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.

Ethics of Electronic Health Record Systems

2018 ◽  
Vol 9 (3) ◽  
pp. 53-69 ◽  
Author(s):  
Brian J. Galli
Keyword(s):  
Ethical Issues ◽  
Healthcare Providers ◽  
Meaningful Use ◽  
Health Record ◽  
Health Records ◽  
Ethical Implications ◽  
Incentive Programs ◽  
Time Period ◽  
Electronic Health ◽  
The Government

This article describes how healthcare and IT are combatting the ethical implications of electronic health records (EHRs) in order to make them adopted by over 90% of small practices. There is a lack of trust in EHRs and uneasiness about what they will accomplish. Furthermore, security concerns have become more prevalent as a result of increased hacker activity. The objective of this article is to analyze these ethical issues in an effort to eliminate them as a hinderance to EHR implementation. As of now, 98% of all hospitals use EHRs. Between 2009 and 2015, the government allocated money and resources for incentive programs to get EHRs into every healthcare providers' office. During this time period, over $800 million dollars facilitated EHR implementation. Using this as a tool EHRs negative perception can be revitalized and combated with the meaningful use program. This article will highlight the ethical implications of EHRs and suggest ways in which to avoid them to make EHRs available in every healthcare provider.

THE DESIGN OF MOBILE PERSONALISED HEALTH RECORDS

2015 ◽  
Vol 77 (18) ◽  
Author(s):  
Mohd Khanapi Abd Ghani ◽  
Farah Aris
Keyword(s):  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Health Record ◽  
Health Records ◽  
Daily Work ◽  
Storage Devices ◽  
History Record ◽  
The Right ◽  
Personalized Health

Pervasive Electronic Health Record provides important medical history record for an individual within a healthcare system. By using pervasive storage devices, patient’s health records can be accessed electronically by authorized healthcare providers and healthcare professionals in the right place at the right time. However, the research found that not all healthcare practitioners are ready to adopt this approach and mobile technology into their daily work while providing healthcare services to the patients. This is important indicators to be acquired before implementing the technology in the real environment of healthcare.  The aim for this paper is to identify the crucial clinical dataset to be captured and viewed by the healthcare professionals and important design components for mobile personalized health records. The input will indicate that the healthcare professional tend to use the technology. In addition, the collected datasets could be used as input to design mobile personalized health record application.

Electronic Health Records Implementation in Jordan: Perceptions of Healthcare Providers and Determinant Factors (Preprint)

2020 ◽  
Author(s):  
Tamadur Shudayfat ◽  
Çağdaş Akyürek ◽  
Noha Al-Shdayfat ◽  
Hatem Alsaqqa
Keyword(s):  
Electronic Health Records ◽  
Electronic Health Record ◽  
Technology Acceptance ◽  
Technology Acceptance Model ◽  
Healthcare Providers ◽  
Health Record ◽  
Health Records ◽  
Context Factors ◽  
Electronic Health ◽  
Acceptance Model

BACKGROUND Acceptance of Electronic Health Record systems is considered an essential factor for an effective implementation among the Healthcare providers. In an attempt to understand the healthcare providers’ perceptions on the Electronic Health Record systems implementation and evaluate the factors influencing healthcare providers’ acceptance of Electronic Health Records, the current research examines the effects of individual (user) context factors, and organizational context factors, using Technology Acceptance Model. OBJECTIVE The current research examines the effects of individual (user) context factors, and organizational context factors, using Technology Acceptance Model. METHODS A quantitative cross-sectional survey design was used, in which 319 healthcare providers from five public hospital participated in the present study. Data was collected using a self-administered questionnaire, which was based on the Technology Acceptance Model. RESULTS Jordanian healthcare providers demonstrated positive perceptions of the usefulness and ease of use of Electronic Health Record systems, and subsequently, they accepted the technology. The results indicated that they had a significant effect on the perceived usefulness and perceived ease of use of Electronic Health Record, which in turn was related to positive attitudes towards Electronic Health Record systems as well as the intention to use them. CONCLUSIONS User attributes, organizational competency, management support and training and education are essential variables in predicting healthcare provider’s acceptance toward Electronic Health records. These findings should be considered by healthcare organizations administration to introduce effective system to other healthcare organizations.

