增强患者医疗信息交换的安全性:一项定性研究

IF 3.7 2区 医学 Q2 COMPUTER SCIENCE, INFORMATION SYSTEMS
Aurélia Manns , Thomas Pezziardi , Natacha Kadlub , Anita Burgun , Alban Destrez , Rosy Tsopra
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引用次数: 0

摘要

数字化转型改变了卫生专业人员之间交换患者医疗信息的做法。挑战包括涉及具有不同通信风格的多个专业人员、各种数据类型的指数级增长、由于非集成工具导致的互操作性问题,以及由于使用不安全的应用程序和个人设备而导致的高度安全风险。在这里,我们旨在了解如何帮助医疗外科医生在数据交换过程中更好地考虑安全性。方法采用质性研究方法,对在法国多家医院病房工作的外科医生进行了20次访谈。两个研究人员使用迭代的主题方法对逐字进行手动分析,从而产生一个框架,以提高从业者的安全意识。结果我们的研究结果强调了多方面策略的必要性,因为单一的安全应用程序是不够的。有效的解决方案需要将量身定制的数字工具与教育举措和机构支持相结合。提出的申请必须符合特定要求;同时,医院必须提供明确的规定、财政投资和持续的支持,以减少专业限制。结论:本研究强调需要一种全面的方法,包括教育、机构支持和先进技术,以增强医疗保健领域的数据安全。未来的研究可以通过考虑其他医疗环境和患者的观点来扩展我们的框架。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Enhancing security in patient medical information exchange: A qualitative study

Background

The digital transition has changed the practice of exchanging patient medical information between health professionals. Challenges include the involvement of multiple professionals with varying communication styles, the exponential growth of diverse data types, interoperability issues due to non-integrated tools, and heightened security risks stemming from the use of unsecured applications and personal devices.
Here, we aimed to understand how to help health surgeons to better consider security during data exchange.

Methods

We conducted a qualitative research with 20 interviews with surgeons working in wards of several French institutions. The verbatims were analyzed manually by two researchers using an iterative thematic approach, resulting in a framework to improve practitioners’ security awareness.

Results

Our findings emphasize the necessity of a multifaceted strategy, as a single secure application is not sufficient. Effective solutions require combining tailored digital tools with educational initiatives and institutional support. The proposed application must meet specific requirements; and simultaneously, hospitals must provide clear regulations, financial investment, and continuous support to reduce professional constraints.

Conclusion

This study underscores the need for a holistic approach, spanning education, institutional backing, and advanced technology, to enhance data security in healthcare. Future studies could extend our framework by considering other healthcare settings and patient perspectives.
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来源期刊
International Journal of Medical Informatics
International Journal of Medical Informatics 医学-计算机:信息系统
CiteScore
8.90
自引率
4.10%
发文量
217
审稿时长
42 days
期刊介绍: International Journal of Medical Informatics provides an international medium for dissemination of original results and interpretative reviews concerning the field of medical informatics. The Journal emphasizes the evaluation of systems in healthcare settings. The scope of journal covers: Information systems, including national or international registration systems, hospital information systems, departmental and/or physician''s office systems, document handling systems, electronic medical record systems, standardization, systems integration etc.; Computer-aided medical decision support systems using heuristic, algorithmic and/or statistical methods as exemplified in decision theory, protocol development, artificial intelligence, etc. Educational computer based programs pertaining to medical informatics or medicine in general; Organizational, economic, social, clinical impact, ethical and cost-benefit aspects of IT applications in health care.
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