{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:49:03Z","timestamp":1777852143289,"version":"3.51.4"},"reference-count":46,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006282","name":"Koning Boudewijnstichting","doi-asserted-by":"publisher","award":["2017-J5810430-207488"],"award-info":[{"award-number":["2017-J5810430-207488"]}],"id":[{"id":"10.13039\/501100006282","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003130","name":"Fonds Wetenschappelijk Onderzoek","doi-asserted-by":"publisher","award":["1700618N"],"award-info":[{"award-number":["1700618N"]}],"id":[{"id":"10.13039\/501100003130","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>Patient access to electronic health records gives rise to ethical questions related to the patient-doctor-computer relationship. Our study aims to examine patients\u2019 moral attitudes toward a shared EHR, with a focus on autonomy, information access, and responsibility. A de novo self-administered questionnaire containing three vignettes and 15 statements was distributed among patients in four different settings. A total of 1688 valid questionnaires were collected. Patients\u2019 mean age was 51\u2009years, 61% was female, 50% had a higher degree (college or university), and almost 50% suffered from a chronic illness. Respondents were hesitant to hide sensitive information electronically from their care providers. They also strongly believed hiding information could negatively affect the quality of care provided. Participants preferred to be informed about negative test results in a face-to-face conversation, or would have every patient decide individually how they want to receive results. Patients generally had little experience using patient portal systems and expressed a need for more information on EHRs in this survey. They tended to be hesitant to take up control over their medical data in the EHR and deemed patients share a responsibility for the accuracy of information in their record.<\/jats:p>","DOI":"10.1177\/1460458220980039","type":"journal-article","created":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T01:36:11Z","timestamp":1610674571000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Patients\u2019 moral attitudes toward electronic health records: Survey study with vignettes and statements"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6742-5260","authenticated-orcid":false,"given":"Tania","family":"Moerenhout","sequence":"first","affiliation":[{"name":"Ghent University, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ignaas","family":"Devisch","sequence":"additional","affiliation":[{"name":"Ghent University, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laetitia","family":"Cooreman","sequence":"additional","affiliation":[{"name":"Ghent University, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jodie","family":"Bernaerdt","sequence":"additional","affiliation":[{"name":"Ghent University, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"An","family":"De Sutter","sequence":"additional","affiliation":[{"name":"Ghent University, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veerle","family":"Provoost","sequence":"additional","affiliation":[{"name":"Ghent University, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,1,14]]},"reference":[{"key":"bibr1-1460458220980039","unstructured":"WHO Europe report. From innovation to implementation: eHealth in the WHO European Region. 2016. http:\/\/www.euro.who.int\/en\/health-topics\/Health-systems\/e-health\/publications\/2016\/from-innovation-to-implementation-ehealth-in-the-who-european-region-2016 (2016, accessed 21 April 2019)."},{"key":"bibr2-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlpt.2018.10.004"},{"key":"bibr3-1460458220980039","doi-asserted-by":"publisher","DOI":"10.2196\/12779"},{"key":"bibr4-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlpt.2017.11.003"},{"key":"bibr5-1460458220980039","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7809"},{"key":"bibr6-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-006021"},{"key":"bibr7-1460458220980039","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp15X683941"},{"key":"bibr8-1460458220980039","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.9492"},{"key":"bibr9-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2014.10.005"},{"key":"bibr10-1460458220980039","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2507"},{"key":"bibr11-1460458220980039","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.4446"},{"key":"bibr12-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2010.0048"},{"key":"bibr13-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2014.08.002"},{"key":"bibr14-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1111\/imj.13086"},{"key":"bibr15-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1396"},{"key":"bibr16-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1111\/imj.12384"},{"key":"bibr17-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-015-0202-2"},{"key":"bibr18-1460458220980039","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1164"},{"key":"bibr19-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1007\/s10916-016-0533-2"},{"key":"bibr20-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1136\/amiajnl-2012-001023"},{"key":"bibr21-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-014-3055-y"},{"key":"bibr22-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-014-3054-z"},{"key":"bibr23-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1001\/journalofethics.2016.18.8.pfor1-1608"},{"key":"bibr24-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0154743"},{"key":"bibr25-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2018180883"},{"key":"bibr26-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1177\/1932296817709797"},{"key":"bibr27-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.111599"},{"key":"bibr28-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2015.06.011"},{"key":"bibr29-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-017-4030-1"},{"issue":"5","key":"bibr30-1460458220980039","first-page":"1","volume":"12","author":"Gerkens S","year":"2010","journal-title":"Health Syst Transition"},{"key":"bibr31-1460458220980039","unstructured":"Roadmap 3.0. eHealth Belgium \u2013 eGezondheid Belgi\u00eb, https:\/\/www.ehealth.fgov.be\/nl\/egezondheid\/roadmap-30\/roadmap-30 (2019, accessed 19 September 2019)."},{"key":"bibr32-1460458220980039","volume-title":"Experimental philosophy: an introduction","author":"Alexander J.","year":"2012"},{"issue":"2","key":"bibr33-1460458220980039","first-page":"1438","volume":"19","author":"Kandemir A","year":"2018","journal-title":"Forum Qual Soc Res"},{"issue":"2","key":"bibr34-1460458220980039","first-page":"52","volume":"7","author":"Steiner P","year":"2017","journal-title":"J Met Meas Social Sci"},{"key":"bibr35-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-7-21"},{"key":"bibr36-1460458220980039","volume-title":"Discovering statistics using SPSS","author":"Field A.","year":"2005","edition":"2"},{"key":"bibr37-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1007\/s10459-010-9222-y"},{"key":"bibr38-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1016\/j.cptl.2015.08.001"},{"key":"bibr39-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2923.2008.03172.x"},{"key":"bibr40-1460458220980039","unstructured":"Tafforeau J, Drieskens S, Charafeddine R, et al Health survey 2018: subjective health. (Gezondheidsenqu\u00eate 2018: Subjectieve gezondheid). Report number: D\/2019\/14.440\/35. 2018. Brussels, Belgium: Sciensano. www.gezondheidsenquete.be"},{"key":"bibr41-1460458220980039","unstructured":"Van der Heyden J, Charafeddine R. Health survey 2018: chronic diseases and illnesses. (Gezondheidsenqu\u00eate 2018: Chronische ziekten en aandoeningen). Report number: D\/2019\/14.440\/36. 2018. Brussels, Belgium: Sciensano. www.gezondheidsenquete.be."},{"key":"bibr42-1460458220980039","unstructured":"Vanhaelewyn B, De Marez L. Imec. Digimeter 2018. Measuring digital media trends in flanders, https:\/\/www.imec-int.com\/en\/digimeter2018 (2018, accessed 17 September 2019)."},{"key":"bibr43-1460458220980039","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.9418"},{"key":"bibr44-1460458220980039","unstructured":"Wouters M, Swinkels I, Sinnige J, et al. eHealth-monitor 2018. Nictiz and Nivel report. https:\/\/www.nictiz.nl\/rapporten\/ehealth-monitor-2018\/ (2018, accessed 17 September 2019)."},{"key":"bibr45-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocx140"},{"key":"bibr46-1460458220980039","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0118900"}],"container-title":["Health Informatics Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1460458220980039","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1460458220980039","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1460458220980039","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:31:21Z","timestamp":1777501881000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1460458220980039"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":46,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1177\/1460458220980039"],"URL":"https:\/\/doi.org\/10.1177\/1460458220980039","relation":{},"ISSN":["1460-4582","1741-2811"],"issn-type":[{"value":"1460-4582","type":"print"},{"value":"1741-2811","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]},"article-number":"1460458220980039"}}