My Digital Healthcare Record

2022 ◽  
pp. 538-557
Author(s):  
Anita Medhekar ◽  
Julie Nguyen
Keyword(s):  
Digital Literacy ◽  
Data Privacy ◽  
Health Management ◽  
Digital Health ◽  
Personal Data ◽  
Hospital Staff ◽  
Health Record ◽  
Positive Health ◽  
Digital Revolution ◽  
Digital Healthcare

In the 21st century, the digital revolution is disrupting every sector of the economy. Australia has adopted the digital healthcare technological revolution such as My Health Record (MyHRC) to improve healthcare practice for clinicians/medical professionals and empower consumers to provide positive health management experience with a patient-centred approach to digital health revolution and digital literacy. My Health Record has its benefits, but it has been a challenge for the healthcare practitioners, hospital staff, as well as patients as consumers to accept, embrace, and uptake digital technologies and manage their healthcare records amidst concerns of slow adoption by the patient, data privacy, and implications of the secondary use of their personal data by non-government entities.

My Digital Healthcare Record

2020 ◽  
pp. 131-150
Author(s):  
Anita Medhekar ◽  
Julie Nguyen
Keyword(s):  
Digital Literacy ◽  
Data Privacy ◽  
Health Management ◽  
Digital Health ◽  
Personal Data ◽  
Hospital Staff ◽  
Health Record ◽  
Positive Health ◽  
Digital Revolution ◽  
Digital Healthcare

In the 21st century, the digital revolution is disrupting every sector of the economy. Australia has adopted the digital healthcare technological revolution such as My Health Record (MyHRC) to improve healthcare practice for clinicians/medical professionals and empower consumers to provide positive health management experience with a patient-centred approach to digital health revolution and digital literacy. My Health Record has its benefits, but it has been a challenge for the healthcare practitioners, hospital staff, as well as patients as consumers to accept, embrace, and uptake digital technologies and manage their healthcare records amidst concerns of slow adoption by the patient, data privacy, and implications of the secondary use of their personal data by non-government entities.

scholarly journals Quality of Publicly Available Physical Activity Apps: Review and Content Analysis (Preprint)

2017 ◽  
Author(s):  
Paulina Bondaronek ◽  
Ghadah Alkhaldi ◽  
April Slee ◽  
Fiona L Hamilton ◽  
Elizabeth Murray
Keyword(s):  
Physical Activity ◽  
Content Analysis ◽  
Data Privacy ◽  
Health Care Quality ◽  
Digital Health ◽  
Personal Data ◽  
Care Quality ◽  
Privacy And Security ◽  
User Ratings

BACKGROUND Within the new digital health landscape, the rise of health apps creates novel prospects for health promotion. The market is saturated with apps that aim to increase physical activity (PA). Despite the wide distribution and popularity of PA apps, there are limited data on their effectiveness, user experience, and safety of personal data. OBJECTIVE The purpose of this review and content analysis was to evaluate the quality of the most popular PA apps on the market using health care quality indicators. METHODS The top-ranked 400 free and paid apps from iTunes and Google Play stores were screened. Apps were included if the primary behavior targeted was PA, targeted users were adults, and the apps had stand-alone functionality. The apps were downloaded on mobile phones and assessed by 2 reviewers against the following quality assessment criteria: (1) users’ data privacy and security, (2) presence of behavior change techniques (BCTs) and quality of the development and evaluation processes, and (3) user ratings and usability. RESULTS Out of 400 apps, 156 met the inclusion criteria, of which 65 apps were randomly selected to be downloaded and assessed. Almost 30% apps (19/65) did not have privacy policy. Every app contained at least one BCT, with an average number of 7 and a maximum of 13 BCTs. All but one app had commercial affiliation, 12 consulted an expert, and none reported involving users in the app development. Only 12 of 65 apps had a peer-reviewed study connected to the app. User ratings were high, with only a quarter of the ratings falling below 4 stars. The median usability score was excellent—86.3 out of 100. CONCLUSIONS Despite the popularity of PA apps available on the commercial market, there were substantial shortcomings in the areas of data safety and likelihood of effectiveness of the apps assessed. The limited quality of the apps may represent a missed opportunity for PA promotion.

The Digital Healthcare Act – a Turning Point in the German Digitisation Strategy?

