How Do Patients Respond to Violation of Their Information Privacy?

Kuo, Kuang-Ming; Ma, Chen-Chung; Alexander, Judith W.

doi:10.1177/183335831404300204

Cited by 28 publications

(21 citation statements)

References 37 publications

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“…Preserving the security and confidentiality of data and information is a primary concern for hospitals globally. With rising rates of adopting health informatics solutions, cybersecurity has been a major topic of interest (Kuo et al, 2014;Perakslis, 2014). The evidence points that hospitals have improved their security practices related to information management, however, it is concerning that hospitals are still facing issues with unauthorized access to patients' physical records.…”

Section: Discussionmentioning

confidence: 99%

Understanding health information management practices in public hospitals in Kuwait

Alhuwail

2019

HIM J

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Background: Health information technology (IT) solutions can aid healthcare reform efforts, but without proper information management, these efforts are futile. In this study, we used Kuwait as an example of a high per-capita gross domestic product country that faces information management challenges to draw insights that can be generalised to other developed countries. Objective: (i) to uncover the status quo of information management practices in public hospitals and (ii) to offer recommendations to improve them. Method: This study analysed qualitative and quantitative accreditation-related data pertaining to the compliance with the information management standard at all secondary care public hospitals over two accreditation cycles. Results: Overall, public hospitals had made positive progress in their compliance with the information management standard. However, issues still existed with (i) developing and implementing an information management plan, (ii) involving the appropriate stakeholders in selecting health IT solutions and (iii) access to the Internet by staff and patients. Conclusion: Evidence underscored the importance of proper information management driven by clear centralised strategic plans. Implications: With the rapid adoption of digital health systems, the role of health information management leaders should not be undervalued. Embracing health IT solutions with strong information management practices can aid healthcare reform efforts.

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Section: Discussionmentioning

confidence: 99%

Understanding health information management practices in public hospitals in Kuwait

Alhuwail

2019

HIM J

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“…The discovery of breaches by patients could destroy the mutual trust in the doctorepatient privilege. Thus to evade embarrassment caused by possible confidentiality breaches, patients may avoid seeking medical treatment altogether (Kuo, Ma, & Alexander, 2014).…”

Section: Discussionmentioning

confidence: 99%

Reasons for Picture Archiving and Communication System (PACS) data security breaches: Intentional versus non-intentional breaches

Mahlaola

Dyk

2016

Health SA Gesondheid

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a b s t r a c tBackground: The Picture Archiving and Communication System (PACS) has led to an increase in breached health records and violation of patient confidentiality. The South African constitution makes provision for human dignity and privacy, virtues which confidentiality seeks to preserve. Confidentiality thus constitutes a human right which is challenged by the use of technology.Humans, as managers of information technology, constitute the weakest link in safeguarding confidentiality. Nonetheless, it is argued that most security breaches are nonintentionally committed by well-meaning employees during routine activities.Objective: The purpose of this article is to explore the nature of and reasons for confidentiality breaches by PACS users in a South African context.Methods: A closed-ended questionnaire was used to collect quantitative data from 115 health professionals employed in a private hospital setting, including its radiology department and a second independent radiology department. The questionnaire sought to explore the attitudes of participants towards confidentiality breeches and reasons for such behaviour.Results: Breach incidences were expressed as percentage compliance and classified according to the nature and reasons provided by Sarkar's breach classification. Cross tabulations indicated a statistical significance (p < 0.00) between the expected and observed confidentiality practices of participants and also the adequacy of training, system knowledge and policy awareness. Conclusion:Our study supports previous findings that, in the absence of guidelines, most security breaches were non-intentional acts committed due to ignorance. Of concern are incidents in which sensitive information was intentionally shared via social media.© , 2004). According to the literature, the use of information technology (IT) introduces new risks of compromising confidential data to an extent not possible with paper records (Griffith, 2015). In the past, the breach of confidentiality involved access to paper and film records, which were often stored in a central location making it difficult to compromise the principles of confidentiality. Despite this benefit, the paper system imposed disadvantages that became an impediment to the continuity of patient care because the records could be easily misplaced and thus difficult to retrieve resulting in delayed medical treatment (Beach & Oates, 2014). To address this limitation, advances in IT led to the development of a digital storage modality for radiology data (radiographs and reports) known as PACS.h e a l t h s a g e s o n d h e i d 2 1 ( 2 0 1 6 ) 2 7 1 e2 7Although PACS is inherently a radiology archiving system, it can be used in various other sections within a hospital. PACS allows for the remote and instant access to radiology data by a multidisciplinary complement of HPs who are based in different locations within a hospital setting, and thus data of the same patient may be accessed simultaneously by different HPs (Bolan, 2013). PACS has contributed to i...

