2008
DOI: 10.1007/978-3-540-70567-3_20
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Regulating Exceptions in Healthcare Using Policy Spaces

Abstract: Abstract. One truth holds for the healthcare industry -nothing should interfere with the delivery of care. Given this fact, the access control mechanisms used in healthcare to regulate and restrict the disclosure of data are often bypassed. This "break the glass" phenomenon is an established pattern in healthcare organizations and, though quite useful and mandatory in emergency situations, it represents a serious system weakness.In this paper, we propose an access control solution aimed at a better management … Show more

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Cited by 18 publications
(11 citation statements)
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“…Related work The advantage of this approach compared to "break-the-glass" policies [1,26] and contextual policies [17] is that the original policy is not modified, and the ADM can be (optionally) enforced on top of any policy, assuming that a notion of qualification can be defined. In [5], a notion of distance function is introduced in order to find a mentor, that is a user that can either perform the desired operation or delegate the corresponding access rights, and such a notion could be used to build directly a hierarchy of qualifications.…”
Section: Resultsmentioning
confidence: 99%
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“…Related work The advantage of this approach compared to "break-the-glass" policies [1,26] and contextual policies [17] is that the original policy is not modified, and the ADM can be (optionally) enforced on top of any policy, assuming that a notion of qualification can be defined. In [5], a notion of distance function is introduced in order to find a mentor, that is a user that can either perform the desired operation or delegate the corresponding access rights, and such a notion could be used to build directly a hierarchy of qualifications.…”
Section: Resultsmentioning
confidence: 99%
“…Two different approaches exist to address this challenge. The first is to define a different authorization policy for each context, either by introducing directly the notion of context in the policy [17], or by defining specific overriding ("breakthe-glass") policies to be applied when an emergency occurs [1,26]. However, these policies do not take into account the existence or availability of qualified subjects; instead they extend the set of authorized accesses for the duration of then emergency, therefore possibly allowing a (normally) unauthorized subject to access an object, even though authorized subjects are available.…”
Section: Introductionmentioning
confidence: 99%
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“…Two main approaches exist to address this need: "break-the-glass" policies [9,10] and the enforcement of delegations [11].…”
Section: Related Workmentioning
confidence: 99%
“…Moreover, the delegatee may be also unavailable at the time of need. On the other hand, "break-the-glass" policies [1,29,3] grant access to any subject in case of emergency, usually enforcing auditing and logging mechanisms. Thus, a poorly qualified subject may get access to a critical object.…”
Section: Introductionmentioning
confidence: 99%