NDLI: Improving the implementation of access control in EMR

Content Provider	IEEE Xplore Digital Library
Author	Ferreira, A. Cruz-Correia, R. Chadwick, D. Antunes, L.
Copyright Year	2008
Description	Author affiliation: Comput. Lab., Univ. of Kent, Canterbury (Chadwick, D.) \|\| Fac. of Sci., LIACC, Porto (Antunes, L.) \|\| Dept. & CINTESIS, Biostat. & Med. Inf., Porto (Cruz-Correia, R.) \|\| Fac. of Med., Center for Inf. & CINTESIS, Porto (Ferreira, A.)
Abstract	The Electronic Medical Record (EMR) allows for the distributed collection and searching of healthcare information. However, it usually does not integrate easily into healthcare professionalspsila daily workflows. Barriers to its acceptance include costs such as time and effort, but also relational and educational issues. Access controls are likely to increase the barrier to acceptance, since their design and implementation are very complex and thus costly. Three literature reviews were performed in order to gain insight to this problem. The two reviews regarding access control implementation (A and B) showed that the definition of an access control policy was $ACP_{A}=29%$ and $ACP_{B}=58%,$ and the participation of end users in its development within Information Systems (IS) was $UPD_{A}=0%$ and $UPD_{B}=0%.$ The review regarding evaluation methods (Review C) showed that most chosen methods were not appropriate for the evaluation that needed to be performed $(CMI_{C}=44%)$ and that the ISs were difficult to use $(SDU_{C}=22%)$ and did not simplify the workflow environment for which they were implemented $(CWD_{C}=19%).$ The goal of this paper is to propose that future access control systems for EMR should monitor healthcare professionalspsila attitudes, opinions and experiences through the use of comprehensive evaluation methods to improve the acceptance of EMR.
Starting Page	47
Ending Page	50
File Size	492108
Page Count	4
File Format	PDF
ISBN	9781424418169
DOI	10.1109/CCST.2008.4751275
Language	English
Publisher	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Publisher Date	2008-10-13
Publisher Place	Czech Republic
Access Restriction	Subscribed
Rights Holder	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Subject Keyword	Access control Medical services Information security Biomedical informatics Costs Performance gain Information systems Authentication Databases Distributed computing Users’ acceptance Electronic Medical Records
Content Type	Text
Resource Type	Article

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