Privacy Mental Models of Electronic Health Records: A German Case Study
summary
Semi-structured 21 interviews with sketching reveal that Germany’s centralized EHR (introduced 2021) stores patient-controlled files on encrypted servers and is exposed through 85 different apps, yet none had used EHRs; common misconceptions are that doctors have full control, emergency clinicians automatically access records, and insurers get detailed data, while reality limits insurer access to billing codes and patients can view/upload/delete documents; recommendations include non-insurer app provision and a secure emergency-access mechanism.
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chapters (9)
- 0:00Privacy mental models in EHRs
- 1:15What mental models are
- 3:00German EHR infrastructure
- 4:24Patient perception research questions
- 5:49Study design and methods
- 6:54Misconceptions about German EHRs
- 7:56Patient risks and concerns
- 9:00Takeaways for EHR design
- 10:05Conclusion and Q&A
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