A comparison of patient attitudes towards the use of computerised medical records and unique identifiers in Australia and Sweden

2004 ◽  
Vol 10 (2) ◽  
pp. 36
Author(s):  
David Bomba ◽  
Kurt Svardsudd ◽  
Per Kristiansson

This article compares the attitudes of Australian and Swedish patients towards the use of computerised medical records and unique identifiers in medical practices in Australia and Sweden. A Swedish translation of an Australian survey was conducted and results were compared. Surveys were distributed to patients at a medical practice in Sweden in 2003 and compared to the results of an Australian study by Bomba and Land (2003). Results: Based on the survey samples (Australia N=271 and Sweden N=55), 91% of Swedish respondents and 78% of Australian respondents gave a positive appraisal of the use of computers in health care. Of the Swedish respondents, 93% agreed that the computer-based patient record is an essential technology for health care in the future, while 86% of the Australian respondents agreed. Overwhelmingly, 95% of Swedish respondents and 91% of Australian respondents stated that the use of computers did not interfere with the doctor-patient consultation. Both groups preferred biometric identification as the method for uniquely identifying patients but differed in their preferred method to store medical information - a combination of central database and smart card for Australian respondents and central database for Swedish respondents. This analysis indicates that patient attitudes towards the use of computerised medical records and unique identifiers in Australia and Sweden are positive; however, there are concerns over information privacy and security. These concerns need to be taken into account in any future development of a national computer health network.

2003 ◽  
Vol 31 (3) ◽  
pp. 429-433 ◽  
Author(s):  
Nancy E. Kass ◽  
Marvin R. Natowicz ◽  
Sara Chandros Hull ◽  
Ruth R. Faden ◽  
Laura Plantinga ◽  
...  

In the past ten years, there has been growing interest in and concern about protecting the privacy of personal medical information. Insofar as medical records increasingly are stored electronically, and electronic information can be shared easily and widely, there have been legislative efforts as well as scholarly analyses calling for greater privacy protections to ensure that patients can feel safe disclosing personal information to their health-care providers. At the same time, the volume of biomedical research conducted in this country continues to grow. The budget of the National Institutes of Health, for example, was $20,298 million in 2001, having more than doubled from a budget of $9,218 million 10 years before. This growing body of research includes increased efforts to use stored medical records as a source of data for health services, epidemiologic, and clinical studies.


2000 ◽  
Vol 17 (2) ◽  
pp. 213-234 ◽  
Author(s):  
Judith Wagner DeCew

Individuals care about and guard their privacy intensely in many areas. With respect to patient medical records, people are exceedingly concerned about privacy protection, because they recognize that health care generates the most sensitive sorts of personal information. In an age of advancing technology, with the switch from paper medical files to massive computer databases, privacy protection for medical information poses a dramatic challenge. Given high-speed computers and Internet capabilities, as well as other advanced communications technologies, the potential for abuse is much greater than ever before. At every stage in the process of collection and storage, dangers can arise, including entry errors, improper access, exploitation, and unauthorized disclosure. Secondary use and aggregation of data are all far easier, faster, and less expensive, and thus pose additional threats to an individual's control over the disposition of medical information.


Author(s):  
Xiaoyun He ◽  
Jaideep Vaidya ◽  
Basit Shafiq ◽  
Nabil Adam ◽  
Tom White

For health care related research studies the medical records of patients may need to be retrieved from multiple sites with different regulations on the disclosure of health information. Given the sensitive nature of health care information, privacy is a major concern when patients’ health care data is used for research purposes. In this paper, the authors propose approaches for integration and querying of health care data from multiple sources in a secure and privacy preserving manner. In particular, the first approach ensures secure data integration based on unique identifiers, and the second one considers data integration based on quasi identifiers, for which a rule-based framework is proposed for cross-linking data records, including secure character matching.


1997 ◽  
Vol 13 (2) ◽  
pp. 380-393 ◽  
Author(s):  
James G. Anderson ◽  
Carolyn E. Aydin

AbstractEvaluating the impact of computer-based medical information systems requires not only an understanding of computer technology but also an understanding of complex social and behavioral processes. This essay discusses the need for evaluation of health care information systems, a set of evaluation questions based on assumptions about the impact of technology on organizations, and recommendations for reducing barriers to the implementation of health care information systems.


Author(s):  
John Cassini ◽  
B. Dawn Medlin ◽  
Adriana Romaniello

Historically, the United States has attempted to address the issues of an individual’s right to information privacy and security through legislative actions. More specifically, the execution of legislation that addresses information security and privacy has been implemented in particular areas such as health care, banking, and education as well as other industries. This chapter presents an overview of the laws that have addressed the growth of security and privacy threats that havegrown over the years.


2012 ◽  
Vol 3 (2) ◽  
pp. 125-134 ◽  
Author(s):  
Mirza B. Murtaza

The challenge of securing large amounts of electronic medical records stored in a variety of forms and in many locations, while still making it available to authorized users, is huge. Pressure to maintain privacy and protection of personal information is a strong motivating force in the development of security policies. It is essential for health care organizations to analyze, assess and ensure security policies to meet these challenges and to develop the necessary policies to ensure the security of medical information.


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