Investigating the role of Cybersecurity's perceived threats in the adoption of health information systems

Zhan, Yiyu; Ahmad, Sayed Fayaz; Irshad, Muhammad; Al-Razgan, Muna; Awwad, Emad Marous; Ali, Yasser A.; Ahmad Ayassrah, Ahmad Y.A. Bani

doi:10.1016/j.heliyon.2023.e22947

Cited by 10 publications

(1 citation statement)

References 58 publications

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“…Eliminating the need to store personal data within central repositories simplifies the system considerably. Typically, an escalation in the complexity of information systems correlates with an augmented security risk, as a more intricate structure expands the potential attack surface ( 97 ). A simplified system streamlines operational aspects and inherently mitigates security risks.…”

Section: Analysis and Discussionmentioning

confidence: 99%

A reference architecture for personal health data spaces using decentralized content-addressable storage networks

Klementi,

Piho,

Ross

2024

Front. Med.

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IntroductionThis paper addresses the dilemmas of accessibility, comprehensiveness, and ownership related to health data. To resolve these dilemmas, we propose and justify a novel, globally scalable reference architecture for a Personal Health Data Space (PHDS). This architecture leverages decentralized content-addressable storage (DCAS) networks, ensuring that the data subject retains complete control and ownership of their personal health data. In today's globalized world, where people are increasingly mobile for work and leisure, healthcare is transitioning from episodic symptom-based treatment toward continuity of care. The main aims of this are patient engagement, illness prevention, and active and healthy longevity. This shift, along with the secondary use of health data for societal benefit, has intensified the challenges associated with health data accessibility, comprehensiveness, and ownership.MethodThe study is structured around four health data use case scenarios from the Estonian National Health Information System (EHIS): primary medical use, medical emergency use, secondary use, and personal use. We analyze these use cases from the perspectives of accessibility, comprehensiveness, and ownership. Additionally, we examine the security, privacy, and interoperability aspects of health data.ResultsThe proposed architectural solution allows individuals to consolidate all their health data into a unified Personal Health Record (PHR). This data can come from various healthcare institutions, mobile applications, medical devices for home use, and personal health notes.DiscussionsThe comprehensive PHR can then be shared with healthcare providers in a semantically interoperable manner, regardless of their location or the information systems they use. Furthermore, individuals maintain the autonomy to share, sell, or donate their anonymous or pseudonymous health data for secondary use with different systems worldwide. The proposed reference architecture aligns with the principles of the European Health Data Space (EHDS) initiative, enhancing health data management by providing a secure, cost-effective, and sustainable solution.

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Section: Analysis and Discussionmentioning

confidence: 99%

A reference architecture for personal health data spaces using decentralized content-addressable storage networks

Klementi,

Piho,

Ross

2024

Front. Med.

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Perceptions and dilemmas around cyber-security in a Spanish research center after a cyber-attack

Navajas-Adán,

Badia-Gelabert,

Jiménez-Saurina

et al. 2024

Int. J. Inf. Secur.

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Information and Communication Technologies and Internet networks are present in all aspects of social reality and are essential elements in research, development and innovation centers (R&D&I). Cyber-security is crucial for the progress of the research activities developed in these centers, especially given the exponential growth of cyber-attacks and incidents. The present study aims to assess from a socio-technical approach, how a serious cyber-attack on a Spanish research center has affected staff’s perceptions of information and communication systems (ICT) security. This study employed a mixed-methods research strategy, combining quantitative and qualitative methods to provide a comprehensive and nuanced understanding of ICT security perceptions among employees. First a quantitative scale was administered to 1,321 employees 3 years before the cyber-attack and 4 months afterward, to measure ICT security perceptions. Then, qualitative techniques (semi-structured interviews, focus groups, and micro-ethnography) were applied to gain a deeper understanding of the arguments underpinning cyber-security at the center after the attack. The results show that the event had an impact on employees’ perceptions, increasing the perceived importance of ICT security, with positive behavioral changes noted, but with doubts about their sustainability over time. Also, the need for cyber-security governance was critically contrasted with organizational reality. Finally, the compatibility of science and cyber-security was a central dilemma, which seems to confront antagonistic poles (research and security ICT) and justify the non-compliance with security protocols by part of the staff.

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BYOD security behaviour and preferences among hospital clinicians – A qualitative study

Wani,

Mendoza,

Gray

2024

International Journal of Medical Informatics

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Investigating the role of Cybersecurity's perceived threats in the adoption of health information systems

Cited by 10 publications

References 58 publications

A reference architecture for personal health data spaces using decentralized content-addressable storage networks

A reference architecture for personal health data spaces using decentralized content-addressable storage networks

Perceptions and dilemmas around cyber-security in a Spanish research center after a cyber-attack

BYOD security behaviour and preferences among hospital clinicians – A qualitative study

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