Legal and ethical breaches in personal health data handling among cardiologists: A multicenter survey on compliance gaps and forensic risk
Year: 2025
Type: article
Study design: Observational Study
Abstract: Background The digitization of healthcare services in Türkiye has introduced significant legal and ethical challenges, particularly concerning the protection of personal health data. Despite established legal frameworks, limited empirical data exist regarding the behavioral and legal awareness of physicians, especially cardiologists, in complying with data protection regulations. Objective To evaluate the legal and practical awareness of cardiologists in Türkiye regarding the protection of personal health data, identify common non-compliant practices, and assess associated forensic risks. Methods A cross-sectional, multicenter survey was conducted with 52 cardiologists from various institutions in Türkiye. The questionnaire, developed through literature review and expert input, included 12 items addressing clinical data practices, password sharing, anonymization awareness, and communication methods. Descriptive statistical analysis was performed using SPSS v26. Results The majority of respondents demonstrated poor compliance with core data protection principles. While 71 % were aware of legal sanctions, nearly half admitted to sharing patient data without consent, and 78.85 % used unsecured platforms like WhatsApp for data transmission. Moreover, 67.31 % were unfamiliar with anonymization, and only one-third maintained exclusive control over their digital signatures. Conclusions This study highlights a critical gap between legal knowledge and clinical practice among cardiologists in Türkiye. Institutional interventions—including targeted training, legal education, and secure data systems—are urgently needed to improve compliance, mitigate forensic risk, and uphold patient privacy.
Authors: Ufuk İyi̇gün, Deniz Ergene
Institution: İzmir Demokrasi Üniversitesi
Language: English
Subfield: Information Systems
Field: Computer Science
Domain: Physical Sciences
Open Access status: gold
Estimated APC paid: $1,090
OpenAlex ID: W7116973881
