Managing the security of nursing data in the electronic health record

Background: The Electronic Health Record (EHR) is a patient care information resource for clinicians and nursing documentation is an essential part of comprehensive patient care. Ensuring privacy and the security of health information is a key component to building the trust required to realize the potential benefits of electronic health information exchange. This study was aimed to manage nursing data security in the EHR and also discover the viewpoints of hospital information system vendors (computer companies) and hospital information technology specialists about nursing data security. Methods: This research is a cross sectional analytic-descriptive study. The study populations were IT experts at the academic hospitals and computer companies of Tehran city in Iran. Data was collected by a self-developed questionnaire whose validity and reliability were confirmed using the experts' opinions and Cronbach's alpha coefficient respectively. Data was analyzed through Spss Version 18 and by descriptive and analytic statistics. Results: The findings of the study revealed that user name and password were the most important methods to authenticate the nurses, with mean percent of 95 and 80, respectively, and also the most significant level of information security protection were assigned to administrative and logical controls. There was no significant difference between opinions of both groups studied about the levels of information security protection and security requirements (p>0.05). Moreover the access to servers by authorized people, periodic security update, and the application of authentication and authorization were defined as the most basic security requirements from the viewpoint of more than 88 percent of recently-mentioned participants. Conclusions: Computer companies as system designers and hospitals information technology specialists as systems users and stakeholders present many important views about security requirements for EHR systems and nursing electronic documentation systems. Prioritizing of these requirements helps policy makers to decide what to do when planning for EHR implementation. Therefore, to make appropriate security decisions and to achieve the expected level of protection of the electronic nursing information, it is suggested to consider the priorities of both groups of experts about security principles and also discuss the issues seem to be different between two groups of participants in the research. © 2015 Mahnaz Samadbeik, Zahra Gorzin, Masomeh Khoshkam, Masoud Roudbari

A systematic review of the attributes of electronic personal health Records for Patients with multiple sclerosis

The personal health record (PHR) is a novel information technology in the domain of health. In recent decades, PHR has been employed as an emerging tool for the improvement of healthcare services for patients with chronic diseases. The application of PHR plays a significant role in healthcare provision for multiple sclerosis (MS) as a chronic disease. The present study aimed to identify the attributes of PHR for patients with MS. This was a systematic review performed in 2019. Scopus, ProQuest, Embase, PubMed, IEEE, and Web of Science databases as well as the Google Scholar were searched using a combination of keywords. Data were collected using a data extraction form and analyzed using combined narrative and content analysis. Of the 1963 retrieved articles, 39 articles entered the study based on inclusion criteria. The attributes of PHR for patients with MS can be categorized into two groups of minimum data sets (MDS) and capabilities. MDS includes 13 categories and capabilities include eight. Identifying the PHR attributes, and use of them in designing and developing of PHR for MS, can be effective in better decision-making with regard to people�s health and improve the quality of care by accessing and using the data required for effective communication between people and the healthcare team. © 2019, IUPESM and Springer-Verlag GmbH Germany, part of Springer Nature

Acceptance of Health Information Technologies, Acceptance of Mobile Health: A Review Article

Background: Mobile health is one of the new technologies for the utilization of health information. For its successful implementation as well as any other system, we must primarily measure the adoption and use of its factors. The purpose of this study was to systematically investigate published articles about the factors affecting the adoption of mobile health and categorizing the factors affecting the adoption of this system. Methods: This study is a comprehensive review done by searching major databases such as Google Scholar, Emerald, Science Direct, Iran Medex, SID, Magiran, Pub med, etc. In addition, we use Mobile, mobile Health + adoption, mobile Health + TAM, Health + TAM keywords in the range of 2004 to 2015. Results: Among the studies that use information technology theories to survey the factors affecting the adoption of mobile health, TAM model was used more than other models. Factors such as perceived ease of use, perceived usefulness and facilitating condition form TUATU are the most effective in the adoption of mobile health. Conclusion: Results showed that by considering factors such as perceived ease of use, perceived usefulness and facilitating condition can increase the adoption of mobile health system. Consequently, these factors are recommended to be considered in planning to run systems

The application of medical and health informatics among the Malaysian medical tourism hospital: A preliminary study

The medical and health informatics proven to give a significant impact to the healthcare industry worldwide. Various medical and health informatics applications are available and found to be potential for implementation in scaffolding the healthcare industry. Even though multiple types of research previously conducted on the roles of medical and health informatics in health care, a little study found to be available related to the positions of medical and health informatics in medical tourism specifically in Malaysia. Therefore, this study aimed to investigate and provide preliminary findings on medical and health informatics applications by Malaysian medical tourism hospitals. This study only focuses on medical and health informatics applications that are accessible on the official website of medical tourism hospitals. A total number of 21 hospitals registered with the Malaysian Health Tourism Council (MHTC) with “Elite Partner Membership” status selected for sampling. From the analysis, it found that most of the applications utilized for enhancing communication between users and medical tourism hospitals. There were nine (9) types of applications identified that is the website itself followed by social network links, LiveChat, appointment booking, find a doctor, find a service, inquiry form, mobile applications and, finally virtual tour. The level of implementation found to be at average and need further progressive development so that the high potential and benefits of medical/health informatics fully utilize at a maximum level for the medical tourism industry