Table 2
Factor analysis results
| Factors and items | Question number | Factor loading |
| Factor 1: data security; total variance=5.23, unique variance=2.82 | ||
| Compared to paper records, electronic records safeguard confidentiality better | 14 | 0.79 |
| Compared to paper records, electronic records make me feel more comfortable writing confidential information in the record | 15 | 0.90 |
| Compared to paper records, electronic records appear to increase patients' willingness to divulge confidential information | 22 | 0.56 |
| Compared to paper records, electronic records appear to improve my willingness to record confidential information | 23 | 0.83 |
| Factor 2: data sensitivity; total variance=4.43, unique variance = 2.77 | ||
| Maintaining isolated electronic psychiatric records makes the stigma of mental illness worse | 10 | 0.79 |
| The stigma of mental illness would decrease if confidentiality safeguards were like those in the rest of medical care settings | 11 | 0.78 |
| Dropping the current extra safeguards in psychiatric confidentiality is a good way to bring about change in the stigma surrounding mental illness | 12 | 0.90 |
| It would be acceptable to include my own psychiatry records (if they ever existed or might exist in the future) with the general medical record | 13 | 0.85 |
| Because of concerns with confidentiality in electronic medical records, I add more treatment details than I would in a paper record | 48 | 0.44 |
| Factor 3: data erosion; total variance=3.57, unique variance=2.76 | ||
| Because of concerns with confidentiality in electronic medical records, I leave out information entirely | 44 | 0.77 |
| Because of concerns with confidentiality in electronic medical records, I maintain a “shadow record”, ie, a personal file | 45 | 0.51 |
| Because of concerns with confidentiality in electronic medical records, I provide only technical details of treatment (eg, specific automatic thoughts) | 47 | 0.80 |
| Factor 4: data enrichment; total variance=3.97, unique variance=2.26 | ||
| Compared to paper records, electronic records are more complete | 17 | 0.85 |
| Compared to paper records, electronic records make clinical information in a chart more factual | 18 | 0.60 |
| Compared to paper records, electronic records make clinical information in a chart more usable because it's more legible | 19 | 0.75 |
| Based on your experience, current levels of electronic safeguards improve clinical care | 24 | 0.69 |
| Factor 5: xenophobia; total variance=3.07, unique variance=2.35 | ||
| Because of concerns with confidentiality in electronic medical records, I am more concerned that non-mental health providers will misunderstand the information in the record | 50 | 0.77 |
| Because of concerns with confidentiality in electronic medical records, I am more concerned that non-mental health providers will revise the medications list without knowing the correct diagnosis | 51 | 0.71 |
| Because of concerns with confidentiality in electronic medical records, I am more concerned that non-mental health providers may misuse diagnostic terms | 52 | 0.78 |
| Factor 6: recording precautions; total variance=2.55, unique variance=1.78 | ||
| Because of concerns with confidentiality in electronic medical records, I take more time to add clarifying data to the record | 40 | 0.54 |
| Because of concerns with confidentiality in electronic medical records, I collect additional information so the record is more complete | 41 | 0.77 |
| Because of concerns with confidentiality in electronic medical records, I use more “measured” (selective, discrete) wording in the medical record | 42 | 0.73 |
| Because of concerns with confidentiality in electronic medical records, I use cryptic encoding, ie, codes that are only meaningful to me | 43 | 0.51 |
| Factor 7: personal acceptability; total variance=2.46, unique variance=1.76 | ||
| Based on your experience, current levels of electronic safeguards make me comfortable recommending Vanderbilt Psychiatric services for close acquaintances | 26 | 0.80 |
| Based on your experience, current levels of electronic safeguards make me comfortable using Vanderbilt Psychiatric services for myself or family members | 27 | 0.78 |
| Factor 8: data efficiency; total variance=2.29, unique variance=1.80 | ||
| Based on your experience, current levels of electronic safeguards take too much time completing the record because the forms are too generic and redundant | 28 | 0.74 |
| Based on your experience, current levels of electronic safeguards take too much time searching through screens looking for past information | 29 | 0.68 |
| Factor 9: personal importance of confidentiality; total variance=1.76, unique variance=1.48 | ||
| In my view, confidentiality of psychiatric records is important to me in my professional work | 8 | 0.76 |
| In my view, confidentiality of psychiatric records is important to me for my own and my immediate family's records | 9 | 0.77 |