2020 ◽  
Author(s):  
Florian Dittrich ◽  
Urs-Vito Albrecht ◽  
Ute von Jan ◽  
Christin Malinka ◽  
Jörg Ansorg ◽  
...  
Keyword(s):  
Medical Devices ◽  
Online Survey ◽  
Digital Health ◽  
Positive Health ◽  
Health Apps ◽  
Federal Institute ◽  
German Speaking ◽  
Potential Risks ◽  
Trauma Surgeons ◽  
Digital Healthcare

AbstractThe recently ratified Digital Healthcare Act – DVG – has paved the way, among other issues, for the prescription of health apps. The German DVG creates an entitlement to health apps for the very first time. However, this entitlement is initially limited to low-risk medical devices that have been included in the publicly accessible Register for Digital Health Applications by the German Federal Institute for Drugs and Medical Devices. Listing in the register is granted, if the manufacturer has submitted a health app and verified that it meets basic requirements for medical devices and data security as well as positive health care effects. It is questionable, whether the DVG will lead to sustainable improvements in future patient care. In order to pursue this question and align the DGOUCʼs digitization strategy closely with its basis, an online survey was conducted among the respective members on the DVGʼs content and its associated opportunities and risks. A total of 461 German-speaking, predominantly male, experienced and elderly physicians in leading positions took part in the survey. In this study, it was shown that the majority of the participating German orthopaedic and trauma surgeons is not familiar with the DVGʼs contents. Despite a fundamentally positive attitude towards digitization, scepticism about the use of “apps on prescription” and potential risks still prevails at present. The closing of ranks between medicine, IT and the legislature via interdisciplinary expert groups and the involvement of medical societies might be obligatory.

The Digitisation of Healthcare in a Global Pandemic

2022 ◽  
pp. 55-71
Author(s):  
Siobhan Eithne McCarthy
Keyword(s):  
Data Privacy ◽  
Large Scale ◽  
Care Delivery ◽  
Digital Health ◽  
Health Anxiety ◽  
Healthcare Quality ◽  
Well Being ◽  
Patient Portals ◽  
Global Pandemic ◽  
Digital Healthcare

The chapter discusses the rapid digitisation of healthcare during the COVID-19 global crisis and its implications for healthcare quality from patient, clinician, and provider perspectives. Using the example of patient portals, online interfaces that provide patients with real-time access to their health records, the chapter explores how this large-scale shift to digital healthcare has influenced key elements of healthcare quality. These elements include the safety, timeliness, effectiveness, efficiency, equity, eco-friendliness, and person-centeredness of care delivery, as well as patient and staff well-being. The discussion addresses health anxiety exacerbated by remote service delivery and potential associations with cyberchondria and online search behaviours. Additionally, concerns about digital health literacy, equality of access, patient data privacy, and cybersecurity are discussed in the context of increasing health system shocks. Recommendations are made about how the future adaptation of digital healthcare can support healthcare quality in a post-pandemic era.

My Health Record and Emerging Cybersecurity Challenges in the Australian Digital Environment

2021 ◽  
pp. 79-98
Author(s):  
Anita Medhekar
Keyword(s):  
Data Privacy ◽  
Healthcare Providers ◽  
Hospital Staff ◽  
Health Record ◽  
Health Records ◽  
Health Technologies ◽  
The Government ◽  
The Right ◽  
User Friendly ◽  
Records Access

The main aim of embracing evolutionary digital e-health technologies such as ‘My Health Records' is to transform and empower the patients to control their health records, access, choose the right healthcare provider and suitable treatment, when required. It has been a challenge for the healthcare practitioners, hospital staff, as well as patients to accept, embrace, and adopt transformative digital e-health technologies and manage their healthcare records amidst concerns of slow adoption by the patient due to data privacy and cybersecurity issues. Australia, since COVID-19, has stressed the importance of secure online connectivity for the government, business, and the consumers. It is essential that My Health Record platform is cyber-safe, and user-friendly so that consumers feel conformable, safe and secure regarding their personal health records. This chapter discussed the challenges of embracing e-health digital technologies and assurance of advancing cybersecurity of online My Health Record, which will transform e-health provision and empower patients and healthcare providers.

scholarly journals Enhancing patient privacy protection under Hong Kong’s Electronic Health Record Sharing System

2020 ◽  
Vol 49 (1) ◽  
pp. 4-30
Author(s):  
Rebecca Yoke Chan Ong ◽  
Sandy Sabapathy
Keyword(s):  
Electronic Health Record ◽  
Privacy Protection ◽  
Data Privacy ◽  
Healthcare Providers ◽  
Personal Data ◽  
Personal Health ◽  
Health Record ◽  
Patient Privacy ◽  
Electronic Health ◽  
The Individual

While it is true that the expanded use of health information and electronic health records (eHRs) can help deliver better healthcare, there remains the need to reconcile citizens’ legitimate concerns for privacy protection and confidentiality in the use of their personal health data, and the potential for violation of their privacy. Under the Hong Kong’s Electronic Health Record Sharing System (eHRSS), the eHR of the individual patient can be accessed and shared between healthcare providers for healthcare-related purposes. Although the Electronic Health Record Sharing System Ordinance (Cap 625) (the ‘eHRSSO’) and the Personal Data (Privacy) Ordinance (Cap 486) (the ‘PD(P)O’) provide protection for personal data and patients’ privacy, the eHRSS has come under greater scrutiny given the rise in data breaches experienced globally and in Hong Kong. The article’s objective is twofold. It first examines the eHRSS specifically with regard to some of the more pertinent provisions of the eHRSSO and the PD(P)O, to critically evaluate the extent to which these provisions ensure and protect patient privacy. Thence it offers suggestions and recommendations as to how protection for patient privacy can be enhanced and, indeed, altogether better ensured.

