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Title: FACTORS AFFECTING ACCESS AND DISCLOSURE PRACTICES OF PERSONAL HEALTH INFORMATION IN PUBLIC HOSPITALS, ADDIS ABABA, ETHIOPIA
Authors: WELDERUFAEL, GEBEYEHU
Advisors: Mr. Melese Tamru
Dr. Mesfin
Keywords: health informatics
Copyright: Jul-2011
Date Added: 6-Aug-2012
Publisher: AAU
Abstract: Background: Personal health information (PHI) is individually identifiable health information about an individual or his family. Studies conducted in several countries demonstrate the importance of medical confidentiality. For this privacy laws and policies concerning access and disclosure of PHI have recently been introduced in many countries. In Ethiopia, concerning the practical and ethical aspects of accessing and disclosing of personal health information, there exist inadequate studies making it little to be known about the issue of personal health information confidentiality practice. Objectives: To assess the practice and factors which affect access and disclosure of personal health information in public hospitals in Addis Ababa, Ethiopia, from April to June, 2011. Methods: Cross sectional study which used both quantitative and qualitative methods. The study area is Addis Ababa and conducted from April to June 2011. All public hospitals under Addis Ababa Health Bureau were included in the study population. Sample size of the study populations was computed using single proportion formula and the total sample size was 422. Proportional allocations of study participants were done using simple random sampling technique from each hospital according to their share from the total sample size. For data collection, structured self-administered questioner, semi structured interview guide & check list were used. Data analysis was done using SPSS ver.16. Result: a total of 375 health care providers were participated with 89.8% response rate. Majority of them were males, 202(53.9%) and the mean age was 28.5(+5.99). The minimum and maximum service year of respondents is 1year and 27 years respectively. Age was significantly associated with practice. Likewise, service year of the respondents was found to have significant association with good practice of access and disclosure with odds ratio of 3.16(95% CI=1.01, 9.91). In this study, availability of data clerk or statistician assigned with health professionals in service delivery units of the hospitals showed significant association with access and disclosure practice of health care providers’. Hence, those health care providers who work with data clerks were xi observed to have good practicing on access and disclosure of PHI [AOR=2.85(95% CI=1.16, 6.99)]. Conclusion: In this study, the majority of health care providers’ were erudite on the issue of personal health information, however knowledge was not observed to influence their practice. Consequently, their attitude, reported work load, work experience, working schedule and availability of data clerk/statistician/ who support routine management of medical records were observed to influence their practice. Moreover, unavailability of local or national policy and its implementing guide line in all hospitals, make health care providers and hospital administrators not to have clear and common understanding and uniform practice, especially, it was observed that hospital administrators have doubt how to work with other entities outside the health system.
Description: A Thesis Submitted to the School of Graduate Studies of Addis Ababa University in Partial Fulfillment of the Requirements for the Degree of Master of Science in Health Informatics
URI: http://hdl.handle.net/123456789/3555
Appears in:Thesis - Health Informatics

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