some college
22%
19%
Completed College
22%
19%
Associate Degree
11%
10%
GRAD (NET)
15%
15%
Completed some graduate school
4%
5%
Completed graduate school
4%
5%
MA, MS, MFA
4%
3%
MBA
1%
1%
Ph.D., Psy.D. or other academic doctorate
1%
1%
J.D.
1%
M.D.
Other graduate or professional degree
1%
NPWF Privacy Survey Results
J#40187
48
BASE: HOUSEHOLD INCOME LESS THAN $50,000
Q462. Which of the following income categories best describes your total 2010 household income
before/after taxes?
BASE
Less than $15,000
$15,000 to $24,999
$25,000 to $34,999
$35,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 to $124,999
$125,000 to $149,999
$150,000 to $199,999
$200,000 to $249,999
$250,000 or more
Decline to answer
NPWF Privacy Survey Results
J#40187
EHR
1153
6%
8%
8%
14%
20%
16%
15%
5%
4%
1%
2%
1%
PAPER
808
9%
8%
9%
11%
20%
15%
13%
7%
4%
1%
1%
1%
49