Williams Patricia A H
secau - Security Research Centre, School of Computer and Security Science, Edith Cowan University.
Stud Health Technol Inform. 2011;168:179-87.
Connecting Australian health services and the e-health initiative is a major focus in the current health environment. Many issues are presented as key to its success including solving issues with confidentiality and privacy. However, the main problem may not be these issues in sharing information but the fact that the point of origin of such records is still relatively insecure. This paper highlights why this may be the case. Research into the security of medical information has shown that many primary healthcare providers are unable to create an environment with effective information security. Numerous factors contribute to this complex situation including a trustful environment, the resultant security culture and the capability of individual healthcare organisations. Further, the growing importance of new directions in the use of patient information is considered. This paper discusses these issues and positions them within the complex environment that is healthcare. In our current health system infrastructure, the points of origin of patient information are our most vulnerable. This entwined with progressively new uses of this information expose additional security concerns, such as re-identification of information, that require attention.
在当前的医疗环境中,将澳大利亚的医疗服务与电子健康倡议相连接是一个主要重点。许多问题被视为其成功的关键,包括解决保密和隐私问题。然而,主要问题可能并非信息共享方面的这些问题,而是此类记录的起源点仍然相对不安全这一事实。本文着重阐述了为何可能是这种情况。对医疗信息安全的研究表明,许多初级医疗服务提供者无法营造一个具备有效信息安全的环境。众多因素导致了这种复杂局面,包括信任环境、由此产生的安全文化以及各个医疗组织的能力。此外,还考虑了患者信息使用新方向日益增长的重要性。本文讨论了这些问题,并将它们置于医疗保健这一复杂环境之中。在我们当前的医疗系统基础设施中,患者信息的起源点是最脆弱的。这与该信息日益新颖的用途交织在一起,暴露出诸如信息重新识别等额外的安全问题,这些问题需要引起关注。