"We Have No Security Concerns": Understanding the Privacy-Security Nexus in Telehealth for Audiologists and Speech-Language Pathologists: Understanding the Privacy-Security Nexus in Telehealth

The advent of telehealth revolutionizes healthcare by enabling remote consultations, yet poses complex security and privacy challenges. These are often acutely felt by lower-resourced, allied-healthcare practices. To address this, our study focuses on audiologists and speech-language pathologists (SLPs) in private practice settings, often characterized by limited information technology resources. Over the course of six months, we conducted semi-structured interviews with ten audiologists and ten SLPs to understand their telehealth experiences and concerns. Key findings reveal a diversity of opinions on technology trustworthiness, data security concerns, implemented security protocols, and patient behaviors. Given the nature of the medical practitioners' primary work, participants expressed varied concerns about data breaches and platform vulnerabilities, yet trusted third-party services like Zoom due to inadequate expertise and time to evaluate security protocols. This work underscores the imperative of bridging the technology-healthcare gap to foster secure, patient/provider-centered telehealth as the prevailing practice. It also emphasizes the need to synergize security, privacy, and usability to securely deliver care through telehealth.