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医院中的健康信息安全:安全保障措施的应用

Health Information Security in Hospitals: the Application of Security Safeguards.

作者信息

Mehraeen Esmaeil, Ayatollahi Haleh, Ahmadi Maryam

机构信息

Department of Health Information Management, School of Paramedicine, Tehran University of Medical Sciences, Tehran, Iran.

School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Acta Inform Med. 2016 Feb;24(1):47-50. doi: 10.5455/aim.2016.24.47-50. Epub 2016 Feb 2.

Abstract

INTRODUCTION

A hospital information system has potentials to improve the accessibility of clinical information and the quality of health care. However, the use of this system has resulted in new challenges, such as concerns over health information security. This paper aims to assess the status of information security in terms of administrative, technical and physical safeguards in the university hospitals.

METHODS

This was a survey study in which the participants were information technology (IT) managers (n=36) who worked in the hospitals affiliated to the top ranked medical universities (university A and university B). Data were collected using a questionnaire. The content validity of the questionnaire was examined by the experts and the reliability of the questionnaire was determined using Cronbach's coefficient alpha (α=0.75).

RESULTS

The results showed that the administrative safeguards were arranged at a medium level. In terms of the technical safeguards and the physical safeguards, the IT managers rated them at a strong level.

CONCLUSION

According to the results, among three types of security safeguards, the administrative safeguards were assessed at the medium level. To improve it, developing security policies, implementing access control models and training users are recommended.

摘要

引言

医院信息系统有潜力提高临床信息的可及性和医疗保健质量。然而,该系统的使用带来了新的挑战,如对健康信息安全的担忧。本文旨在从大学医院的行政、技术和物理保障措施方面评估信息安全状况。

方法

这是一项调查研究,参与者为在排名靠前的医科大学(A大学和B大学)附属医院工作的信息技术(IT)经理(n = 36)。通过问卷调查收集数据。问卷的内容效度由专家进行检验,问卷的信度使用克朗巴哈系数α确定(α = 0.75)。

结果

结果显示行政保障措施处于中等水平。在技术保障措施和物理保障措施方面,IT经理将其评为较强水平。

结论

根据结果,在三种安全保障措施中,行政保障措施评估为中等水平。为改善这一情况,建议制定安全政策、实施访问控制模型并培训用户。

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