Ethics of Electronic Health Record Systems

2020 ◽  
pp. 1467-1484
Author(s):  
Brian J. Galli
Keyword(s):  
Electronic Health Record ◽  
Ethical Issues ◽  
Healthcare Providers ◽  
Meaningful Use ◽  
Health Record ◽  
Ethical Implications ◽  
Incentive Programs ◽  
Time Period ◽  
Electronic Health ◽  
The Government

This article describes how healthcare and IT are combatting the ethical implications of electronic health records (EHRs) in order to make them adopted by over 90% of small practices. There is a lack of trust in EHRs and uneasiness about what they will accomplish. Furthermore, security concerns have become more prevalent as a result of increased hacker activity. The objective of this article is to analyze these ethical issues in an effort to eliminate them as a hinderance to EHR implementation. As of now, 98% of all hospitals use EHRs. Between 2009 and 2015, the government allocated money and resources for incentive programs to get EHRs into every healthcare providers' office. During this time period, over $800 million dollars facilitated EHR implementation. Using this as a tool EHRs negative perception can be revitalized and combated with the meaningful use program. This article will highlight the ethical implications of EHRs and suggest ways in which to avoid them to make EHRs available in every healthcare provider.

scholarly journals Blockchain Usage in the Electronic Health Record System using Attribute-Based Signature

2019 ◽  
Vol 8 (2S11) ◽  
pp. 993-997
Keyword(s):  
Electronic Health Records ◽  
Electronic Health Record ◽  
Patient Data ◽  
Electronic Health Record System ◽  
Health Record ◽  
Record System ◽  
Health Records ◽  
Block Chain ◽  
Electronic Health ◽  
The Government

Block-chain is a list of records which are stored in its blocks that are linked through cryptography. It is used previously for bitcoin transactions only. Now the government and also other organizations are going to use this block-chain in different fields. Electronic Health Records (EHRs) are used for storing the information about the patients. In EHR the information is stored in the paper through web which has some disadvantages. Here we use block-chain and Attribute- Based Signatures (ABS) to store the information about the patient’s in the blocks of block-chain which is stored in cloud. By this we can provide security to the patient data and also there are no storage problems and also through ABS we provide some attributes to the users who are going to access the data of patient.

scholarly journals Ki mit tud? – A betegátadásról. Egy magyar és lengyel mintán végzett tudásfelmérés tapasztalatai

2019 ◽  
Vol 160 (44) ◽  
pp. 1735-1743
Author(s):  
Judit Lám ◽  
Heléna Safadi ◽  
Eszter Pitás ◽  
Éva Belicza
Keyword(s):  
Healthcare Providers ◽  
Multiple Choice Questions ◽  
Health Technologies ◽  
Project Method ◽  
Current State ◽  
Significant Difference ◽  
Knowledge And Practice ◽  
Definition Of ◽  
The Right ◽  
Patient Handover

Abstract: Introduction: The most common reason for the adverse events in healthcare is communication. Due to the development of health technologies and the increasing specialization of care, more and more healthcare professionals are involved in the treatment of patients, resulting in an increasingly important role and risk for patient handover. Aim: To present the current state of knowledge of patient handover through the results of an international project. Method: Self-developed, anonymous questionnaires with single and multiple choice questions were used to investigate handover knowledge among healthcare workers in 3 Hungarian and 3 Polish hospitals. The frequency of responses was analyzed according to their correctness. The factors that can influence the knowledge were studied using a regression model in the Hungarian sample. Results: The questionnaire was completed by 63% of the 2963 employees who received the questionnaires. In the two countries, there was no significant difference in the proportion of correct responses. Nearly half of the responders (49.4%–45.7%) gave the right answers to the question about the definition of patient handover. The lowest rate of correct answers (14.4%–11.1%) was given to elements of patient handover techniques. The difficulty of the questions also showed a similar pattern. Conclusion: Based on the results, it can be concluded that knowledge of handover needs to be improved in both countries. Although healthcare providers have some knowledge about handover, it cannot be considered accurate and complete. It is important to promote the knowledge and practice of handover together for the safety of patients and healthcare providers. Orv Hetil. 2019; 160(44): 1735–1743.

