Privacy Enhanced Healthcare Information Sharing System for Home-Based Care Environments

Daniel Agbesi Dzissah; Joong-Sun Lee; Hiroyuki Suzuki; Mie Nakamura; Takashi Obi

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자료유형: 학술저널

저자정보: Daniel Agbesi Dzissah Joong-Sun Lee Hiroyuki Suzuki Mie Nakamura Takashi Obi

저널정보: 대한의료정보학회 Healthcare Informatics Research Healthcare Informatics Research 제25권 제2호

발행연도: 2019.1

수록면: 106 - 114 (9page)

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Objectives: Home-based nursing care services have increased over the past decade. However, accountability and privacy issues as well as security concerns become more challenging during care provider visits. Because of the heterogeneous combination of mobile and stationary assistive medical care devices, conventional systems lack architectural consistency, which leads to inherent time delays and inaccuracies in sharing information. The goal of our study is to develop an architecture that meets the competing goals of accountability and privacy and enhances security in distributed home-based care systems. Methods: We realized this by using a context-aware approach to manage access to remote data. Our architecture uses a public certification service for individuals, the Japanese Public Key Infrastructure and Health Informatics-PKI to identify and validate the attributes of medical personnel. Both PKI mechanisms are provided by using separate smart cards issued by the government. Results: Context-awareness enables users to have appropriate data access in home-based nursing environments. Our architecture ensures that healthcare providers perform the needed home care services by accessing patient data online and recording transactions. Conclusions: The proposed method aims to enhance healthcare data access and secure information delivery to preserve user’s privacy. We implemented a prototype system and confirmed its feasibility by experimental evaluation. Our research can contribute to reducing patient neglect and wrongful treatment, and thus reduce health insurance costs by ensuring correct insurance claims. Our study can provide a baseline towards building distinctive intelligent treatment options to clinicians and serve as a model for home-based nursing care.

참고문헌 (22)

참고문헌 신청

Japanese Nursing Association / Nursing for the older people in Japan. 2. Nursing for the Older People: Current situation and challenges

Obi T / 2013 / Promoting ICT innovations for the ageing population in Japan / Int J Med Inform 82:e47~e62

Maruyama I / 2013 / The new direction of primary care in Japan / Japan Med Assoc J 56(6):465~467

Fujimoto M / 2000 / Complex systems in technology and policy : telemedicine and telecare in Japan / J Telemed Telecare 6(4):187~192

Ministry of Health, Labour and Welfare / 2013 / Guidelines for the security management of health information systems edition 4.2 / Ministry of Health, Labour and Welfare

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