• Karen Heilmann
  • Charlotte Engvad Jensen
2 year, Master of Health Informatics (Continuing education) (Continuing Education Programme (Master))
To meet the ongoing demands in the public healthcare service, surveillance of equipment and personnel are introduced in order to increase quality and efficiency. This surveillance of personnel raises a potential conflict regarding privacy, since surveillance institutes personal issues for the personnel involved. The aim of this paper is to uncover the individual limits of health care workers regarding privacy. Which factors influences this limit, and when are the personal limits exceeded? Furthermore it is investigated if privacy concerns are influenced by the transparency of the strategy used when implementing the surveillance technology.

Using a successive investigation design consisting of interview and workshops, different contexts of surveillance are used, in which the limits regarding privacy are studied in two groups of health care workers. Findings are analyzed based on the theory developed by Paul Dourish on context, and the theory on percieved privacy by Anna Adams.

It is found that the actual context, in which the surveillance is set, is of great importance when individual limits of privacy are settled. By changing context, users perception of privacy is changed.
When settling limits of exceeding privacy the factor ‘Information receiver’ (cf Adams) is found to be of most importance to the health care worker. They feel the highest impact on privacy, when surveillance has personal purposes. This factor according to Adams is dependent on trust – trust between the person surveyed and the person who receives and processes the information.
There was no difference in findings between the workshops where different strategies for implementation was found.

It is concluded that in case of exceeding privacy concerns, context is of great importance and influences limits for privacy in health care professionals. Furthermore it is found that trust is of outmost importance, when health care personnel rates the overriding of privacy. Trust that the obtained information will not be used to affect them personally – this complies with Anna Adams model for perception of privacy.
No findings confirmed the importance of strategy used when implementing surveillance.
Publication date5 Jun 2014
Number of pages84
ID: 198585681