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.

Digital Health Innovation Enhancing Patient Experience in Medical Travel

2021 ◽  
pp. 199-223
Author(s):  
Anita Medhekar
Keyword(s):  
Instant Messaging ◽  
Digital Health ◽  
Healthcare Providers ◽  
Improve Patient Care ◽  
Health Records ◽  
Health Technologies ◽  
Medical Travel ◽  
Travel Decision ◽  
Health Data Analytics ◽  
The Relationship

Digital health technological innovations are disrupting every sector of the economy, including medical travel/tourism. Global patients as medical tourists are using patient-centric digital health technologies, enhancing patient/medical tourists experience and making it more transparent and engaging with healthcare providers and medical tourists. Digital communication tools such as e-mail, online appointments, smartphones, instant messaging applications, social media tools, user-generated content by online patient communities, tele-medicine, tele-radiology, my-Health records, Skype consultation, WhatsApp, health video, electronic health records, health data analytics tools, and artificial intelligence-enabled health technologies enhance the medical travel decision-making process, reduce cost, improve patient care and transparency of communication, and engage the relationship between the patient and the healthcare provider with positive outcomes, medical tourist experience, and empowerment.

The My Health Record System: Potential to Undermine the Paradigm of Patient Confidentiality?

2019 ◽  
Vol 42 (2) ◽  
Author(s):  
Gabrielle Wolf ◽  
Danuta Mendelson
Keyword(s):  
Electronic Health Records ◽  
Healthcare Providers ◽  
Health Record ◽  
Sensitive Information ◽  
Record System ◽  
Health Records ◽  
Patient Confidentiality ◽  
Health Practitioners ◽  
Electronic Health ◽  
Traditional Paradigm

Australia’s national electronic health records system – known as the ‘My Health Record (‘MHR’) system’ – may threaten to undermine the traditional paradigm of patient confidentiality within the therapeutic relationship. Historically, patients have felt comfortable imparting sensitive information to their health practitioners on the understanding that such disclosures are necessary and will be relied on principally for the purpose of treating them. The MHR system potentially facilitates access to patients’ health information by individuals and entities beyond the practitioners who are directly providing them with healthcare and, in some circumstances, without the patients’ consent. It may also enable patients’ health practitioners and their employees to read records that those practitioners did not create or receive in the course of treating the patients and that are irrelevant to their treatment of them. The MHR system could have harmful consequences for individual and public health if patients become unwilling to disclose information to their healthcare providers because they fear it will not remain confidential. In addition to examining the risks of breaches of patient confidentiality in the MHR system, this article considers how the potential benefits of an electronic health records system might be achieved while maintaining patient confidentiality to a significant extent.

scholarly journals Use of the child health record by families: perceptions of professionals

2015 ◽  
Vol 24 (2) ◽  
pp. 407-414 ◽  
Author(s):  
Fabiane Blanco e Silva ◽  
Maria Aparecida Munhoz Gaíva ◽  
Débora Falleiros de Mello
Keyword(s):  
Child Health ◽  
Health Professionals ◽  
Exploratory Study ◽  
Health Record ◽  
Structured Interviews ◽  
Health Records ◽  
Thematic Content Analysis ◽  
Health Care Data ◽  
Primary Health ◽  
The Right

Qualitative and exploratory study performed in Cuiabá with 20 health professionals with the objective of analyzing the use of child health records by families, from the viewpoint of professionals working in primary health care. Data were collected by semi-structured interviews with thematic content analysis. The results showed that professionals believed that it is the duty of families to take care of child health records and to take them every time they seek health services for their children. However, despite the guidance provided, families seldom use this instrument. Participants also recognized that families have the right to demand the proper completion of data in the records, since this shows that families are interested in their children's health and also helps in the work of professionals. Child health records are an instrument for monitoring and promoting child health; therefore, their use should be known and valued by professionals and by families.

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