Enhancing security in patient medical information exchange: A qualitative study

Background: The digital transition has changed the practice of exchanging patient medical information between health professionals. Challenges include the involvement of multiple professionals with varying communication styles, the exponential growth of diverse data types, interoperability issues due to non-integrated tools, and heightened security risks stemming from the use of unsecured applications and personal devices. Here, we aimed to understand how to help health surgeons to better consider security during data exchange. Methods: We conducted a qualitative research with 20 interviews with surgeons working in wards of several French institutions. The verbatims were analyzed manually by two researchers using an iterative thematic approach, resulting in a framework to improve practitioners' security awareness. Results: Our findings emphasize the necessity of a multifaceted strategy, as a single secure application is not sufficient. Effective solutions require combining tailored digital tools with educational initiatives and institutional support. The proposed application must meet specific requirements; and simultaneously, hospitals must provide clear regulations, financial investment, and continuous support to reduce professional constraints. Conclusion: This study underscores the need for a holistic approach, spanning education, institutional backing, and advanced technology, to enhance data security in healthcare. Future studies could extend our framework by considering other healthcare settings and patient perspectives.