Comparing approaches for advanced e-health security infrastructures.
Identifieur interne : 000448 ( PubMed/Corpus ); précédent : 000447; suivant : 000449Comparing approaches for advanced e-health security infrastructures.
Auteurs : Bernd BlobelSource :
- International journal of medical informatics [ 1386-5056 ]
English descriptors
- KwdEn :
- MESH :
Abstract
The healthcare systems of all developed countries face the challenge for improving quality, efficiency and safety of patients' care. For meeting this challenge, health is moving from being organisation-centred to process-based care. This process will continue in the future turning health towards person-centred architectures. This system transformation is combined with extended and advanced communication and collaboration supported and enabled by appropriate information and communication technologies (ICT), also called e-health. The resulting solutions have to be trustworthy.
DOI: 10.1016/j.ijmedinf.2006.09.012
PubMed: 17074532
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pubmed:17074532Le document en format XML
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<author><name sortKey="Blobel, Bernd" sort="Blobel, Bernd" uniqKey="Blobel B" first="Bernd" last="Blobel">Bernd Blobel</name>
<affiliation><nlm:affiliation>University of Regensburg Medical Center, eHealth Competence Center, Franz-Josef-Strauss-Allee 11, D-93042 Regensburg, Germany. bernd.blobel@ehealth-cc.de</nlm:affiliation>
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<date when="????"><PubDate><MedlineDate>2007 May-Jun</MedlineDate>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Comparing approaches for advanced e-health security infrastructures.</title>
<author><name sortKey="Blobel, Bernd" sort="Blobel, Bernd" uniqKey="Blobel B" first="Bernd" last="Blobel">Bernd Blobel</name>
<affiliation><nlm:affiliation>University of Regensburg Medical Center, eHealth Competence Center, Franz-Josef-Strauss-Allee 11, D-93042 Regensburg, Germany. bernd.blobel@ehealth-cc.de</nlm:affiliation>
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<series><title level="j">International journal of medical informatics</title>
<idno type="ISSN">1386-5056</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Computer Security</term>
<term>Confidentiality</term>
<term>Humans</term>
<term>Medical Informatics Applications</term>
<term>Medical Records Systems, Computerized</term>
<term>Public Policy</term>
<term>Systems Integration</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Computer Security</term>
<term>Confidentiality</term>
<term>Humans</term>
<term>Medical Informatics Applications</term>
<term>Medical Records Systems, Computerized</term>
<term>Public Policy</term>
<term>Systems Integration</term>
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<front><div type="abstract" xml:lang="en">The healthcare systems of all developed countries face the challenge for improving quality, efficiency and safety of patients' care. For meeting this challenge, health is moving from being organisation-centred to process-based care. This process will continue in the future turning health towards person-centred architectures. This system transformation is combined with extended and advanced communication and collaboration supported and enabled by appropriate information and communication technologies (ICT), also called e-health. The resulting solutions have to be trustworthy.</div>
</front>
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<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">17074532</PMID>
<DateCreated><Year>2007</Year>
<Month>04</Month>
<Day>04</Day>
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<DateCompleted><Year>2007</Year>
<Month>06</Month>
<Day>14</Day>
</DateCompleted>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1386-5056</ISSN>
<JournalIssue CitedMedium="Print"><Volume>76</Volume>
<Issue>5-6</Issue>
<PubDate><MedlineDate>2007 May-Jun</MedlineDate>
</PubDate>
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<Title>International journal of medical informatics</Title>
<ISOAbbreviation>Int J Med Inform</ISOAbbreviation>
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<ArticleTitle>Comparing approaches for advanced e-health security infrastructures.</ArticleTitle>
<Pagination><MedlinePgn>454-9</MedlinePgn>
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<Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The healthcare systems of all developed countries face the challenge for improving quality, efficiency and safety of patients' care. For meeting this challenge, health is moving from being organisation-centred to process-based care. This process will continue in the future turning health towards person-centred architectures. This system transformation is combined with extended and advanced communication and collaboration supported and enabled by appropriate information and communication technologies (ICT), also called e-health. The resulting solutions have to be trustworthy.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">There is a set of security services needed for realising trustworthy e-health solutions. Those security services must be comprehensively integrated in the e-health application. Furthermore, a set of infrastructure services has to be specified and implemented. For keeping the solutions future-proof, they have to comply with architectural principles and paradigms.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">After shortly introducing meanwhile internationally acknowledged architectural paradigms for applications, means and infrastructures providing security services, existing, or specified advanced solutions are described and compared. In that context, the Electronic Health Record as e-health core application has been especially considered. Based on published work as well as on explored solutions, the security services needed are summarised and evaluated. The pros and cons of investigated examples are collected and interpreted. In that context, especially the German health telematics framework architecture and security infrastructure and the corresponding implementable solutions on the one hand and the USA Veterans Health Administration approach to security have been carefully considered.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Processes and systems are determined by policies, which define and distinguish constraints for communication and collaboration. Therefore, formally modelling policies and performing policy bridging are the main challenges to be met. As result of investigations, recommendations have been derived for establishing the trustworthiness required for any e-health solution at different level from regional to national, European, and even global scale, which are included in the conference summary.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Blobel</LastName>
<ForeName>Bernd</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>University of Regensburg Medical Center, eHealth Competence Center, Franz-Josef-Strauss-Allee 11, D-93042 Regensburg, Germany. bernd.blobel@ehealth-cc.de</Affiliation>
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<ArticleDate DateType="Electronic"><Year>2006</Year>
<Month>10</Month>
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<MedlineJournalInfo><Country>Ireland</Country>
<MedlineTA>Int J Med Inform</MedlineTA>
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<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D008491">Medical Informatics Applications</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D016347">Medical Records Systems, Computerized</DescriptorName>
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<NumberOfReferences>17</NumberOfReferences>
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