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Personal Medical Information : Security, Engineering, and Ethics - Ross Anderson

Personal Medical Information

Security, Engineering, and Ethics

By: Ross Anderson (Editor)

Paperback

Published: 9th July 1997
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In the last few years, the protection of computerised medical records, and of other personal health information, has become the subject of both technical research and political dispute in a number of countries. In Britain, the issue arose initially as an argument between the British Me­ dical Association and the Department of Health over whether encryption should be used in a new medical network. In Germany, the focus was the issue to all patients of a smartcard to hold insurance details and facilitate payment; while in the USA, the debate has been whether federal law should preempt state re­ gulation of computerised medical records, and if so, what technical and legal protection should be afforded the patient. Whatever the origin and evolution of this debate in specific countries, it has become clear that policy and technical matters are closely intertwined. What does 'computer security' mean in the medical context? What are we trying to do? What are the threats that we are trying to forestall? What costs might reasonably be incurred? To what extent is the existing technology - largely developed to meet military and banking requirements - of use? And perhaps hardest of all, what is the right balance between technical and legal controls? As the debate spread, it became clear that there was little serious contact between the people who could state the requirements - clinical professionals, medical ethicists and patients - and the people who could explore how to meet

Information and the NHS (For me or for them?)p. 1
Chances, Risks and Side Effects of Chip Cards in Medicine: A Technology Assessment Study from Germanyp. 19
Exceptionalism Redux: How Different is Health Care Informatics?p. 27
Clinical Record Systems in Oncology. Experiences and Developments on Cancer Registers in Eastern Germanyp. 39
Organisation of General Practice: Implications for IMandT in the NHSp. 57
Practical Protection on Confidentiality in Acute Health Carep. 67
Clinical Systems Security - Implementing the BMA Policy and Guidelinesp. 79
User-Oriented Control of Personal Information Security in Communication Systemsp. 95
Information Management as Risk Managementp. 109
Responsibility Modelling: A New Approach to the Re-alignment and Re-engineering of Health-Care Organisationsp. 117
Keeping Confidence in Confidentiality: Linking Ethics, Efficacy, and Opportunity in Health Care Computingp. 129
Electronic Patient Records: Usability vs Security, with Special Reference to Mental Health Recordsp. 151
Security and Confidentiality Issues Relating to the Electronic Interchange of Clinical Datap. 165
Privacy Oriented Clearing for the German Health-Care Systemp. 175
Personal Health Data on Optical Memory Cards in Isehara Cityp. 195
The Perspective of Medical Ethicsp. 199
Legal Requirements for Computer Security: An American Perspectivep. 207
U.S. Health Information Privacy Policy: Theory and Practicep. 209
Managing Health Data Privacy and Security: A Case Study from New Zealandp. 225
An Update on the BMA Security Policyp. 233
Author Indexp. 251
Table of Contents provided by Blackwell. All Rights Reserved.

ISBN: 9783540632443
ISBN-10: 3540632441
Audience: General
Format: Paperback
Language: English
Number Of Pages: 254
Published: 9th July 1997
Publisher: Springer-Verlag Berlin and Heidelberg Gmbh & Co. Kg
Country of Publication: DE
Dimensions (cm): 23.39 x 15.6  x 1.42
Weight (kg): 0.38
Edition Number: 8