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Security, Privacy, Confidentiality a...

Takyi, Harold Kwabena.

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Security, Privacy, Confidentiality and Integrity of Emerging Healthcare Technologies: A Framework for Quality of Life Technologies to be HIPAA/HITECH Compliant, with Emphasis on Health Kiosk Design.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Security, Privacy, Confidentiality and Integrity of Emerging Healthcare Technologies: A Framework for Quality of Life Technologies to be HIPAA/HITECH Compliant, with Emphasis on Health Kiosk Design./
Author:	Takyi, Harold Kwabena.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2018,
Description:	253 p.
Notes:	Source: Dissertations Abstracts International, Volume: 80-10, Section: B.
Contained By:	Dissertations Abstracts International80-10B.
Subject:	Computer Engineering. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=13872157
ISBN:	9781392043332

Security, Privacy, Confidentiality and Integrity of Emerging Healthcare Technologies: A Framework for Quality of Life Technologies to be HIPAA/HITECH Compliant, with Emphasis on Health Kiosk Design.
Takyi, Harold Kwabena.

Security, Privacy, Confidentiality and Integrity of Emerging Healthcare Technologies: A Framework for Quality of Life Technologies to be HIPAA/HITECH Compliant, with Emphasis on Health Kiosk Design. - Ann Arbor : ProQuest Dissertations & Theses, 2018 - 253 p.

Source: Dissertations Abstracts International, Volume: 80-10, Section: B.

Thesis (Ph.D.)--University of Pittsburgh, 2018.

This item must not be sold to any third party vendors.

This dissertation research focused on the following: 1. Determined possible vulnerabilities that exist in multi-user kiosks and the computer systems that make up multi-user kiosk systems. 2. Developed an evaluation system and audit checklist for multi-user kiosk systems adapted from the Office for Civil Rights (OCR) audit protocols, to address the vulnerabilities identified from our research. 3. Improved the design of a multi-user health kiosk to meet the HIPAA/HITECH standards by incorporating privacy and security (P&S) policies. 4. Explored the feasibility and preliminary efficacy of an intervention to explore the magnitude of differences in users' perceived risk of P&S breaches as well as the correlation between perceived risk and their intention to use a multi-user health kiosk. A gap analysis demonstrated that we successfully incorporated 91% of our P&S polices into the design of a health kiosk that is part of an ongoing, large-scale investigation. This is higher than our initial target of 50%. Repeated measures ANOVA was performed to analyze baseline and six-month follow-up of 36 study participants to measure the magnitude of the change in their perceived risk in response to varied intervention approaches: usual care vs. printed materials vs. printed materials plus brief oral explanation. Results from the ANOVA revealed no significant group-by-time interaction (Time*Group) F (2, 33) = .27, p=.77, ηp2=.02, a significant main effect of time F (1, 33) = 4.73, p=.04, ηp2=.13, and no significant main effect of group F (2, 33) =1.27, p=.30 ηp2=.07. Users' "perceived risk lessened over time" (baseline and six-month follow-up), although the magnitude of the change was small. We were, however, unable to perform the correlation analysis as originally proposed because all kiosk participants included in the analysis intended to use the kiosk both at baseline and at six-month follow-up. These findings may inform future research into methods aimed at reducing perceived risk of P&S breaches and using education and communication to reduce risky behavior by both internal and external users of new health IT applications and technologies. The findings may also provide a framework to guide policy in P&S of health applications, technologies and health IT systems.

ISBN: 9781392043332Subjects--Topical Terms:

1567821
Computer Engineering.
Subjects--Index Terms:

Confidentiality

Security, Privacy, Confidentiality and Integrity of Emerging Healthcare Technologies: A Framework for Quality of Life Technologies to be HIPAA/HITECH Compliant, with Emphasis on Health Kiosk Design.
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245 1 0 $a Security, Privacy, Confidentiality and Integrity of Emerging Healthcare Technologies: A Framework for Quality of Life Technologies to be HIPAA/HITECH Compliant, with Emphasis on Health Kiosk Design.
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300 $a 253 p.
500 $a Source: Dissertations Abstracts International, Volume: 80-10, Section: B.
500 $a Publisher info.: Dissertation/Thesis.
502 $a Thesis (Ph.D.)--University of Pittsburgh, 2018.
506 $a This item must not be sold to any third party vendors.
506 $a This item must not be added to any third party search indexes.
520 $a This dissertation research focused on the following: 1. Determined possible vulnerabilities that exist in multi-user kiosks and the computer systems that make up multi-user kiosk systems. 2. Developed an evaluation system and audit checklist for multi-user kiosk systems adapted from the Office for Civil Rights (OCR) audit protocols, to address the vulnerabilities identified from our research. 3. Improved the design of a multi-user health kiosk to meet the HIPAA/HITECH standards by incorporating privacy and security (P&S) policies. 4. Explored the feasibility and preliminary efficacy of an intervention to explore the magnitude of differences in users' perceived risk of P&S breaches as well as the correlation between perceived risk and their intention to use a multi-user health kiosk. A gap analysis demonstrated that we successfully incorporated 91% of our P&S polices into the design of a health kiosk that is part of an ongoing, large-scale investigation. This is higher than our initial target of 50%. Repeated measures ANOVA was performed to analyze baseline and six-month follow-up of 36 study participants to measure the magnitude of the change in their perceived risk in response to varied intervention approaches: usual care vs. printed materials vs. printed materials plus brief oral explanation. Results from the ANOVA revealed no significant group-by-time interaction (Time*Group) F (2, 33) = .27, p=.77, ηp2=.02, a significant main effect of time F (1, 33) = 4.73, p=.04, ηp2=.13, and no significant main effect of group F (2, 33) =1.27, p=.30 ηp2=.07. Users' "perceived risk lessened over time" (baseline and six-month follow-up), although the magnitude of the change was small. We were, however, unable to perform the correlation analysis as originally proposed because all kiosk participants included in the analysis intended to use the kiosk both at baseline and at six-month follow-up. These findings may inform future research into methods aimed at reducing perceived risk of P&S breaches and using education and communication to reduce risky behavior by both internal and external users of new health IT applications and technologies. The findings may also provide a framework to guide policy in P&S of health applications, technologies and health IT systems.
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653 $a Hitech
653 $a Integrity
653 $a Privacy
653 $a Security
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710 2 $a University of Pittsburgh. $b Health Information Management. $3 3546506
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