What do patients consider sensitive health information? A cross-sectional survey of national patient portal users
By
Saija Simola
Sari Kujala
Anna Kharko
Josefin Hagström
Charlotte Blease
Åsa Cajander
Rose-Mharie Åhlfeldt
Bo Wang
Bridget Kane
Maria Hägglund
June 9, 2026
Clinical Scorecard: Patients' Perspectives on Sensitive Health Information: Insights from a National Survey of Patient Portal Users
At a Glance
Category Detail
Condition Sensitive Health Information
Key Mechanisms Patient-accessible electronic health records (PAEHRs) enhance communication and engagement between patients and healthcare professionals.
Target Population Patients with mental health conditions and other health care needs accessing PAEHRs.
Care Setting National patient portal in Finland.
Key Highlights
PAEHRs increase patient satisfaction, trust, and engagement with care. Patients express concerns about privacy and security regarding sensitive health information. Adolescents may avoid seeking care due to concerns about sensitive information in EHRs. Healthcare professionals share concerns about the sensitivity of psychiatric records. Definitions of sensitive health information vary by legislation and individual perception.
Guideline-Based Recommendations
Diagnosis
Explore patients' perspectives on sensitive health information.
Management
Understand the specific needs of diverse patient groups to improve PAEHR design.
Monitoring & Follow-up
Assess how sociodemographic factors influence perceptions of sensitive health information.
Risks
Consider the potential negative emotions patients may experience after accessing sensitive information.
Patient & Prescribing Data
Finnish citizens accessing PAEHR via the national patient portal.
Patients with mental health care backgrounds are more likely to perceive certain information as sensitive.
Clinical Best Practices
Facilitate open communication about sensitive health information between patients and healthcare professionals. Ensure privacy protection for sensitive health information in EHRs.
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