A Conceptual Framework and Principles for Trusted Pervasive Health

Ruotsalainen, Pekka; Blobel, Bernd; Seppälä, Antto; Sorvari, Hannu Olavi; Nykänen, Pirkko

doi:10.2196/jmir.1972

Cited by 26 publications

(36 citation statements)

References 25 publications

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“…Interpretive research has the potential to explain the human thought and action in a social and organizational context [31]. Principles for trusted pervasive health have also been under consideration [34,35]. …”

Section: Methodsmentioning

confidence: 99%

Physicians Interrupted by Mobile Devices in Hospitals: Understanding the Interaction Between Devices, Roles, and Duties

Solvoll¹,

Scholl²,

Hartvigsen³

2013

J Med Internet Res

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BackgroundA common denominator of modern hospitals is a variety of communication problems. In particular, interruptions from mobile communication devices are a cause of great concern for many physicians.ObjectiveTo characterize how interruptions from mobile devices disturb physicians in their daily work. The gathered knowledge will be subsequently used as input for the design and development of a context-sensitive communication system for mobile communications suitable for hospitals.MethodsThis study adheres to an ethnographic and interpretive field research approach. The data gathering consisted of participant observations, non-structured and mostly ad hoc interviews, and open-ended discussions with a selected group of physicians. Eleven physicians were observed for a total of 135 hours during May and June 2009.ResultsThe study demonstrates to what degree physicians are interrupted by mobile devices in their daily work and in which situations they are interrupted, such as surgery, examinations, and during patients/relatives high-importance level conversations. The participants in the study expected, and also indicated, that wireless phones probably led to more interruptions immediately after their introduction in a clinic, when compared to a pager, but this changed after a short while. The unpleasant feeling experienced by the caller when interrupting someone by calling them differs compared to sending a page message, which leaves it up to the receiver when to return the call.ConclusionsMobile devices, which frequently interrupt physicians in hospitals, are a problem for both physicians and patients. The results from this study contribute to knowledge being used as input for designing and developing a prototype for a context-sensitive communication system for mobile communication suitable for hospitals. We combined these findings with results from earlier studies and also involved actual users to develop the prototype, CallMeSmart. This system intends to reduce such interruptions and at the same time minimize the number of communication devices needed per user.

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Section: Methodsmentioning

confidence: 99%

Physicians Interrupted by Mobile Devices in Hospitals: Understanding the Interaction Between Devices, Roles, and Duties

Solvoll¹,

Scholl²,

Hartvigsen³

2013

J Med Internet Res

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“…If interoperable EHR systems are to maintain privacy, appropriate access controls and security measures must be implemented throughout the workflow. 44 …”

Section: Maintaining Privacy In the Setting Of Interoperable Ehr Systemsmentioning

confidence: 99%

Ethical, legal, and social implications of incorporating genomic information into electronic health records

Hazin

Malin

Koenig

et al. 2013

Genetics in Medicine

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The inclusion of genomic data in the electronic health record raises important ethical, legal, and social issues. In this article, we highlight these challenges and discuss potential solutions. We provide a brief background on the current state of electronic health records in the context of genomic medicine, discuss the importance of equitable access to genome-enabled electronic health records, and consider the potential use of electronic health records for improving genomic literacy in patients and providers. We highlight the importance of privacy, access, and security, and of determining which genomic information is included in the electronic health record. Finally, we discuss the challenges of reporting incidental findings, storing and reinterpreting genomic data, and nondocumentation and duty to warn family members at potential genetic risk.

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“…User trust in an eHealth system is one of the central aspects [ 4 ]. Without suffi cient trust, only few users are willing to enter their personal data into a system or use it for transmission and processing of their patient data.…”

Section: Introductionmentioning

confidence: 99%

Identifying Security Requirements and Privacy Concerns in Digital Health Applications

Brost

Hoffmann

2014

Requirements Engineering for Digital Health

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Security and privacy by design are important paradigms for establishing high protection levels in the eHealth domain. This means that security requirements and privacy concerns are considered and analyzed from the very beginning of any system design. For a reliable and robust system architecture and specifi cation we recommend a four-step approach: (1) Decompose the system and identify the assets on the basis of the multilateral security concept, i.e., taking all participants of an eHealth scenario as potential attackers into account; (2) evaluate threats based on STRIDE for a holistic and systematic modelling of threats; (3) defi ne use casespecifi c security requirements and privacy concerns as well as their relevance; and (4) mitigate threats by deciding what countermeasures should be implemented. After the introduction of each step this chapter illustrates the practical use in a stepby-step walkthrough with a real-world eHealth scenario and discusses advantages of security and privacy by design as well as its limitations.

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A Conceptual Framework and Principles for Trusted Pervasive Health

Cited by 26 publications

References 25 publications

Physicians Interrupted by Mobile Devices in Hospitals: Understanding the Interaction Between Devices, Roles, and Duties

Physicians Interrupted by Mobile Devices in Hospitals: Understanding the Interaction Between Devices, Roles, and Duties

Ethical, legal, and social implications of incorporating genomic information into electronic health records

Identifying Security Requirements and Privacy Concerns in Digital Health Applications

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