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保健领域，其中远程医疗服务是最突出的变革之一。然而，远程医疗服务的普及也带来了新的挑战，尤其是在安全性和隐私方面。为更深入了解医疗专业人员（特别是私营从业者）对远程医疗的需求与关切，我们开展了一项包含20次半结构化访谈的研究，受访对象为听力学及言语治疗领域的远程医疗从业者。研究结果表明，私营远程医疗从业者在平衡安全性、隐私性、可用性和可及性时面临艰难抉择，尤其是在为弱势群体提供护理的过程中。此外，研究揭示从业者因资源不足及技术认知欠缺，在确保符合HIPAA标准方面存在困难。政策制定者和医疗保健机构应采取主动措施应对这些挑战，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建设以支持安全可及的远程医疗服务。