Leveraging identity management interoperability in eHealth

Campos, Maria João; Correia, Manuel E.; Antunes, Luís

doi:10.1109/ccst.2011.6095885

Cited by 5 publications

(4 citation statements)

References 2 publications

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“…A case study from health care in a Swedish county council is used to demonstrate that although it is possible to identify a set of main challenges for an organisation, the degree of coherence across different social worlds can vary. This research advances existing research into the professional use of eID in healthcare (Campos et al, 2011) and how to use a multi-actor perspective when studying the challenges associated with implementing electronic government initiatives.…”

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confidence: 94%

Editorial

2016

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It gives me great pleasure to welcome you to the first issue of the tenth volume of Transforming Government: People, Process, and Policy (TGPPP). Over the years, the constant update of the journal's scope to advocate theoretical as well as empirical research has led to an increase in the quality of submissions and citations. The papers in this issue of TGPPP provide a rich contextual background in the area of electronic identification (eID), open government, e-Governments service disruptions, evaluating e-Government services and transformational government. The first four papers within the issue comprise a special section guest edited by Ulf Melin, Karin Axelsson, Elin Wihlborg and Marijn Janssen on the topic of "Identity, identification and eID in a public e-service context". The first paper is by Peter Parycek and Gabrie Lentner, entitled "Electronic Identity (eID) and Electronic Signature (eSig) for Government Services-A Comparative Legal Study". This paper provides an overview of approaches towards identity management pertaining to Citizen to Government e-Government applications. The overview is based on elaborating on and comparing different approaches towards electronic identities and e-Government taken by Austria and Liechtenstein, Germany and the Swiss Canton Zug. The authors assert that such an analysis will also help shed light on the regulatory framework provided for by the European Union. Here, an important distinction is made to understand the differences and possible solutions faced by e-Government systems regarding an electronic identity management system. The paper adopts a comparative law methodology that is considered similar to the case study research that is a common qualitative research method in information systems (Yin, 2002). The comparative law methodology was adopted specifically under the premise that the legal framework is essential for the design of eIDM, based on the reasoning that law provides the foundation for any technological solution and also the framework within which it operates. Thus, this study also provides insights for legal informatics research that combines technology and law. The findings indicate that the four countries compared adopted four different technical and legal solutions. The reason lies in the different legal cultures and the existing legal frameworks in which the legislator in most cases seeks to fit the respective e-Government solution, rather than adopting a completely new solution. Following the above research paper, we have a research paper by Karin Hedström, Fredrik Karlsson and Fredrik Söderström, entitled "Challenges of introducing a professional eID card within health care". The idea of transforming the health-care sector through the use of information technology has grown to the extent that it has resulted in significant investments being made (Angst and Agarwal, 2009). In line with the latter argument, the authors assert that the introduction of eID cards within health care is one definitive example. The aim of this paper is, therefore, to examin...

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confidence: 94%

Editorial

2016

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“…• At the machine or communication protocol level, viewing the problem as the integration into an EHR structure the information produced from the different medical equipments and devices like PACs (Liu et al, 2011;Hu et al, 2011). • From the security point of view, remarking the need of authentication methods and identity management when the different Hospital Information Systems (HIS) try to communicate (Campos et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Contextualized Access to Electronic Health Records - Application to Hospital Interoperability

Prados-Suárez¹,

Molina²,

Reyes³

et al. 2013

Proceedings of the 15th International Conference on Enterprise Information Systems

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Everyday more hospitals develop their own Electronic Health Record (EHR) Systems to improve the accessibility to the information on it. There are some standards and proposals to homogenize the structure of these EHR, but they use to be so generic, that the final EHR structure has so many particularities that is different in each hospital. This situation has created a huge problem of interoperability, since Hospital Information Systems (HIS) are not capable of communicating nor understanding each other. At this point it seems very difficult that all the Hospital Information Systems change their EHR structures into a common one, to get this communication capability. Proposals to solve this issue require to create a common EHR or to translate all the existing EHR structures into a common one, and both cases seem to be unapproachable. This is why we propose a different approach based on the contextualized access to the information. The underlying idea is that the assistance acts, i.e. situations or contexts, where the information is acceded, as well as the data required for each, i.e pertinent information, is almost the same independently of the hospital where you are. Hence, it is not necessary to establish a correspondence between the EHRs, we only need to identify the context of the extern access and retrieve and send the information pertinent to it. In addition, our proposal also allows the adaptation to the needs of information of each medical doctor in each Hospital, as well as solves the problem of EHR fragmentation.

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“…For instance, Campos et al (2011) argued that issues concerning identity management within health care tend to centre on interoperability, where it is important to consider a "functional understanding of the activity of eHealth", and its responsibilities and roles. Previous research has argued that there are special concerns when national eID cards are used within health care as part of a health information system (HIS) (Santos et al, 2009).…”

Section: Eid In Health Care -Background and Contextmentioning

confidence: 99%

“…We have used a case study from health care in a Swedish county council to show that, although it is possible to identify a set of main challenges for an organisation, the degree of coherence across different social worlds can vary. This research advances existing research into the professional use of eID in health care (e.g., Campos et al, 2011) and how to use a multi-actor perspective when studying the challenges associated with implementing electronic government initiatives.…”

Section: Introductionmentioning

confidence: 99%

Challenges of introducing a professional eID card within health care

Hedström

Karlsson

Söderström

2016

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Abstract.Purpose The aim of this paper is to examine the specific types of challenge that arise when introducing an eID card for professional use in a health care setting.Design/methodology/approach This is a case study of an eID implementation project in health care. Data was collected through interviews with key actors in a project team, and with eID end users. We viewed eID as a boundary object that crosses and intersects with several social worlds. For our analysis, we combined this perspective with a framework that describes the challenges that arise when introducing e-Government initiatives. FindingsThe main challenges of implementing and using eID in health care concern usability, user behavior, and privacy; however, the way in which these challenges are interpreted varies between different social worlds. Our findings also illustrate that eID is a boundary object, and that there are ways in which this viewpoint can be used in order to understand eID use. Practical implicationsOne of the implications for future practice is to increase our understanding of how eID includes, as well as affects, sociotechnical activities. By utilizing a socio-technical perspective, it is possible to minimize potential problems related to the implementation and use of eID.Originality/value Previous research has highlighted the need for more empirical research on identity management. This paper responds to this call by contextualizing, and analyzing the implementation and use of eID within health care. The analytical framework used is unique.

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Leveraging identity management interoperability in eHealth

Cited by 5 publications

References 2 publications

Editorial

Editorial

Contextualized Access to Electronic Health Records - Application to Hospital Interoperability

Challenges of introducing a professional eID card within health care

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