Lieneck Cristian, McLauchlan Matthew, Phillips Sean
School of Health Administration, Texas State University, San Marcos, TX 78666, USA.
College of Business, Concordia University-Texas, Austin, TX 78726, USA.
Healthcare (Basel). 2023 Nov 18;11(22):2983. doi: 10.3390/healthcare11222983.
Healthcare organizations have endured significant challenges and relied upon telehealth and related technological advances during the COVID-19 pandemic to allow for the sustainment of care. The purpose of this study was to systematically identify healthcare cybersecurity ethical concerns experienced during the pandemic to assist with the sustainability of the delivery of care going forward.
This study was guided by Preferred Reporting Items for Systematic Reviews and Meta-Analysis protocols for systematic reviews and focused on cybersecurity in healthcare organizations that published articles during the COVID-19 pandemic (March 2020 through October 2022). The articles were accessed using the EBSCOhost and Pub-Med (which queries MEDLINE) platforms, through which the Academic Search Complete, MEDLINE Complete, and Complementary Index databases were accessed. Follow-on supplementary topic modeling allowed for the additional application of ethical principles to the review findings.
Among the 22 articles that met the inclusion criteria, three ethical concerns were identified by the rapid review: smart and medical technology concerns (73% of occurrences), at-risk population cybersecurity (55% of occurrences), and legal challenges in data protection (73% of occurrences). The research team also conducted a latent Dirichlet allocation (LDA) analysis, identifying three topics from the review corpus: robotic and biomedical/clinical care outcomes, diagnostic applications, and public health data usage. These were then mapped to primary ethical healthcare principles.
The sustainment of healthcare technology interoperability and related telehealth initiatives involves the ongoing assessment of cybersecurity threats and adequate knowledge of related ethical stakeholder concerns to promote ongoing care delivery.
在新冠疫情期间，医疗保健机构面临了重大挑战，并依赖远程医疗及相关技术进步来维持医疗服务。本研究的目的是系统地识别疫情期间所经历的医疗保健网络安全伦理问题，以助力未来医疗服务提供的可持续性。
本研究以系统评价与荟萃分析的首选报告项目为指导进行系统评价，重点关注在新冠疫情期间（2020年3月至2022年10月）发表文章的医疗保健机构中的网络安全。通过EBSCOhost和PubMed（可查询MEDLINE）平台获取文章，借此访问学术搜索完整版、MEDLINE完整版和补充索引数据库。后续的补充主题建模允许将伦理原则进一步应用于综述结果。
在符合纳入标准的22篇文章中，快速综述识别出三个伦理问题：智能与医疗技术问题（出现频率为73%）、高危人群的网络安全（出现频率为55%）以及数据保护方面的法律挑战（出现频率为73%）。研究团队还进行了潜在狄利克雷分配（LDA）分析，从综述语料库中识别出三个主题：机器人与生物医学/临床护理结果、诊断应用以及公共卫生数据使用。然后将这些主题映射到主要的医疗保健伦理原则上。
维持医疗保健技术的互操作性及相关远程医疗举措需要持续评估网络安全威胁，并充分了解相关伦理利益相关者的关切，以促进持续的医疗服务提供。
