Profiling IT Security and Interoperability in Brazilian Health Organisations From a Business Perspective

Rijo, Rui; Martinho, Ricardo; Oliveira, Adicinéia Aparecida de; Alves, Domingos; Reis, Zilma Silveira Nogueira; Santos-Pereira, Cátia; Correia, Manuel E.; Antunes, Luís; Cruz‐Correia, Ricardo

doi:10.4018/ijehmc.2020040106

Cited by 3 publications

(1 citation statement)

References 21 publications

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“…With this architecture in mind, it is possible to expand the initiative of Conecta SUS, established by the Strategic Plan [ 48 ] made by the National Health Terminology Center from the Brazilian government. Conecta SUS is an alternative to improve the scenario shown by Rijo et al [ 49 ], where the authors show and assess the lack of interoperability through many health institutions in Brazil.…”

Section: Discussionmentioning

confidence: 99%

Data Integration in the Brazilian Public Health System for Tuberculosis: Use of the Semantic Web to Establish Interoperability

Pellison¹,

Rijo²,

Lima³

et al. 2020

JMIR Med Inform

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Background Interoperability of health information systems is a challenge due to the heterogeneity of existing systems at both the technological and semantic levels of their data. The lack of existing data about interoperability disrupts intra-unit and inter-unit medical operations as well as creates challenges in conducting studies on existing data. The goal is to exchange data while providing the same meaning for data from different sources. Objective To find ways to solve this challenge, this research paper proposes an interoperability solution for the tuberculosis treatment and follow-up scenario in Brazil using Semantic Web technology supported by an ontology. Methods The entities of the ontology were allocated under the definitions of Basic Formal Ontology. Brazilian tuberculosis applications were tagged with entities from the resulting ontology. Results An interoperability layer was developed to retrieve data with the same meaning and in a structured way enabling semantic and functional interoperability. Conclusions Health professionals could use the data gathered from several data sources to enhance the effectiveness of their actions and decisions, as shown in a practical use case to integrate tuberculosis data in the State of São Paulo.

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Section: Discussionmentioning

confidence: 99%

Data Integration in the Brazilian Public Health System for Tuberculosis: Use of the Semantic Web to Establish Interoperability

Pellison¹,

Rijo²,

Lima³

et al. 2020

JMIR Med Inform

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Interoperability at healthcare institutions in Brazil: framework for identify maturity stages

Vasques,

Rijo,

Alves

2024

Procedia Computer Science

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Cybersecurity interventions in low- and middle-income country healthcare organizations: A scoping review (Preprint)

Hasegawa¹,

O’Brien²,

Prendergast³

et al. 2023

Preprint

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BACKGROUND Healthcare organizations globally have seen a significant increase in the frequency of cyber-attacks in recent years. Cyber-attacks cause massive disruption to health service delivery and directly impact patient safety through disruption and treatment delays. Given increasing cyber-attacks in low- and middle-income countries (LMICs), there is a need to explore the interventions put in place to plan for cyber-attacks and develop cyber-resilience. OBJECTIVE To describe cybersecurity interventions implemented in LMICs to date and to evaluate their impact on the likelihood and impact of attacks. Secondary objective was to describe the main barriers and facilitators for the implementation of such interventions, where reported. METHODS A systematic search of the literature published between January 2017 and September 2022 was performed on Ovid Medline, Embase, Global Health and Scopus, using a combination of controlled terms and free text. A search of grey literature within the same time parameters was undertaken on the websites of relevant stakeholder organizations to identify possible additional studies that meet the inclusion criteria. Findings from included papers were mapped against dimension areas of the Essentials of Cybersecurity for Healthcare Organizations (ECHO framework) and presented as a narrative synthesis. RESULTS Seventeen studies were included in this review. The sample size of the majority of studies (58.8%) was 1-5 facilities and the studies were conducted in 13 countries. Studies were categorized into the thematic dimensions of the ECHO framework, including Context; Governance; Organizational strategy; Risk management; Awareness, education, and training; and Technical capabilities. Few studies (29.4%) discussed cybersecurity intervention(s) as the primary focus of the paper and so information on intervention(s) implemented had to be deduced. There was no attempt to report on the impact and outcomes in all but one paper. Facilitators and barriers identified were grouped and presented across national/regional, organizational, and individual staff levels. CONCLUSIONS The scoping review findings highlight the limited body of research published on cybersecurity interventions implemented in healthcare organizations in LMICs and large heterogeneity across existing studies in interventions, research objectives, methods, and outcome measures used. The impact of cybersecurity interventions on likelihood and impact of cyber-attacks remains unclear. Future research should specifically focus on the evaluation of cybersecurity interventions and objectively evaluate their impact to build a robust evidence base to inform evidence-based policy and practice.

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Profiling IT Security and Interoperability in Brazilian Health Organisations From a Business Perspective

Cited by 3 publications

References 21 publications

Data Integration in the Brazilian Public Health System for Tuberculosis: Use of the Semantic Web to Establish Interoperability

Data Integration in the Brazilian Public Health System for Tuberculosis: Use of the Semantic Web to Establish Interoperability

Interoperability at healthcare institutions in Brazil: framework for identify maturity stages

Cybersecurity interventions in low- and middle-income country healthcare organizations: A scoping review (Preprint)

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