Watzlaf Valerie J M, Moeini Sohrab, Firouzan Patti
Department of Health Information Management, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA.
Int J Telerehabil. 2010 Oct 27;2(2):3-14. doi: 10.5195/ijt.2010.6056. eCollection 2010 Fall.
Voice over the Internet Protocol (VoIP) systems such as Adobe ConnectNow, Skype, ooVoo, etc. may include the use of software applications for telerehabilitation (TR) therapy that can provide voice and video teleconferencing between patients and therapists. Privacy and security applications as well as HIPAA compliance within these protocols have been questioned by information technologists, providers of care and other health care entities. This paper develops a privacy and security checklist that can be used within a VoIP system to determine if it meets privacy and security procedures and whether it is HIPAA compliant. Based on this analysis, specific HIPAA criteria that therapists and health care facilities should follow are outlined and discussed, and therapists must weigh the risks and benefits when deciding to use VoIP software for TR.
诸如Adobe ConnectNow、Skype、ooVoo等互联网协议语音（VoIP）系统可能会使用远程康复（TR）治疗的软件应用程序，这些程序能够在患者和治疗师之间提供语音和视频电话会议。信息技术专家、医疗服务提供者及其他医疗保健机构对这些协议中的隐私和安全应用以及是否符合《健康保险流通与责任法案》（HIPAA）提出了质疑。本文制定了一份隐私和安全检查表，可用于VoIP系统，以确定其是否符合隐私和安全程序以及是否符合HIPAA规定。基于此分析，概述并讨论了治疗师和医疗保健机构应遵循的特定HIPAA标准，并且治疗师在决定使用VoIP软件进行TR时必须权衡风险和益处。