scholarly journals ‘I’d like to think you could trust the government, but I don’t really think we can’: Australian women’s attitudes to and experiences of My Health Record

2019 ◽  
Vol 5 ◽  
pp. 205520761984701 ◽  
Author(s):  
Deborah Lupton
Keyword(s):  
Electronic Health Record ◽  
Data Privacy ◽  
Digital Health ◽  
Health Agency ◽  
Electronic Health Record System ◽  
New Materialism ◽  
Health Record ◽  
Record System ◽  
Electronic Health ◽  
The Government

The Australian government’s Australian Digital Health Agency is working towards its goal of enrolling every Australian in My Health Record, its national electronic health record system. This article reports findings from a qualitative project involving interviews and focus groups with Australian women about their use of digital health across the range of technologies available to them, including their attitudes to and experiences of My Health Record. A feminist new materialism perspective informed the project, working to surface the affordances, affective forces and relational connections that contributed to the opening up or closing off potential agential capacities when people come together with digitised systems such as My Health Record. These findings demonstrate that people’s personal experiences and feelings, the actions of others such as the agencies responsible for system implementation and function, their healthcare providers and broader social, cultural, technological and political factors are important in shaping their knowledge, interest in and acceptance of an electronic health record system. Even among this group of participants, who were experienced and active in finding and engaging with health information online, uncertainty and a lack of awareness of and interest in My Health Record were evident among many. Affordances such as technical difficulties were major barriers to enrolling and using the system successfully. No participants had yet found any benefit or use for it. Affective forces such as lack of trust and faith in the Australian government’s general technological expertise and concerns about data privacy and security were also key in many participants’ accounts.

There is a fourth industrial revolution: the digital revolution

2018 ◽  
Vol 10 (6) ◽  
pp. 740-744 ◽  
Author(s):  
António Loureiro
Keyword(s):  
Environmental Sustainability ◽  
Distribution System ◽  
Data Privacy ◽  
Industrial Revolution ◽  
Personal Data ◽  
Tourism Industry ◽  
Content Type ◽  
Digital Revolution ◽  
Travel And Tourism ◽  
Travel Industry

Purpose This paper aims to identify potential issues for the travel and tourism industry, regarding technology in the digital era. Design/methodology/approach Travelport has defined five major themes in this area: big data, hybrid cloud, mobile, artificial intelligence and internet of things. Findings Issues such as personal data privacy, choice of solutions that preserve environmental sustainability, impact of the industry’s environmental footprint and growing number of conflict areas around the world mean that ethics comes before business as a benchmark. Originality/value This paper presents the perspective of a global distribution system operator regarding trends and opportunities affecting the travel industry.

An Overview of Digital Health in the Transition of Pediatric to Adult Epilepsy Care

2020 ◽  
Vol 09 (04) ◽  
pp. 106-113
Author(s):  
Ysabeau Bernard-Willis ◽  
Emily De Oliveira ◽  
Shaheen E Lakhan
Keyword(s):  
Health Management ◽  
Digital Health ◽  
Health Care Systems ◽  
Well Being ◽  
Pediatric Care ◽  
Medical Mistrust ◽  
Patient Portals ◽  
Language Therapy ◽  
Adult Care ◽  
Care Systems

AbstractChildren with epilepsy often have impairments in cognitive and behavioral functioning which may hinder socio-occupational well-being as they reach adulthood. Adolescents with epilepsy have the added worry of health problems while starting the transition from family-centered pediatric care into largely autonomous adult care. If this transition is not appropriately planned and resourced, it may result in medical mistrust, nonadherence, and worsening biopsychosocial health as an adult. In recent years, there has been increased availability of digital health solutions that may be used during this stark change in care and treating teams. The digital health landscape includes a wide variety of technologies meant to address challenges faced by patients, caregivers, medical professionals, and health care systems. These technologies include mobile health products and wearable devices (e.g., seizure monitors and trackers, smartphone passive data collection), digital therapeutics (e.g., cognitive/behavioral health management; digital speech–language therapy), telehealth services (e.g., teleneurology visits), and health information technology (e.g., electronic medical records with patient portals). Such digital health solutions may empower patients in their journey toward optimal brain health during the vulnerable period of pediatric to adult care transition. Further research is needed to validate and measure their impact on clinical outcomes, health economics, and quality of life.

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