Abortion is a controversial topic that has long been debated in the US. With the recent Supreme Court decision to overturn Roe v. Wade, access to safe and legal reproductive care is once again in the national spotlight. A key issue central to this debate is patient privacy, as in the post-HITECH Act era it has become easier for medical records to be electronically accessed and shared. This study analyzed a large Twitter dataset from May to December 2022 to examine the public's reactions to Roe v. Wade's overruling and its implications for privacy. Using a mixed-methods approach consisting of computational and qualitative content analysis, we found a wide range of concerns voiced from the confidentiality of patient-physician information exchange to medical records being shared without patient consent. These findings may inform policy making and healthcare industry practices concerning medical privacy related to reproductive rights and women's health.

翻译：堕胎一直是美国社会长期论战的争议性议题。随着最高法院近期推翻罗伊诉韦德案的裁决，安全合法的生殖健康服务再次成为全国焦点。这场辩论的核心问题之一是患者隐私——在后HITECH法案时代，医疗记录的电子化访问与共享已变得更加便捷。本研究分析了2022年5月至12月期间的大规模推特数据集，旨在探究公众对推翻罗伊诉韦德案的反应及其隐私影响。通过计算分析与定性内容分析相结合的混合方法，我们发现公众关注的范畴广泛，从医患信息交换的机密性，到未经患者同意即共享医疗记录等问题。这些发现可为涉及生殖权利与女性健康相关的医疗隐私政策制定及医疗行业实践提供参考依据。