Cybersecurity and the Digital-Health: The Challenge of This Millennium

Giansanti, Daniele

doi:10.3390/healthcare9010062

Cited by 26 publications

(23 citation statements)

References 9 publications

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“…Security problems are complex issues that must be considered in any part of medical care. The use of information technologies in health care that can be accessed by multiple types of users (physician, patient, caregiver, and hospital administrative staff) represents the basis of the discussion about computer security [ 65 ]. Indeed, uncertainties about security of clinical data might hinder adoption of systems by both hospitals and patients [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

The Impact of Digital Patient Portals on Health Outcomes, System Efficiency, and Patient Attitudes: Updated Systematic Literature Review

Carini¹,

Villani²,

Pezzullo³

et al. 2021

J Med Internet Res

108

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Background Patient portals are becoming increasingly popular worldwide even though their impact on individual health and health system efficiency is still unclear. Objective The aim of this systematic review was to summarize evidence on the impact of patient portals on health outcomes and health care efficiency, and to examine user characteristics, attitudes, and satisfaction. Methods We searched the PubMed and Web of Science databases for articles published from January 1, 2013, to October 31, 2019. Eligible studies were primary studies reporting on the impact of patient portal adoption in relation to health outcomes, health care efficiency, and patient attitudes and satisfaction. We excluded studies where portals were not accessible for patients and pilot studies, with the exception of articles evaluating patient attitudes. Results Overall, 3456 records were screened, and 47 articles were included. Among them, 11 studies addressed health outcomes reporting positive results, such as better monitoring of health status, improved patient-doctor interaction, and improved quality of care. Fifteen studies evaluated the impact of digital patient portals on the utilization of health services with mixed results. Patient characteristics were described in 32 studies, and it was reported that the utilization rate usually increases with age and female gender. Finally, 30 studies described attitudes and defined the main barriers (concerns about privacy and data security, and lack of time) and facilitators (access to clinical data and laboratory results) to the use of a portal. Conclusions Evidence regarding health outcomes is generally favorable, and patient portals have the potential to enhance the doctor-patient relationship, improve health status awareness, and increase adherence to therapy. It is still unclear whether the use of patient portals improves health service utilization and efficiency.

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Section: Discussionmentioning

confidence: 99%

The Impact of Digital Patient Portals on Health Outcomes, System Efficiency, and Patient Attitudes: Updated Systematic Literature Review

Carini¹,

Villani²,

Pezzullo³

et al. 2021

J Med Internet Res

108

View full text Add to dashboard Cite

show abstract

“…Therefore, they have important physical and psychological implications during their use [ 9 ]. Furthermore, these devices, during their use, encounter important demographic-and-clinical data and other reserved information; all data that must be protected, in accordance with current regulations [ 1 , 2 ]. CS has consequently become a crucial issue.…”

Section: Discussionmentioning

confidence: 99%

“…The cybersecurity (CS) in healthcare deals with the cyber risks in the cyber-systems used in the health domain . These systems can be medical devices and/or a complex interoperable and heterogeneous systems (e.g., Radiology Information System) [ 1 , 2 ]. A frightening growth is expected in the sector of the care robots (CR)s. The applications of social robots [ 3 , 4 ], for example, are continuously increasing [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

The Cybersecurity and the Care Robots: A Viewpoint on the Open Problems and the Perspectives

Giansanti

Gulino

2021

Healthcare

Self Cite

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Care robots represent an opportunity for the health domain. The use of these robots has important implications. They can be used in surgery, rehabilitation, assistance, therapy, and other medical fields. Therefore, care robots (CR)s, have both important physical and psychological implications during their use. Furthermore, these devices, meet important data in clinical applications. These data must be protected. Therefore, cybersecurity (CS) has become a crucial characteristic that concerns all the involved actors. The study investigated the collocation of CRs in the context of CS studies in the health domain. Problems and peculiarities of these devices, with reference to the CS, were faced, investigating in different scientific databases. Highlights, ranging also from ethics implications up to the regulatory legal framework (ensuring safety and cybersecurity) have been reported. Models and cyber-attacks applicable on the CRs have been identified.

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“…Cybersecurity has become one of the dominant information technologies (IT) domains in the health sector [ 1 ]. Over recent decades, various scientific attempts have been made towards identifying, classifying, and addressing vulnerabilities and weaknesses in healthcare institutions and hospitals [ 2 , 3 , 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

A Cybersecurity Culture Survey Targeting Healthcare Critical Infrastructures

et al. 2022

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Recent studies report that cybersecurity breaches noticed in hospitals are associated with low levels of personnel’s cybersecurity awareness. This work aims to assess the cybersecurity culture in healthcare institutions from middle- to low-income EU countries. The evaluation process was designed and performed via anonymous online surveys targeting individually ICT (internet and communication technology) departments and healthcare professionals. The study was conducted in 2019 for a health region in Greece, with a significant number of hospitals and health centers, a large hospital in Portugal, and a medical clinic in Romania, with 53.6% and 6.71% response rates for the ICT and healthcare professionals, respectively. Its findings indicate the necessity of establishing individual cybersecurity departments to monitor assets and attitudes while underlying the importance of continuous security awareness training programs. The analysis of our results assists in comprehending the countermeasures, which have been implemented in the healthcare institutions, and consequently enhancing cybersecurity defense, while reducing the risk surface.

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Cybersecurity and the Digital-Health: The Challenge of This Millennium

Abstract: The problem of computer security is as old as computers themselves and dates back decades [...]

Cited by 26 publications

References 9 publications

The Impact of Digital Patient Portals on Health Outcomes, System Efficiency, and Patient Attitudes: Updated Systematic Literature Review

The Impact of Digital Patient Portals on Health Outcomes, System Efficiency, and Patient Attitudes: Updated Systematic Literature Review

The Cybersecurity and the Care Robots: A Viewpoint on the Open Problems and the Perspectives

A Cybersecurity Culture Survey Targeting Healthcare Critical Infrastructures

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