Security and Privacy Issues in IoT Healthcare Application for Disabled Users in Developing Economies

In this paper, we explore the security and privacy issues of Internet of Things (IoT) healthcare applications for special needs users. IoT enables health-related organizations to lift important data from diverse sources in real-time and this helps in precise decision-making. The transformation of the health sector, required enhancement and efficiency of protective systems, thereby reducing data vulnerability and hence, providing opportunities for secure patient data, particularly, for special needs patients. A quantitative method for purposive sampling technique was adopted and eighty-eight respondents provided the process of how the IoT technology was utilised. Data findings indicated that IoT monitoring devices have the detective ability for a person with special needs living alone with problems related to vital signs of diseases or disabilities. Personal patient health records are integrated into the e-health Centre via IoT technologies. For data privacy, security, and confidentiality, patients' records are kept on Personal Health Record Systems (PHRS). The research revealed suspected breaches of information due to cyber-attacks on the probability of false data errors in the PHRS, leading to special needs personal data leakage

Framework for Enhancing e-Health Security: Case of South African Healthcare

ABSTRACT: Many of the major forces of change impacting healthcare today have technological underpinnings, and many of the less desirable impacts may have technological solutions. Two related technological forces are transacting business, online (e-business) and delivering healthcare online (e-Health)." The movement to improve the quality of healthcare does not lack established interventions, powerful ideas, and examples of success and breakthrough results. Uptakes of these advances, however, are limited, uneven, and slow. As a result, many patients receive less than basic care, thereby increasing the risk of negative outcomes for both patients and providers. A major challenge for global health systems is to spread these advances broadly and rapidly, adapting them for different care settings. Some Benefits of Information and Communication Technology (ICT) in healthcare delivery are that advanced information technologies furnish healthcare providers with the opportunity to improve patient care by streamlining clinical processes and creating a seamless flow of information in addition to containing costs. Currently, healthcare providers use e-Health records to record a patient's receipt of healthcare services. Unfortunately, security is still a major issue that need enhancement in order to deliver a best and secure services to all the patients

Employee Perspective on Information Security Related Human Error in Healthcare: Proactive Use of IS-CHEC in Questionnaire Form

The objective of the research was to establish data relating to underlying causes of human error which are the most common cause of information security incidents within a private sector healthcare organization. A survey questionnaire was designed to proactively apply the IS-CHEC information security human reliability analysis (HRA) technique. The IS-CHEC technique questionnaire identified the most likely core human error causes that could result in incidents, their likelihood, the most likely tasks that could be affected, suggested remedial and preventative measures, systems or processes that would be likely to be affected by human error and established the levels of risk exposure. The survey was operational from 15th November 2018 to 15th December 2018. It achieved a response rate of 65% which equated to 485 of 749 people targeted by the research. The research found that, in the case of this particular participating organization, the application of the IS-CHEC technique through a questionnaire added beneficial value as an enhancement to a standard approach of holistic risk assessment. The research confirmed that the IS-CHEC in questionnaire form can be successfully applied within a private sector healthcare organization and also that a distributed approach for information security human error assessment can be successfully undertaken in order to add beneficial value. The results of this paper indicate, from the questionnaire responses supplied by employees, that organizational focus on its people and their working environment can improve information security posture and reduce the likelihood of associated information security incidents through a reduction in human error

Health informatics domain knowledge analysis: An information technology perspective

Health Informatics is an intersection of information technology, several disciplines of medicine and health care. It sits at the common frontiers of health care services including patient centric, processes driven and procedural centric care. From the information technology perspective it can be viewed as computer application in medical and/or health processes for delivering better health care solutions. In spite of the exaggerated hype, this field is having a major impact in health care solutions, in particular health care deliveries, decision making, medical devices and allied health care industries. It also affords enormous research opportunities for new methodological development. Despite the obvious connections between Medical Informatics, Nursing Informatics and Health Informatics, most of the methodologies and approaches used in Health Informatics have so far originated from health system management, care aspects and medical diagnostic. This paper explores reasoning for domain knowledge analysis that would establish Health Informatics as a domain and recognised as an intellectual discipline in its own right

Fog Computing in Medical Internet-of-Things: Architecture, Implementation, and Applications

In the era when the market segment of Internet of Things (IoT) tops the chart in various business reports, it is apparently envisioned that the field of medicine expects to gain a large benefit from the explosion of wearables and internet-connected sensors that surround us to acquire and communicate unprecedented data on symptoms, medication, food intake, and daily-life activities impacting one's health and wellness. However, IoT-driven healthcare would have to overcome many barriers, such as: 1) There is an increasing demand for data storage on cloud servers where the analysis of the medical big data becomes increasingly complex, 2) The data, when communicated, are vulnerable to security and privacy issues, 3) The communication of the continuously collected data is not only costly but also energy hungry, 4) Operating and maintaining the sensors directly from the cloud servers are non-trial tasks. This book chapter defined Fog Computing in the context of medical IoT. Conceptually, Fog Computing is a service-oriented intermediate layer in IoT, providing the interfaces between the sensors and cloud servers for facilitating connectivity, data transfer, and queryable local database. The centerpiece of Fog computing is a low-power, intelligent, wireless, embedded computing node that carries out signal conditioning and data analytics on raw data collected from wearables or other medical sensors and offers efficient means to serve telehealth interventions. We implemented and tested an fog computing system using the Intel Edison and Raspberry Pi that allows acquisition, computing, storage and communication of the various medical data such as pathological speech data of individuals with speech disorders, Phonocardiogram (PCG) signal for heart rate estimation, and Electrocardiogram (ECG)-based Q, R, S detection.Comment: 29 pages, 30 figures, 5 tables. Keywords: Big Data, Body Area Network, Body Sensor Network, Edge Computing, Fog Computing, Medical Cyberphysical Systems, Medical Internet-of-Things, Telecare, Tele-treatment, Wearable Devices, Chapter in Handbook of Large-Scale Distributed Computing in Smart Healthcare (2017), Springe