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
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