According to a new survey commissioned by the Markle Foundation, Americans overwhelmingly want to have electronic copies of their medical records and believe that having greater access to their information will reduce medical mistakes and costly repeat procedures.

But eight in 10 Americans are very concerned about identity theft or fraud and the possibility of their data being used by marketers without their permission -- with three-quarters of those surveyed saying the government has a role in establishing privacy and confidentiality protections for electronic health information.

The findings will be released tomorrow at the Connecting Americans to Their Health Care conference in Washington, D.C. The second annual conference will focus on advances in personal health technology, with discussion of the critical role of patients and their families in efforts to modernize and reform health care.

"Americans understand that quality of care could improve and costs decrease when their health information is available over the Internet to them and those who care for them. And they are clearly ready to do their part to improve our health care system," said Zoe Baird, president of the Markle Foundation, which funded the research. "But consumers also have significant privacy concerns which must be addressed if we are to have sufficient consumer confidence to support a national commitment to electronic health records. People expect the federal government to establish rules that protect electronic personal health information from being used inappropriately."

The survey, conducted by bipartisan polling firms Lake Research Partners and American Viewpoint, shows that:

• 97 percent think it's important for their doctors to be able to access all of their medical records in order to provide the best care
• 96 percent think it's important for individuals to be able to access all of their own medical records to manage their own health
• Two in three Americans (65 percent) would like to access all of their own medical information across an electronic network. This interest spans demographic groups -- with a majority (53 percent) of Americans 60 and older and high proportions of minority groups expressing interest
• When given the scenario of changing doctors or moving to a different city, an even greater majority -- 84 percent -- said it would be important for them to have electronic copies of their medical records that they keep and control
• Three-quarters of Americans are willing to share their personal information to help public officials look for disease outbreaks and research ways to improve the quality of health care if they have safeguards to protect their identity.

The survey shows that large majorities of Americans see a number of benefits from accessing their medical information online. Consumers say they want access to their medical information in order to ensure that it's accurate, to improve doctor-patient communications and to help prevent medical errors:

• 91 percent say it's important to review what their doctors write in their chart
• 88 percent say online records would be important in reducing the number of unnecessary or repeated tests and procedures they undergo
• 82 percent want to review test results online
• 84 percent would like to check for errors in their medical record.

"While the survey notes high recognition of the benefits made possible by accessing personal heath information electronically, most respondents express concern that their medical information could be misused:

• 80 percent say they are very concerned about identify theft or fraud
• 77 percent report being very concerned about their medical information being used for marketing purposes
• 75 percent say the government has a role in establishing rules to protect the privacy and confidentiality of online health information
• 66 percent say the government has a role in establishing rules by which businesses and other third parties can have access to personal health information
• 69 percent say the government has a role in encouraging doctors and hospitals to make their personal health information available over the Internet in a secure way.

"Despite the overwhelming interest in being more active participants in their own health care, and having their medical information available online to themselves and their physicians, Americans have very serious concerns about the privacy and security of their medical information," said David Lansky, Ph.D., senior director of the health program at the Markle Foundation. "People want to have control over whether their data are used for non-medical purposes and expect the government to establish rules that will protect them."

KW