scholarly journals θ-Sensitive k-Anonymity: An Anonymization Model for IoT based Electronic Health Records

Electronics ◽  
2020 ◽  
Vol 9 (5) ◽  
pp. 716 ◽  
Author(s):  
Razaullah Khan ◽  
Xiaofeng Tao ◽  
Adeel Anjum ◽  
Tehsin Kanwal ◽  
Saif Malik ◽  
...  

The Internet of Things (IoT) is an exponentially growing emerging technology, which is implemented in the digitization of Electronic Health Records (EHR). The application of IoT is used to collect the patient’s data and the data holders and then to publish these data. However, the data collected through the IoT-based devices are vulnerable to information leakage and are a potential privacy threat. Therefore, there is a need to implement privacy protection methods to prevent individual record identification in EHR. Significant research contributions exist e.g., p+-sensitive k-anonymity and balanced p+-sensitive k-anonymity for implementing privacy protection in EHR. However, these models have certain privacy vulnerabilities, which are identified in this paper with two new types of attack: the sensitive variance attack and categorical similarity attack. A mitigation solution, the θ -sensitive k-anonymity privacy model, is proposed to prevent the mentioned attacks. The proposed model works effectively for all k-anonymous size groups and can prevent sensitive variance, categorical similarity, and homogeneity attacks by creating more diverse k-anonymous groups. Furthermore, we formally modeled and analyzed the base and the proposed privacy models to show the invalidation of the base and applicability of the proposed work. Experiments show that our proposed model outperforms the others in terms of privacy security (14.64%).


2006 ◽  
Vol 45 (03) ◽  
pp. 240-245 ◽  
Author(s):  
A. Shabo

Summary Objectives: This paper pursues the challenge of sustaining lifetime electronic health records (EHRs) based on a comprehensive socio-economic-medico-legal model. The notion of a lifetime EHR extends the emerging concept of a longitudinal and cross-institutional EHR and is invaluable information for increasing patient safety and quality of care. Methods: The challenge is how to compile and sustain a coherent EHR across the lifetime of an individual. Several existing and hypothetical models are described, analyzed and compared in an attempt to suggest a preferred approach. Results: The vision is that lifetime EHRs should be sustained by new players in the healthcare arena, who will function as independent health record banks (IHRBs). Multiple competing IHRBs would be established and regulated following preemptive legislation. They should be neither owned by healthcare providers nor by health insurer/payers or government agencies. The new legislation should also stipulate that the records located in these banks be considered the medico-legal copies of an individual’s records, and that healthcare providers no longer serve as the legal record keepers. Conclusions: The proposed model is not centered on any of the current players in the field; instead, it is focussed on the objective service of sustaining individual EHRs, much like financial banks maintain and manage financial assets. This revolutionary structure provides two main benefits: 1) Healthcare organizations will be able to cut the costs of long-term record keeping, and 2) healthcare providers will be able to provide better care based on the availability of a lifelong EHR of their new patients.





2020 ◽  
Vol 16 (2) ◽  
pp. 1-18
Author(s):  
Ali Odeh Aljaafreh

This study empirically examines the system satisfaction of employees from the Ministry of Health in Jordan toward the enhancement of the electronic health records (EHR) named HAKEEM. The proposed model has assimilated factors from the enriched end-user computer satisfaction (EUCS) model along with self-efficacy as a new predictor. The participants were 463 respondents distributed in public hospitals through all the country of Jordan. The data were collected by means of a self-administered survey and analyzed using SEM technique. The findings revealed that EUCS is significantly and positively affected by information quality, system quality, and self-efficacy. The study is also looking forward to providing empirical results and applicable recommendations for the Ministry of Health and HAKEEM provider in order to enhance and maximize the benefit of such EHR.



2006 ◽  
Vol 45 (05) ◽  
pp. 498-505 ◽  
Author(s):  
A. Shabo

Summary Objectives: This paper pursues the challenge of sustaining lifetime electronic health records (EHRs) based on a comprehensive socio-economic-medico-legal model. The notion of a lifetime EHR extends the emerging concept of a longitudinal and cross-institutional EHR and is invaluable information for increasing patient safety and quality of care. Methods: The challenge is how to compile and sustain a coherent EHR across the lifetime of an individual. Several existing and hypothetical models are described, analyzed and compared in an attempt to suggest a preferred approach. Results: The vision is that lifetime EHRs should be sustained by new players in the healthcare arena, who will function as independent health record banks (IHRBs). Multiple competing IHRBs would be established and regulated following preemptive legislation. They should be neither owned by healthcare providers nor by health insurer/payers or government agencies. The new legislation should also stipulate that the records located in these banks be considered the medico-legal copies of an individual’s records, and that healthcare providers no longer serve as the legal record keepers. Conclusions: The proposed model is not centered on any of the current players in the field; instead, it is focussed on the objective service of sustaining individual EHRs, much like financial banks maintain and manage financial assets. This revolutionary structure provides two main benefits: 1) Healthcare organizations will be able to cut the costs of long-term record keeping, and 2) healthcare providers will be able to provide better care based on the availability of a lifelong EHR of their new patients.







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