“…New Zealand currently uses an opt-in strategy for EHR. In planning for an opt-out model, Hunter, Haining and Whiddett conducted a survey where 39% of patients expressed that they wanted more information, prior discussion or consent before they felt comfortable with their sexual health service records being integrated with EHR 23. This has been echoed in another study where clients’ acceptability of sharing electronic health information was dependent on building trust in providers and institutions prior to EHR implementation 28.…”