2,706 research outputs found
Framework of Social Customer Relationship Management in E-Health Services
Healthcare organization is implementing Customer Relationship Management
(CRM) as a strategy for managing interactions with patients involving
technology to organize, automate, and coordinate business processes. Web-based
CRM provides healthcare organization with the ability to broaden service beyond
its usual practices in achieving a complex patient care goal, and this paper
discusses and demonstrates how a new approach in CRM based on Web 2.0 or Social
CRM helps healthcare organizations to improve their customer support, and at
the same time avoiding possible conflicts, and promoting better healthcare to
patients. A conceptual framework of the new approach will be proposed and
highlighted. The framework includes some important features of Social CRM such
as customer's empowerment, social interactivity between healthcare
organization-patients, and patients-patients. The framework offers new
perspective in building relationships between healthcare organizations and
customers and among customers in e-health scenario. It is developed based on
the latest development of CRM literatures and case studies analysis. In
addition, customer service paradigm in social network's era, the important of
online health education, and empowerment in healthcare organization will be
taken into consideration.Comment: 15 pages. arXiv admin note: substantial text overlap with
arXiv:1204.3689, arXiv:1203.3919, arXiv:1204.3685, arXiv:1203.4309,
arXiv:1204.3691, arXiv:1203.392
Strategic Value of an Unbound, Interoperable PHR Platform for Rights–Managed Care Coordination
Health care reform requires an information-system paradigm shift. We present an innovative implementation involving an unbound, interoperable PHR platform that enforces patient permissions while exchanging structured data via Web services with certified EHRs. We draw on a strategic health information technology framework and a disruptive-innovation argument for the underlying conceptual basis. We describe how the platform’s three-tier architecture supports rights–managed care coordination. Finally, we discuss future observational and experimental research on the platform’s cost-effectiveness
Integrated, reliable and cloud-based personal health record: a scoping review.
Personal Health Records (PHR) emerge as an alternative to integrate patient’s health information to give a global view of patients' status. However, integration is not a trivial feature when dealing with a variety electronic health systems from healthcare centers. Access to PHR sensitive information must comply with privacy policies defined by the patient. Architecture PHR design should be in accordance to these, and take advantage of nowadays technology. Cloud computing is a current technology that provides scalability, ubiquity, and elasticity features. This paper presents a scoping review related to PHR systems that achieve three characteristics: integrated, reliable and cloud-based. We found 101 articles that addressed thosecharacteristics. We identified four main research topics: proposal/developed systems, PHR recommendations for development, system integration and standards, and security and privacy. Integration is tackled with HL7 CDA standard. Information reliability is based in ABE security-privacy mechanism. Cloud-based technology access is achieved via SOA.CONACYT - Consejo Nacional de Ciencia y TecnologíaPROCIENCI
Building standardized and secure mobile health services based on social media
Mobile devices and social media have been used to create empowering healthcare services. However, privacy and security concerns remain. Furthermore, the integration of interoperability biomedical standards is a strategic feature. Thus, the objective of this paper is to build enhanced healthcare services by merging all these components. Methodologically, the current mobile health telemonitoring architectures and their limitations are described, leading to the identification of new potentialities for a novel architecture. As a result, a standardized, secure/private, social-media-based mobile health architecture has been proposed and discussed. Additionally, a technical proof-of-concept (two Android applications) has been developed by selecting a social media (Twitter), a security envelope (open Pretty Good Privacy (openPGP)), a standard (Health Level 7 (HL7)) and an information-embedding algorithm (modifying the transparency channel, with two versions). The tests performed included a small-scale and a boundary scenario. For the former, two sizes of images were tested; for the latter, the two versions of the embedding algorithm were tested. The results show that the system is fast enough (less than 1 s) for most mHealth telemonitoring services. The architecture provides users with friendly (images shared via social media), straightforward (fast and inexpensive), secure/private and interoperable mHealth services
The Role of the Internet of Things in Health Care: A Systematic and Comprehensive Study
The Internet of Things (IoT) is becoming an emerging trend and has significant potential to replace other technologies, where researchers consider it as the future of the internet. It has given tremendous support and become the building blocks in the development of important cyber-physical systems and it is being severed in a variety of application domains, including healthcare. A methodological evolution of the Internet of Things, enabled it to extend to the physical world beyond the electronic world by connecting miscellaneous devices through the internet, thus making everything is connected. In recent years it has gained higher attention for its potential to alleviate the strain on the healthcare sector caused by the rising and aging population along with the increase in chronic diseases and global pandemics. This paper surveys about various usages of IoT healthcare technologies and reviews the state of the art services and applications, recent trends in IoT based healthcare solutions, and various challenges posed including security and privacy issues, which researchers, service providers and end users need to pay higher attention. Further, this paper discusses how innovative IoT enabled technologies like cloud computing, fog computing, blockchain, and big data can be used to leverage modern healthcare facilities and mitigate the burden on healthcare resources
Identity Management and Authorization Infrastructure in Secure Mobile Access to Electronic Health Records
We live in an age of the mobile paradigm of anytime/anywhere access, as the mobile device
is the most ubiquitous device that people now hold. Due to their portability, availability, easy
of use, communication, access and sharing of information within various domains and areas of
our daily lives, the acceptance and adoption of these devices is still growing. However, due to
their potential and raising numbers, mobile devices are a growing target for attackers and, like
other technologies, mobile applications are still vulnerable.
