Assessing Legal, Ethical and Governance Challenges in eHealth

George, Carlisle; Whitehouse, Diane; Duquenoy, Penny

doi:10.1007/978-3-642-22474-4_1

Cited by 32 publications

(30 citation statements)

References 4 publications

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“…However, many of the stated guidelines are for digital health design not always easily and transparently achievable in practice, as demonstrated, for example, in [14][15][16][17]. Strict legislation on one hand and the fast pace of advancements in ICT on the other require thoughtful and balanced planning of safety and privacy strategies from the very start and customized implementation of the privacy by design principles on a case-by-case basis, as is demonstrated with a case study in the following.…”

Section: Privacy By Designmentioning

confidence: 99%

Healthcare Providers’ Opinions on Digital Healthcare Services

Mun¹,

Yun²,

Han³

et al. 2018

J Health Info Stat

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This paper presents a case study on security and privacy implications on the design of a mobile application in digital health, the DeStress Assistant (DeSA) app, which utilizes sensing technologies and capabilities of the Internet of Things (IoT). An analysis of the applicable legislative framework is provided and selected challenges encountered during the app design are discussed, which are related with the practical implications of provisions of the international and national legislation for software applications in general as well as medical devices and handling of sensitive data in particular. We provide insights into design choices, including different possible scenarios for classification of a mobile app as a medical device and the pertaining legal risks the app developer is faced with as a consequence of possible legal obligations, and different possibilities of specifying the intended use. Also, we propose two designs of a mechanism that enables secure sharing of the patient's health-related observations from the DeSA app with a medical professional within a treatment context. The first mechanism provides secure submission of health-related observations into a hospital information system, whereas the second mechanism enables secure short-term sharing of observations without storage.

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Section: Privacy By Designmentioning

confidence: 99%

Healthcare Providers’ Opinions on Digital Healthcare Services

Mun¹,

Yun²,

Han³

et al. 2018

J Health Info Stat

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Section: Videoconferencing Requirements In Ehealthmentioning

confidence: 99%

“…In the US [8], the applicable regulations are the HIPAA, including the Security and the Privacy Rules, and the HITECH Act. In Europe [8] [9], the reference directive would be the 95/46/CE, among others, which are transposed into national laws. In general, laws and regulations include several rules and provisions that set guidelines and requirements for the implementation of health information technology and the exchange of protected health information in an electronic environment.…”

Section: Videoconferencing Requirements In Ehealthmentioning

confidence: 99%

Videoconferencing in eHealth: Requirements, integration and workflow

Gasparini

Torres-Padrosa

Boada

et al. 2013

2013 IEEE 15th International Conference on E-Health Networking, Applications and Services (Healthcom 2013)

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Videoconferencing (VCF) is of key relevance for the development of many real-time eHealth applications and its adoption is increasing thanks to the advantages it provides. However, for a successful implementation, several issues need to be faced. In this paper we focus on VCF integration into existing or new eHealth applications. We analyze the main requirements for the use of VCF in eHealth, including legal and privacy issues, integration possibilities and available workflows. We also propose three new workflows devised for specific eHealth scenarios in order to demonstrate the importance of selecting a suitable VCF workflow in eHealth.

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“…A review of the literature identified key knowledge areas required for effective telehealth practice that should be included in a telehealth course: computer competence and literacy; [3,25,26] understanding of ethical and legal issues; [25][26][27][28][29] understanding of the protocols and standards that guide good practice; [30] and data management, specifically relating to online transmission, retrieval and storage of data. [29] It is important to put these issues into the SA context in view of current healthcare constraints, service delivery issues and the infrastructure requirements of a telehealth service.…”

Section: Researchmentioning

confidence: 99%