Interpreting EHRs Privacy Paradox through Narrative Theory : A Management Perspective on Digital Health Privacy Challenges[Le Paradoxe de la Vie Privée dans les DSE : Approche Narrative et Management en Santé Numérique]

The present paper delves into the privacy paradox in Electronic Health Records (EHRs) from the perspective of digital health management, employing narrative theory and a multifaceted analysis of factors influencing individuals' perceptions of privacy risks and benefits associated with EHRs. It scrutinizes how cognitive biases, a lack of awareness or understanding of privacy risks, the prioritization of convenience over privacy concerns, trust in healthcare systems or technology providers, and the perceived benefits outweighing perceived risks collectively shape user behavior and decision-making regarding EHR privacy. The methodological approach is rooted in the application of Narrative Theory, providing a theoretical lens through which the dynamics of the Privacy Paradox are explored, rather than empirical data collection. The results of the conceptual literature review underscore the strategic importance of addressing cognitive biases, enhancing privacy awareness, prioritizing privacy in the user experience, cultivating trust, and communicating balanced narratives about the benefits and risks. This paper emphasizes the integration of narrative-driven strategies into digital health management practices, particularly in privacy communication, patient education, and EHR system design, as effective approaches to navigate the privacy paradox and foster informed decision-making among EHR users. The main conclusion drawn is that Narrative Theory offers a profound framework for understanding and addressing the Privacy Paradox in EHRs, suggesting that a narrative-driven approach in digital health management can significantly contribute to resolving the paradox. The application of Narrative Theory within the realm of digital health management offers a novel perspective, enriching academic discourse and providing researchers and practitioners with a fresh lens to understand and address the Privacy Paradox in EHRs.