The COVID-19 pandemic has significantly transformed the healthcare sector, with telehealth services being among the most prominent changes. The adoption of telehealth services, however, has raised new challenges, particularly in the areas of security and privacy. To better comprehend the telehealth needs and concerns of medical professionals, particularly those in private practice, we conducted a study comprised of 20 semi-structured interviews with telehealth practitioners in audiology and speech therapy. Our findings indicate that private telehealth practitioners encounter difficult choices when it comes to balancing security, privacy, usability, and accessibility, particularly while caring for vulnerable populations. Additionally, the study revealed that practitioners face challenges in ensuring HIPAA compliance due to inadequate resources and a lack of technological comprehension. Policymakers and healthcare providers should take proactive measures to address these challenges, including offering resources and training to ensure HIPAA compliance and enhancing technology infrastructure to support secure and accessible telehealth.

翻译：COVID-19疫情显著改变了医疗行业，远程医疗服务是其中最显著的变化之一。然而，远程医疗服务的采用引发了新的挑战，尤其是在安全和隐私领域。为更深入地了解医疗专业人员（尤其是私人执业者）对远程医疗的需求与关切，我们对20位从事听力学与言语治疗的远程医疗从业者进行了半结构化访谈。研究结果表明，私人远程医疗从业者在平衡安全性、隐私、可用性和可及性时面临艰难抉择，特别是在照护弱势群体方面。此外，研究揭示从业者因资源不足和缺乏技术认知，在确保HIPAA合规性方面存在困难。政策制定者和医疗服务提供者应积极采取措施应对这些挑战，包括提供资源与培训以确保HIPAA合规性，以及加强技术基础设施以支持安全可及的远程医疗服务。