Avanços e barreiras de telemedicina na Colômbia

This study has the aim to analyse the civil and penal responsibility of professional doctors in the practice of tele medicine in Colombia. It is an exploratory research based on surveys and interviews to telemedical experts, carried out in several cities of the country. Through the use of online tools it was possible to identify the barriers to the consolidation of telemedicine due to the Lex Artis is full of scientific knowledge and successful cases that pretend to achieve the recognition of the practice of distance medicine and its progresses. In the present study, it was useful the support of prestigious institutions, as well as the reading of the current Colombian telemedicine legislation. As a conclusion, it can be said that it is worth highlighting the need to complete the normative gaps in telemedicine, in order to give a legal answer to the effects of this medical modality that responds to the problem of coverage in health in the Colombian territory.El presente trabajo tiene como objetivo analizar la responsabilidad civil y penal de los galenos en el ejercicio de la telemedicina en Colombia. Es una investigación exploratoria basada en encuestas y entrevistas a expertos telemédicos realizada en varias ciudades del país. A través del uso de herramientas online, se logró identificar las barreras para la consolidación de la telemedicina, por cuanto la lex artis telemédica colombiana está permeada de conocimientos científicos y casos exitosos que pretenden el reconocimiento de la práctica de la medicina a distancia y de sus mayores avances tecnológicos. En el presente estudio fue útil el aporte de prestigiosas instituciones, así como la lectura de la legislación colombiana vigente. Como conclusión, cabe resaltar la necesidad de completar los vacíos normativos en telemedicina con el fin de dar respuesta legal a los efectos de esta modalidad médica que da respuesta a problemas de cobertura en salud en el territorio nacional.L'objectif de cet article est d'analyser la responsabilité civile et pénale des médecins dans la pratique de la télémédecine en Colombie. C'est une enquête exploratoire basée sur des enquêtes et des entretiens avec des experts en télémédecine réalisés dans plusieurs villes du pays. Grâce aux outils en ligne, il a été possible d'identifier les obstacles à la consolidation de la télémédecine, car la télémédecine lex artis colombienne est imprégnée de connaissances scientifiques et d'exemples fructueux visant à reconnaître la pratique de la médecine à distance et de ses grandes avancées technologiques. Dans la présente étude, la contribution d'institutions prestigieuses a été utile, ainsi que l'étude de la législation colombienne actuelle. En conclusion, il convient de souligner la nécessité de combler les lacunes réglementaires en matière de télémédecine afin de fournir une réponse juridique aux effets de cette modalité médicale qui répond aux problèmes de couverture sanitaire sur le territoire national.Este trabalho tem como objetivo analisar a responsabilidade civil e penal dos médicos na prática da telemedicina na Colômbia. É uma investigação exploratória baseada em pesquisas e entrevistas com especialistas em telemedicina realizadas em várias cidades do país. Através da utilização de ferramentas on-line foi possível identificar as barreiras para a consolidação da telemedicina, porque o Lex Artis tele médica colombiana está permeada com o conhecimento científico, e casos de sucesso que buscam o reconhecimento da prática da medicina a distância e dos seus maiores avanços tecnológicos. No presente estudo, a contribuição de instituições de prestígio foi útil, bem como a leitura da legislação colombiana atual. Em conclusão, vale a pena notar a necessidade de completar as lacunas regulamentares na telemedicina, a fim de dar uma resposta legal aos efeitos desta modalidade médica que responde aos problemas de cobertura de saúde no território nacional

Security and usability of a personalized user authentication paradigm : insights from a longitudinal study with three healthcare organizations

Funding information: This research has been partially supported by the EU Horizon 2020 Grant 826278 "Securing Medical Data in Smart Patient-Centric Healthcare Systems" (Serums) , and the Research and Innovation Foundation (Project DiversePass: COMPLEMENTARY/0916/0182).This paper proposes a user-adaptable and personalized authentication paradigm for healthcare organizations, which anticipates to seamlessly reflect patients’ episodic and autobiographical memories to graphical and textual passwords aiming to improve the security strength of user-selected passwords and provide a positive user experience. We report on a longitudinal study that spanned over three years in which three public European healthcare organizations participated in order to design and evaluate the aforementioned paradigm. Three studies were conducted (n=169) with different stakeholders: i) a verification study aiming to identify existing authentication practices of the three healthcare organizations with diverse stakeholders (n=9); ii) a patient-centric feasibility study during which users interacted with the proposed authentication system (n=68); and iii) a human guessing attack study focusing on vulnerabilities among people sharing common experiences within location-aware images used for graphical passwords (n=92). Results revealed that the suggested paradigm scored high with regards to users’ likeability, perceived security, usability and trust, but more importantly it assists the creation of more secure passwords. On the downside, the suggested paradigm introduces password guessing vulnerabilities by individuals sharing common experiences with the end-users. Findings are expected to scaffold the design of more patient-centric knowledge-based authentication mechanisms within nowadays dynamic computation realms.PostprintPeer reviewe

Strategies for Reducing the Risk of Data Breach Within the Internet Cloud

Businesses are increasingly incorporating cloud computing into their current business models. With this increase, security breach exposure has also increased, causing business leaders to be concerned with financial hardship, operational disruption, customer turnover, and customer confidence loss due to personal data exposure. Grounded in the integrated system theory of information security management, the purpose of this qualitative multiple case study was to explore successful strategies some information security leaders in the aerospace and defense contractor industry use to protect cloud-based data from security breaches. The participants were 7 information security leaders from 7 different aerospace and defense contractor companies located in the United States mid-Atlantic region. Data from semistructured interviews were analyzed and compared with 8 publicly available data sources for data triangulation. Emergent themes narrowing this knowledge gap was extracted through an analysis technique such as coding and then triangulated. The recurring themes were (a) strong authentication methods, (b) encryption, and (c) personnel training and awareness. A key recommendation includes information security leaders implementing preventative security measures while improving an organization\u27s ability to protect data lost within the Internet cloud. The implications for positive social change include the potential to increase consumers confidence while protecting confidential consumer data and organizational resources, protecting customers from the costs, lost time, and recovery efforts associated with identity theft