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The Collective Trust Game: An Online Group Adaptation of the Trust Game Based on the HoneyComb Paradigm

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Trust--can it be controlled?

Debra Box¹, Dalenca Pottas

¹School of Information and Communication Technology, Faculty of Engineering, the Built Environment and Information Technology, Nelson Mandela Metropolitan University, Port Elizabeth, South Africa. Debra.box2@nmmu.ac.co

Studies in Health Technology and Informatics

|September 16, 2010

Summary

Enhancing accountability in health information systems (HIS) can improve stakeholder trust. This study proposes specific accountability controls (NIM) for healthcare environments to strengthen trustworthiness.

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Area of Science:

Health Informatics
Information Security
Healthcare Management

Background:

Trust is crucial for information system security, especially with electronic health records (EHR) and health information systems (HIS).
Low stakeholder trust diminishes the effectiveness of EHR and HIS benefits.
The relationship between accountability and trust in HIS requires investigation.

Purpose of the Study:

To investigate the reciprocal relationship between accountability and trust in health information systems.
To identify and expand accountability controls from existing security standards for HIS.
To propose a dedicated set of accountability controls (NIM) for the healthcare environment.

Main Methods:

A literature study was conducted to examine the concepts of accountability and trust and their interrelationship.
Accountability and audit controls from NIST SP 800-53 and ISO 27799 were extracted and collated.
These controls were expanded to strengthen accountability mechanisms within HIS security programs.

Main Results:

A comprehensive review of accountability and trust in HIS was performed.
Existing security controls were adapted and augmented for the healthcare context.
A specific set of accountability controls, termed NIM, was developed for HIS.

Conclusions:

Strengthening the accountability function within HIS is proposed as a method to improve trustworthiness.
The developed NIM controls offer a healthcare-specific approach to enhance HIS accountability.
Improved accountability is expected to foster greater stakeholder trust in health information systems.