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Accepted for/Published in: JMIR Formative Research

Date Submitted: May 29, 2022
Date Accepted: Nov 21, 2022

The final, peer-reviewed published version of this preprint can be found here:

Theoretical Approach and Scale Construction of Patient Privacy Protection Behavior of Doctors in Public Medical Institutions in China: Pilot Development Study

Xu J, Lu L, Xing K, Shi H, Chen R, Yao Y, Liu S

Theoretical Approach and Scale Construction of Patient Privacy Protection Behavior of Doctors in Public Medical Institutions in China: Pilot Development Study

JMIR Form Res 2022;6(12):e39947

DOI: 10.2196/39947

PMID: 36515996

PMCID: 9798263

Theoretical Approach and Scale Construction of Doctors’ Protection Behavior of Patients’ Privacy in China Public Medical Institutions: Development Pilot Study

  • Jie Xu; 
  • Lu Lu; 
  • Kaichen Xing; 
  • Huwei Shi; 
  • Ruiyao Chen; 
  • Yujun Yao; 
  • Sichen Liu

ABSTRACT

Background:

Considering the high incidence of medical privacy disclosure, it is of vital importance to study doctors’ privacy protection behavior and its influencing factors.

Objective:

We aimed to explore the internal mechanism of doctors' protection of patients' privacy in Chinese public medical institutions using of grounded theory, in order to construct a theoretical model framework, to develop, and subsequently to validate a scale to measure this protection behavior.

Methods:

Combined with PMT and interview data, the grounded theory research method, and followed by the Delphi expert and group discussion methods, a theoretical framework and initial scale for doctors in Chinese public medical institutions to protect patients' privacy was formed. The adjusted scale was collected online using a WeChat electronic survey. Exploratory and confirmatory factor analyzes and tests to analyze reliability and validity were performed on the sample data.

Results:

This study formed a theory regarding doctors' privacy protection behavior of patients in Chinese public medical institutions. Ultimately, we created a scale to measure 18 variables in the theoretical model, comprised of 63 measurement items, with a total of 208 doctors participating in the scaling survey. The research demonstrated that the scale had respectable internal consistency, in which the fit of the confirmatory factor model was good.

Conclusions:

The theoretical framework and scale to assess doctors' patient protection behavior in public medical institutions in China fills a significant gap in the literature and can be used to further the current knowledge of physicians’ thought processes and adoption decisions.


 Citation

Please cite as:

Xu J, Lu L, Xing K, Shi H, Chen R, Yao Y, Liu S

Theoretical Approach and Scale Construction of Patient Privacy Protection Behavior of Doctors in Public Medical Institutions in China: Pilot Development Study

JMIR Form Res 2022;6(12):e39947

DOI: 10.2196/39947

PMID: 36515996

PMCID: 9798263

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