Health information systems are composed with tools and software to collect, manage, analyze
and process medical information (such as electronic health records and personal health records).
Therefore, such systems can empower the performance and maintenance of health services,
promoting availability, readability, accessibility and data sharing of vital information about a
patients overall medical history, between geographic fragmented health services. Quick access
to information presents a great importance in the health sector, as it accelerates work processes,
resulting in better time utilization. Additionally, it may increase the quality of care.
However health information systems store and manage highly sensitive data, which raises serious
concerns regarding patients privacy and safety, and may explain the still increasing number
of malicious incidents reports within the health domain.
Data related to health information systems are highly sensitive and subject to severe legal
and regulatory restrictions, that aim to protect the individual rights and privacy of patients.
Along side with these legislations, security requirements must be analyzed and measures implemented.
Within the necessary security requirements to access health data, secure authentication,
identity management and access control are essential to provide adequate means to
protect data from unauthorized accesses. However, besides the use of simple authentication
models, traditional access control models are commonly based on predefined access policies
and roles, and are inflexible. This results in uniform access control decisions through people,
different type of devices, environments and situational conditions, and across enterprises, location
and time.
Although already existent models allow to ensure the needs of the health care systems, they still
lack components for dynamicity and privacy protection, which leads to not have desire levels
of security and to the patient not to have a full and easy control of his privacy. Within this
master thesis, after a deep research and review of the stat of art, was published a novel dynamic
access control model, Socio-Technical Risk-Adaptable Access Control modEl (SoTRAACE),
which can model the inherent differences and security requirements that are present in this
thesis. To do this, SoTRAACE aggregates attributes from various domains to help performing
a risk assessment at the moment of the request. The assessment of the risk factors identified
in this work is based in a Delphi Study. A set of security experts from various domains were
selected, to classify the impact in the risk assessment of each attribute that SoTRAACE aggregates.
SoTRAACE was integrated in an architecture with requirements well-founded, and based
in the best recommendations and standards (OWASP, NIST 800-53, NIST 800-57), as well based in
deep review of the state-of-art. The architecture is further targeted with the essential security
analysis and the threat model. As proof of concept, the proposed access control model was implemented within the user-centric
architecture, with two mobile prototypes for several types of accesses by patients and healthcare
professionals, as well the web servers that handles the access requests, authentication and
identity management.
The proof of concept shows that the model works as expected, with transparency, assuring privacy
and data control to the user without impact for user experience and interaction. It is clear
that the model can be extended to other industry domains, and new levels of risks or attributes
can be added because it is modular. The architecture also works as expected, assuring secure
authentication with multifactor, and secure data share/access based in SoTRAACE decisions.
The communication channel that SoTRAACE uses was also protected with a digital certificate.
At last, the architecture was tested within different Android versions, tested with static and
dynamic analysis and with tests with security tools.
Future work includes the integration of health data standards and evaluating the proposed system
by collecting users’ opinion after releasing the system to real world.Hoje em dia vivemos em um paradigma móvel de acesso em qualquer lugar/hora, sendo que
os dispositivos móveis são a tecnologia mais presente no dia a dia da sociedade. Devido à sua
portabilidade, disponibilidade, fácil manuseamento, poder de comunicação, acesso e partilha
de informação referentes a várias áreas e domínios das nossas vidas, a aceitação e integração
destes dispositivos é cada vez maior. No entanto, devido ao seu potencial e aumento do número
de utilizadores, os dispositivos móveis são cada vez mais alvos de ataques, e tal como outras
tecnologias, aplicações móveis continuam a ser vulneráveis.