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“…Other studies explored more foundational informatics aspects, such as data quality in eHealth applications, factors that lead to adoption of EHR systems, use of standardized minimum data sets to assist with the electronic exchange of clinical data, and development and use of open source, standardized EHRs . Determining the extent of adoption and use of EHRs in LMICs and understanding the level of computer literacy as a barrier to adoption continued in the literature over the two years [98][99][100][101][102][103][104][105][106][107][108][109][110][111][112][113][114][115][116]. Policy research related to e-health was not highly present in the literature; we identified just one systematic review of policy issues [98].…”

Section: Synthesis Of Ghi Studiesmentioning

confidence: 99%

“…Because access to electricity, telecommunications, hardware and other aspects of infrastructure are sometimes constrained in LMICs, we noted another theme aimed to measure the use and viability of ICT. Specifically in 2014 we observed this theme of enumerating infrastructure challenges and proposing solutions to them; topics included measuring system and power outage, security and privacy enhancements, cloud-based migrations and implementations, measuring a hospital's ability to outsource ICT effectively, and data transformations or mapping to multiple standards [101][102][103][104][105][106][107]. Emphasis was often placed on open-source applications that can be distributed across multiple communities and nations [52,[108][109][110][111][112][113].…”

Section: Ojphimentioning

confidence: 99%

What’s Past is Prologue: A Scoping Review of Recent Public and Global Health Informatics Literature

Dixon

Pina

Kharrazi

et al. 2015

OJPHI

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Objective: To categorize and describe the public health informatics (PHI) and global health informatics (GHI) literature between 2012 and 2014.Methods: We conducted a semi-systematic review of articles published between January 2012 and September 2014 where information and communications technologies (ICT) was a primary subject of the study or a main component of the study methodology. Additional inclusion and exclusion criteria were used to filter PHI and GHI articles from the larger biomedical informatics domain. Articles were identified using MEDLINE as well as personal bibliographies from members of the American Medical Informatics Association PHI and GHI working groups.Results: A total of 85 PHI articles and 282 GHI articles were identified. While systems in PHI continue to support surveillance activities, we identified a shift towards support for prevention, environmental health, and public health care services. Furthermore, articles from the U.S. reveal a shift towards PHI applications at state and local levels. GHI articles focused on telemedicine, mHealth and eHealth applications. The development of adequate infrastructure to support ICT remains a challenge, although we identified a small but growing set of articles that measure the impact of ICT on clinical outcomes.Discussion: There is evidence of growth with respect to both implementation of information systems within the public health enterprise as well as a widening of scope within each informatics discipline. Yet the articles also illuminate the need for more primary research studies on what works and what does not as both searches yielded small numbers of primary, empirical articles.Conclusion: While the body of knowledge around PHI and GHI continues to mature, additional studies of higher quality are needed to generate the robust evidence base needed to support continued investment in ICT by governmental health agencies.

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How Do Patients Respond to Violation of Their Information Privacy?

Cited by 28 publications

References 37 publications

Understanding health information management practices in public hospitals in Kuwait

Understanding health information management practices in public hospitals in Kuwait

Reasons for Picture Archiving and Communication System (PACS) data security breaches: Intentional versus non-intentional breaches

What’s Past is Prologue: A Scoping Review of Recent Public and Global Health Informatics Literature

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