Address correspondence to Adil Moiduddin, M.P.P., NORC at the University of Chicago, 3450 East West Highway, Suite 800, Bethesda, MD 20814; e-mail: firstname.lastname@example.org. Daniel S. Gaylin, M.P.A., and Shamis Mohamoud, M.A., are with the NORC at the University of Chicago, Bethesda, MD. Katie Lundeen, M.A., and Jennifer A. Kelly, B.Ec., are with the NORC at the University of Chicago, Chicago, IL.
Public Attitudes about Health Information Technology, and Its Relationship to Health Care Quality, Costs, and Privacy
Article first published online: 28 JAN 2011
© Health Research and Educational Trust
Health Services Research
Volume 46, Issue 3, pages 920–938, June 2011
How to Cite
Gaylin, D. S., Moiduddin, A., Mohamoud, S., Lundeen, K. and Kelly, J. A. (2011), Public Attitudes about Health Information Technology, and Its Relationship to Health Care Quality, Costs, and Privacy. Health Services Research, 46: 920–938. doi: 10.1111/j.1475-6773.2010.01233.x
- Issue published online: 3 MAY 2011
- Article first published online: 28 JAN 2011
- Medical informatics;
- health care surveys;
- health knowledge;
- public opinion
Objective. To understand Americans' attitudes concerning health information technology's (IT's) potential to improve health care and differences in those attitudes based on demographics and technological affinity.
Data Sources/Study Setting. A random-digit-dial sample with known probability of selection for every household in the United States with a telephone, plus a supplemental sample of cell phone users. Telephone interviews were conducted from August 2009 through November 2009.
Study Design. Data were analyzed to present univariate estimates of Americans' opinions of health IT, as well as multivariate logistic regressions to assess hypotheses relating individuals' characteristics to their opinions. Characteristics used in our model include age, race, ethnicity, gender, income, and affinity to technology.
Findings. A large majority (78 percent) favor use of electronic medical records (EMRs); believe EMRs could improve care and reduce costs (78 percent and 59 percent, respectively); believe benefits of EMR use outweigh privacy risks (64 percent); and support health care information sharing among providers (72 percent). Regression analyses show more positive attitudes among those with higher incomes and greater comfort using electronic technologies.
Conclusion. The findings suggest that American's believe that health IT adoption is an effective means to improve the quality and safety of health care.