Sistemas de informação de saúde são compostos por ferramentas e softwares que permitem
recolher, administrar, analisar e processar informação médica (tais como documentos de saúde
eletrónicos). Portanto, tais sistemas podem potencializar a performance e a manutenção dos
serviços de saúde, promovendo assim a disponibilidade, acessibilidade e a partilha de dados
vitais referentes ao registro médico geral dos pacientes, entre serviços e instituições que estão
geograficamente fragmentadas. O rápido acesso a informações médicas apresenta uma grande
importância para o setor da saúde, dado que acelera os processos de trabalho, resultando assim
numa melhor eficiência na utilização do tempo e recursos. Consequentemente haverá uma
melhor qualidade de tratamento. Porém os sistemas de informação de saúde armazenam e
manuseiam dados bastantes sensíveis, o que levanta sérias preocupações referentes à privacidade
e segurança do paciente. Assim se explica o aumento de incidentes maliciosos dentro do
domínio da saúde.
Os dados de saúde são altamente sensíveis e são sujeitos a severas leis e restrições regulamentares,
que pretendem assegurar a proteção dos direitos e privacidade dos pacientes, salvaguardando
os seus dados de saúde. Juntamente com estas legislações, requerimentos de segurança
devem ser analisados e medidas implementadas. Dentro dos requerimentos necessários
para aceder aos dados de saúde, uma autenticação segura, gestão de identidade e controlos de
acesso são essenciais para fornecer meios adequados para a proteção de dados contra acessos
não autorizados. No entanto, além do uso de modelos simples de autenticação, os modelos
tradicionais de controlo de acesso são normalmente baseados em políticas de acesso e cargos
pré-definidos, e são inflexíveis. Isto resulta em decisões de controlo de acesso uniformes para
diferentes pessoas, tipos de dispositivo, ambientes e condições situacionais, empresas, localizações
e diferentes alturas no tempo. Apesar dos modelos existentes permitirem assegurar
algumas necessidades dos sistemas de saúde, ainda há escassez de componentes para accesso
dinâmico e proteção de privacidade , o que resultam em níveis de segurança não satisfatórios e
em o paciente não ter controlo directo e total sobre a sua privacidade e documentos de saúde.
Dentro desta tese de mestrado, depois da investigação e revisão intensiva do estado da arte,
foi publicado um modelo inovador de controlo de acesso, chamado SoTRAACE, que molda as
diferenças de acesso inerentes e requerimentos de segurança presentes nesta tese. Para isto,
o SoTRAACE agrega atributos de vários ambientes e domínios que ajudam a executar uma avaliação
de riscos, no momento em que os dados são requisitados. A avaliação dos fatores de risco
identificados neste trabalho são baseados num estudo de Delphi. Um conjunto de peritos de
segurança de vários domínios industriais foram selecionados, para classificar o impacto de cada
atributo que o SoTRAACE agrega. O SoTRAACE foi integrado numa arquitectura para acesso a
dados médicos, com requerimentos bem fundados, baseados nas melhores normas e recomendações (OWASP, NIST 800-53, NIST 800-57), e em revisões intensivas do estado da arte. Esta
arquitectura é posteriormente alvo de uma análise de segurança e modelos de ataque.
Como prova deste conceito, o modelo de controlo de acesso proposto é implementado juntamente
com uma arquitetura focada no utilizador, com dois protótipos para aplicações móveis,
que providênciam vários tipos de acesso de pacientes e profissionais de saúde. A arquitetura é
constituída também por servidores web que tratam da gestão de dados, controlo de acesso e
autenticação e gestão de identidade. O resultado final mostra que o modelo funciona como esperado,
com transparência, assegurando a privacidade e o controlo de dados para o utilizador,
sem ter impacto na sua interação e experiência. Consequentemente este modelo pode-se extender
para outros setores industriais, e novos níveis de risco ou atributos podem ser adicionados
a este mesmo, por ser modular. A arquitetura também funciona como esperado, assegurando
uma autenticação segura com multi-fator, acesso e partilha de dados segura baseado em decisões
do SoTRAACE. O canal de comunicação que o SoTRAACE usa foi também protegido com
um certificado digital.
A arquitectura foi testada em diferentes versões de Android, e foi alvo de análise estática,
dinâmica e testes com ferramentas de segurança.
Para trabalho futuro está planeado a integração de normas de dados de saúde e a avaliação do
sistema proposto, através da recolha de opiniões de utilizadores no mundo real
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