Alsalamah Shada, Gray W Alex, Hilton Jeremy, Alsalamah Hessah
School of Computer Science & Informatics, Cardiff University, Cardiff, UK.
Stud Health Technol Inform. 2013;192:812-6.
Enabling Patient-Centred (PC) care in modern healthcare requires the flow of medical information with the patient between different healthcare providers as they follow the patient's treatment plan. However, PC care threatens the stability of the balance of information security in the support systems since legacy systems fall short of attaining a security balance when sharing their information due to compromises made between its availability, integrity, and confidentiality. Results show that the main reason for this is that information security implementation in discrete legacy systems focused mainly on information confidentiality and integrity leaving availability a challenge in collaboration. Through an empirical study using domain analysis, observations, and interviews, this paper identifies a need for six information security requirements in legacy systems to cope with this situation in order to attain the security balance in systems supporting PC care implementation in modern healthcare.
在现代医疗保健中实现以患者为中心（PC）的护理，需要在不同医疗保健提供者遵循患者治疗计划时，医疗信息与患者之间进行流动。然而，以患者为中心的护理威胁到支持系统中信息安全平衡的稳定性，因为传统系统在共享信息时，由于其可用性、完整性和保密性之间的妥协，未能实现安全平衡。结果表明，主要原因是离散传统系统中的信息安全实施主要侧重于信息保密性和完整性，使得可用性在协作中成为一项挑战。通过使用领域分析、观察和访谈的实证研究，本文确定了传统系统中应对这种情况所需的六项信息安全要求，以便在支持现代医疗保健中以患者为中心的护理实施的系统中实现安全平衡。
