Advancements in Data Security and Privacy Techniques Used in IoT-Based Hospital Applications

Author(s):  
Ankita Tiwari ◽  
Raghuvendra Pratap Tripathi ◽  
Dinesh Bhatia

The risk of encountering new diseases is on the rise in medical centers globally. By employing advancements in medical sensors technology, new health monitoring programs are being developed for continuous monitoring of physiological parameters in patients. Since the stored medical data is personal health record of an individual, it requires delicate and secure handling. In wireless transmission networks, medical data is disposed of to avoid loss due to alteration, eavesdropping, etc. Hence, privacy and security of the medical data are the major considerations during wireless transfer through Medical Sensor Network of MSNs. This chapter delves upon understanding the working of a secure monitoring system wherein the data could be continuously observed with the support of MSNs. Process of sanctioning secure data to authorized users such as physician, clinician, or patient through the key provided to access the file are also explained. Comparative analysis of the encryption techniques such as paillier, RSA, and ELGamal has been included to make the reader aware in selecting a useful technique for a particular hospital application.

Author(s):  
Rohayati Rohayati

The e-health is information technology in the health systems that can be used by both health workers and clients. Ehealth applications can be based on computers, the internet or smartphones. This study aims to discuss the types of e-health that can be used for health monitoring using smartphones in community setting. Data collection was carried out through electronic database, namely EBSCO, Proquest, Sciencedirect, Scopus, Springerlink and Google Scholar. The e-health that can be used to carry out health promotion and monitor the health status of clients was remote mobile health monitoring. This application was integrated with the internet and smartphone so that clients and health workers can monitor the development of the client's health status. The application that can be used to document medical history was a personal health record both internet and computer integrated so that it can be accessed by clients. Community nurses and primary care institutions are expected to be able to design and use this application to monitor and record the health status of clients in the community. Keywords: e-health in community; smartphone; personal health records ABSTRAK Teknologi e-health merupakan teknologi informasi di bidang kesehatan yang dapat digunakan baik oleh petugas kesehatan maupun klien. Aplikasi e-health dapat berbasis komputer, internet maupun smartphone. Studi ini bertujuan untuk membahas jenis-jenis e-health yang dapat digunakan untuk monitoring kesehatan menggunakan smartphone. Pengumpulan data dilakukan melalui telaah literatur jurnal elektronik yaitu EBSCO, Proquest, Science direct, Scopus, Springerlink dan Google Scholar. Teknologi e-health yang dapat digunakan untuk melakukan promosi kesehatan, memonitor status kesehatan klien adalah remote mobile health monitoring. Aplikasi ini terintegrasi dengan internet dan smartphone sehingga klien dan petugas kesehatan dapat memonitor perkembangan status kesehatan klien dimanapun berada. Aplikasi yang dapat digunakan untuk melakukan dokumentasi riwayat kesehatan adalah personal health record baik terintegrasi internet maupun komputer sehingga dapat diakses oleh klien. Perawat komunitas dan institusi pelayanan primer diharapkan dapat merancang dan menggunakan aplikasi ini untuk memonitor dan mencatat status kesehatan klien di masyarakat. Kata kunci: e-health di komunitas; smartphone; personal health records


2019 ◽  
Author(s):  
Özlem Özkan ◽  
Yeşim Aydin Son ◽  
Arsev Umur Aydinoğlu

AbstractWith the increasing use of genetic testing and applications of bioinformatics in healthcare, genetic and genomic data needs to be integrated into electronic health systems. We administered a descriptive survey to 174 participants to elicit their views on the privacy and security of mobile health record systems and inclusion of their genetic data in these systems. A survey was implemented online and on site in two genetic diagnostic centres. Nearly half of the participants or their close family members had undergone genetic testing. Doctors constituted the only profession group that people trusted for the privacy of their health and genetic data; however, people chose to limit even their doctor’s access to their genetic/health records. The majority of the respondents preferred to keep full access for themselves. Several participants had negative experience or preconceptions about electronic health records: the medical reports of 9.7% of the respondents had been used or released without their consent, 15.1% stated that they avoided being tested due to violation risks, and 3.5% asked their doctors to enter a less embarrassing health status in their records. The participants wanted to see some regulations and security measurements before using any system for their health/genetic data. In addition, significantly more participants stating that storing genetic data in a mobile system was riskier compared to other health data. Furthermore, the comparative analysis revealed that being young, being a woman and having higher education were associated with having greater privacy concerns.


2011 ◽  
Vol 2 (2) ◽  
pp. 45-52 ◽  
Author(s):  
Brett Pirtle ◽  
Ashish Chandra

Healthcare industry leaders, government agencies and the general public are beginning to see the value that Electronic Health Records (EHR) systems bring through increased quality, reduced medical error rates, and improved care coordination. One subset of the EHR, known as the electronic personal health record (PHR), is gaining in popularity. Before PHRs will be widely adopted, many barriers to their use must be overcome. These include the costs to the developer, host, and patient. Patient access to electronic resources is a concern. Interoperability is another problem. It is not practical for physicians to convert different data formats so that different PHRs may be adopted. Finally, privacy and security concerns also impact EHR adoption. Patients want assurance that their data is secure and not used for marketing purposes. Despite these barriers, there is high consumer interest in PHR products. In future, it is expected that PHR programs will be certified, security and privacy will be enforced by legislation, and standards for interoperability will be developed. PHR will also incorporate additional decision support aids and may become part of a social network that promotes peer support for positive behavior change. This paper will provide an overview of all these issues pertaining to PHR.


