Trust Model for Protection of Personal Health Data in a Global Environment

Successful health care, eHealth, digital health, and personal health systems increasingly take place in cross-jurisdictional, dynamic and risk-encumbered information space. They require rich amount of personal health information (PHI). Trust is and will be the cornerstone and prerequisite for successful health services. In global environments, trust cannot be expected as granted. In this paper, health service in the global environment is perceived as a meta-system, and a trust management model is developed to support it. The predefined trusting belief currently used in health care is not transferable to global environments. In the authors' model, the level of trust is dynamically calculated from measurable attributes. These attributes describe trust features of the service provider and its environment. The calculated trust value or profile can be used in defining the risk service user has to accept when disclosing PHI, and in definition of additional privacy and security safeguards before disclosing PHI and/or using services

Legal Solutions in Health Reform: Privacy and Health Information Technology

Identifies gaps in the federal health privacy standard and proposes options for strengthening the legal framework for privacy protections in order to build public trust in health information technology. Presents arguments for and against each option

Privacy and Health Information Technology

The increased use of health information technology (health IT) is a common element of nearly every health reform proposal because it has the potential to decrease costs, improve health outcomes, coordinate care, and improve public health. However, it raises concerns about security and privacy of medical information. This paper examines some of the “gaps” in privacy protections that arise out of the current federal health privacy standard, the Health Insurance Portability and Accountability (HIPAA) Privacy Rule, the main federal law which governs the use and disclosure of health information. Additionally, it puts forth a range of possible solutions, accompanied by arguments for and against each. The solutions provide some options for strengthening the current legal framework of privacy protections in order to build public trust in health IT and facilitate its use for health reform. The American Recovery and Reinvestment Act (ARRA) enacted in February 2009 includes a number of changes to HIPAA and its regulations, and those changes are clearly noted among the list of solutions (and ARRA is indicated in the Executive Summary and paper where the Act has a relevant provision)

Profiling the victims: public awareness of pollution-related harm in China

This article aims to identify factors which influence public awareness of health or economic harm from pollution in China. Based on an analysis of the China General Social Survey (CGSS) carried out nationwide by Renmin University and HKUST in 2006, it focuses on awareness of pollution-related harm or self-identification as a pollution victim. The analysis tests three groups of hypotheses about how self-identified victims differ from others: first, in terms of the environmental conditions they experience, such as the actual level of pollution and types of neighbourhoods they inhabit; second, in terms of resources including material and information resources, time, social capital and political experience; and third, in terms of political attitudes. The conclusion discusses implications for the politics of public participation in environmental governance in China

The socio-political bases of willingness to join environmental NGOs in China: a study in social cohesion

This article examines willingness to join China’s emerging green movement through an analysis of data from the China General Social Survey of 2006. A question asked about environmental NGO membership shows that whilst only one per cent of respondents claim to be members of an environmental NGO, more than three fifths say they would like to join one in future if there is an opportunity, slightly less than one fifth reject the idea, and the remainder are don’t knows. The paper tests explanations of willingness to join based on instrumentality, ideology, social identity and social capital networks. It finds that instrumental considerations dominate, although ideology, identity and networks contribute incrementally. The conclusion considers the usefulness of willingness to join as an indicator of social cohesion within the framework of a wider effort to evaluate social quality