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Shared Electronic Health Record Systems: Key Legal and Security Challenges.

https://arctichealth.org/en/permalink/ahliterature292507
Source
J Diabetes Sci Technol. 2017 Nov; 11(6):1234-1239
Publication Type
Journal Article
Date
Nov-2017
Author
Ellen K Christiansen
Eva Skipenes
Marie F Hausken
Svein Skeie
Truls Østbye
Marjolein M Iversen
Author Affiliation
1 Norwegian Centre for Integrated Care and Telemedicine, University Hospital of North Norway (UNN), Tromsø, Norway.
Source
J Diabetes Sci Technol. 2017 Nov; 11(6):1234-1239
Date
Nov-2017
Language
English
Publication Type
Journal Article
Keywords
Access to Information - legislation & jurisprudence
Computer Security - legislation & jurisprudence
Confidentiality - legislation & jurisprudence
Electronic Health Records - legislation & jurisprudence
Health Policy
Humans
Information Dissemination - legislation & jurisprudence
Norway
Patient care team
Policy Making
Telemedicine - legislation & jurisprudence
Ulcer - diagnosis - therapy
Abstract
Use of shared electronic health records opens a whole range of new possibilities for flexible and fruitful cooperation among health personnel in different health institutions, to the benefit of the patients. There are, however, unsolved legal and security challenges. The overall aim of this article is to highlight legal and security challenges that should be considered before using shared electronic cooperation platforms and health record systems to avoid legal and security "surprises" subsequent to the implementation. Practical lessons learned from the use of a web-based ulcer record system involving patients, community nurses, GPs, and hospital nurses and doctors in specialist health care are used to illustrate challenges we faced. Discussion of possible legal and security challenges is critical for successful implementation of shared electronic collaboration systems. Key challenges include (1) allocation of responsibility, (2) documentation routines, (3) and integrated or federated access control. We discuss and suggest how challenges of legal and security aspects can be handled. This discussion may be useful for both current and future users, as well as policy makers.
Notes
Cites: J Diabetes Sci Technol. 2011 May 01;5(3):768-77 PMID 21722592
Cites: Stud Health Technol Inform. 2011;169:417-21 PMID 21893784
Cites: JMIR Res Protoc. 2016 Jul 18;5(3):e148 PMID 27430301
PubMed ID
28560899 View in PubMed
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[Information hygiene and regulation of information for vulnerable groups of the population].

https://arctichealth.org/en/permalink/ahliterature263388
Source
Gig Sanit. 2014 Sep-Oct;(5):43-9
Publication Type
Article
Author
E I Denisov
A L Eremin
O V Sivochalova
N N Kurerov
Source
Gig Sanit. 2014 Sep-Oct;(5):43-9
Language
Russian
Publication Type
Article
Keywords
Access to Information - legislation & jurisprudence
Government Regulation
Human Rights - legislation & jurisprudence - standards
Humans
Hygiene - legislation & jurisprudence - standards
Information Services - legislation & jurisprudence - standards
Internet - legislation & jurisprudence - statistics & numerical data
Russia
Safety - legislation & jurisprudence
Vulnerable Populations - legislation & jurisprudence - psychology
Abstract
Development of information society engenders the problem of hygienic regulation of information load for the population, first of all for vulnerable groups. There are presented international and Russian normative legal documents and experience in this area, there are described the negative effects of information (such as stress, depression, suicidal ideations). There are considered social-psychological characteristics of vulnerable groups that requires their best protection from loads of information, doing harm, particularly in terms of reproductive health, family relationships, children, etc. There was noted the desirability of improvement of sanitary, legislation on the regulation of the information load on the population, especially in vulnerable groups, in terms of optimization of parameters of the signal-carriers on volume, brightness and the adequacy of the volume and content of information in radio and television broadcasting, in an urban environment and at the plant to preserve the health and well-being of the population.
PubMed ID
25831927 View in PubMed
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