Author(s):  
Ramani Selvanambi ◽  
Samarth Bhutani ◽  
Komal Veauli

In yesteryears, the healthcare data related to each patient was limited. It was stored and controlled by the hospital authorities and was seldom regulated. With the increase in awareness and technology, the amount of medical data per person has increased exponentially. All this data is essential for the correct diagnosis of the patient. The patients also want access to their data to seek medical advice from different doctors. This raises several challenges like security, privacy, data regulation, etc. As health-related data are privacy-sensitive, the increase in data stored increases the risk of data exposure. Data availability and privacy are essential in healthcare. The availability of correct information is critical for the treatment of the patient. Information not easily accessed by the patients also complicates seeking medical advice from different hospitals. However, if data is easily accessible to everyone, it makes privacy and security difficult. Blockchains to store and secure data will not only ensure data privacy but will also provide a common method of data regulation.


2008 ◽  
Vol 4 (3) ◽  
pp. 211-218 ◽  
Author(s):  
Arjan Durresi ◽  
Mimoza Durresi ◽  
Arben Merkoci ◽  
Leonard Barolli

We propose a distributed system that enables global and ubiquitous health monitoring of patients. The biomedical data will be collected by wearable health diagnostic devices, which will include various types of sensors and will be transmitted towards the corresponding Health Monitoring Centers. The permanent medical data of patients will be kept in the corresponding Home Data Bases, while the measured biomedical data will be sent to the Visitor Health Monitor Center and Visitor Data Base that serves the area of present location of the patient. By combining the measured biomedical data and the permanent medical data, Health Medical Centers will be able to coordinate the needed actions and help the local medical teams to make quickly the best decisions that could be crucial for the patient health, and that can reduce the cost of health service.


2020 ◽  
Author(s):  
Nabila Clydea Harahap ◽  
Putu Wuri Handayani ◽  
Achmad Nizar Hidayanto

BACKGROUND Functionalities of PHR are evolving, and continued discussions about PHR functionalities need to be carried out to keep it up-to-date. Technological issues as non-functional requirements are also required to be discussed in the implementation of PHR. OBJECTIVE This study systematically reviews the main functionalities and issues in the implementation of the Personal Health Record (PHR). METHODS This systematic review conducted using Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. The search is performed using online databases such as Scopus, ScienceDirect, IEEE, MEDLINE, CINAHL, and PubMed for English journal articles and conference proceedings published between 2015 and 2020. RESULTS A total of 67 articles were selected in the review. Seven function categories are identified in this review, which is grouped into basic and advanced functions. Health records and administrative records were grouped into basic functions. Medication management, communication, appointment management, education, and self-health monitoring were grouped into advanced functions. The issues found in this study include interoperability, security and privacy, usability, data quality, and personalization. CONCLUSIONS In addition to PHR’s basic and advanced functions, other supporting functionalities may also need to be developed based on the issues identified in this study. This paper provides an integrated PHR architectural model that describes the functional requirements and data sources of PHR.


2015 ◽  
Vol 06 (02) ◽  
pp. 224-247 ◽  
Author(s):  
A.M. Trinkoff ◽  
C.L. Storr ◽  
M.L. Wilson ◽  
A.P. Gurses ◽  
K. Gartrell

SummaryBackground: To our knowledge, no evidence is available on health care professionals’ use of electronic personal health records (ePHRs) for their health management. We therefore focused on nurses’ personal use of ePHRs using a modified technology acceptance model.Objectives: To examine (1) the psychometric properties of the ePHR acceptance model, (2) the associations of perceived usefulness, ease of use, data privacy and security protection, and perception of self as health-promoting role models to nurses’ own ePHR use, and (3) the moderating influences of age, chronic illness and medication use, and providers’ use of electronic health record (EHRs) on the associations between the ePHR acceptance constructs and ePHR use.Methods: A convenience sample of registered nurses, those working in one of 12 hospitals in the Maryland and Washington, DC areas and members of the nursing informatics community (AMIA and HIMSS), were invited to respond to an anonymous online survey; 847 responded. Multiple logistic regression identified associations between the model constructs and ePHR use, and the moderating effect.Results: Overall, ePHRs were used by 47%. Sufficient reliability for all scales was found. Three constructs were significantly related to nurses’ own ePHR use after adjusting for covariates: usefulness, data privacy and security protection, and health-promoting role model. Nurses with providers that used EHRs who perceived a higher level of data privacy and security protection had greater odds of ePHR use than those whose providers did not use EHRs. Older nurses with a higher self-perception as health-promoting role models had greater odds of ePHR use than younger nurses.Conclusions: Nurses who use ePHRs for their personal health might promote adoption by the general public by serving as health-promoting role models. They can contribute to improvements in patient education and ePHR design, and serve as crucial resources when working with their individual patients.Citation: Gartrell K, Trinkoff AM, Storr CL, Wilson ML, Gurses AP. Testing the electronic personal health record acceptance model by nurses for managing their own health: A cross-sectional survey. Appl Clin Inf 2015; 6: 224–247http://dx.doi.org/10.4338/ACI-2014-11-RA-0107


Sign in / Sign up

Export Citation Format

Share Document