On protecting & preserving personal privacy in interoperable global healthcare venues

Abstract

Worldwide, Information Technology (IT) use in healthcare systems is rapidly increasing for the purposes of realizing higher quality, and reducing overall costs. This escalation in healthcare IT use is simultaneously fueling a brisk rise in institutional demands for more Information. Associatedly, with IT proliferation and the escalation of informational demands within healthcare Systems, is an ever-present loss risk of Patient's Privacy. Therefore, all efforts undertaken to protect Privacy must effectively identify conceivable threat trajectories -against which -pathways to assure protections need exist, and to which, knowledge and resources must be mustered in a timely manner. More fundamentally, however, to identify, prevent, and safeguard against encroachments upon Privacy in healthcare, there is a need for an a priori comprehension by all in healthcare that nothing can be protected adequately if the value of that which is to be protected, and/or the consequences related to the loss -are not well understood. Yet, that which is eminently clear is, in the field of healthcare, many Medical Staff have neither the understanding, an appreciation for the importance, nor the worth of Privacy of those Patients in their care. Even with the threat of official/ legal action looming, Privacy violations and compromises of Protected Health Information (PHI) by Medical Staff occur routinely. How could Medical Staff make perverse errors in judgement regarding PatientBs Privacy so often? The aim of this article is to provide a reasonable familiarization to fundamental activities and correlated behaviors that compel risks, which are responsible for Information and Privacy Compromises. Furthermore, by way of such familiarization, necessary actions to be undertakento prevent the loss of Personal Privacy in Interoperable global healthcare venues can be suitably employed.

Evolution of Regulatory Models for Public Health Data Ecosystems From a Linked Democracy Perspective

“…Consistent with complex system research (Badawi et al, 2014;Gutwirth & Leenes, 2016;Luo et al, 2016;Mathews, 2016;Pagallo et al, 2019;Casanovas et al, 2017Lokshina & Lanting, 2019, it is concluded that entities cannot be sufficiently protected if the value of the entity needs to be protected or the consequences related to its loss are not well-understood. This is an important contextual direction and conclusion.…”

Interrogating “privacy” in a world brimming with high political entanglements, surveillance, interdependence & interconnections

“…The absence of more universally judicable and expressible Privacy and Security measures and/or equivalents are material barriers to properly assuring privacy and security in every instance, and is of great societal significance. Said in another way, "[i]n centrally considering Privacy [or Security], and how one might safeguard against encroachments upon it, or its loss, one must well appreciate that no entity can be protected adequately if the value of that which is to be protected, and/or the consequences related to its loss are not well understood" [32].…”

“…The State of Estonia has neither the type, or the scale, nor the specialized and defined expertise and resources necessary to defend against, or to quell the nature and the possibilities of threat vectors. Just one such threat example that could affect Estonian e-Society was made clear recently, which has required the Estonian State to revoke all State issued Digital E-Certificates beginning in late 2014 [50] 32 saying that, "[i]n the event that there is sound evidence that the risk (digital certificate compromise) has materialized, the PPA as the issuer of the document will revoke the certificates of all the cards affected by the security risk" [52].…”

“…Essentially, the only recourse in 29 Lewis, Clive Staples; "The Essential C.S. Lewis" In: "We Have Cause To Be Uneasy", Touchstone/Simon & Schuster, New York, NY, 1996 30 These characteristics are used here in the place of the widely used and abused term "trust" 31 Information Systems Authority -Government of Estonia 32 Margit Ratnik -Head, Structural unit: Police and Border Guard BoardDevelopment Department, Identity and Status Office https://www.politsei.ee/ en/kontakt/teenistujad/teenistuja.dot?pid=564554 relation to the breach of sensitive information amounts to Credit Monitoring by Credit Bureaus. The reader must be informed that the OPM intrusion is not well represented or discussed [56].…”

A Systematic Review on Privacy Preserving Data Publishing Techniques

“…Section III focuses on privacy preserving data publishing (PPDP) techniques and various data format of healthcare data. It also explains the various possible attacks on datasets [24,25,26,27,28]. The Section IV discusses about the use of ARX tool-an open source de-identification tool which can be used for simulating various existing/ proposed privacy preserving data publishing algorithms.…”