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Comprehensive user requirements engineering methodology for secure and interoperable health data exchange.

Pantelis Natsiavas1, Janne Rasmussen2, Maja Voss-Knude3

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Summary

Cybersecurity challenges hinder health data exchange. This study developed a methodology for a secure toolkit, identifying user needs and barriers to improve Health Information Technologies (HIT) adoption in the EU.

Keywords:
Barriers and facilitators for HIT acceptanceCross-border health data exchangeCybersecurityDigital healthGap analysisHealth information technologies (HIT)InteroperabilityUser requirements engineering

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Area of Science:

  • Health Informatics
  • Cybersecurity
  • European Union Health Policy

Background:

  • Digitalization in healthcare increases cybercrime risks, causing skepticism towards Health Information Technologies (HIT).
  • This skepticism impedes secure and interoperable cross-border health data exchange within the European Union (EU).
  • The KONFIDO project aims to establish foundations for a secure and interoperable toolkit for EU cross-border health data exchange.

Purpose of the Study:

  • To engineer user requirements for a secure and interoperable toolkit for cross-border health data exchange.
  • To address the skepticism and barriers hindering the adoption of Health Information Technologies (HIT).
  • To drive the technical design of the KONFIDO toolkit based on user needs and security considerations.

Main Methods:

  • Conducted a gap analysis of existing HIT interoperability and cybersecurity strategies.
  • Defined user scenarios focusing on cross-border health data exchange in three pilot EU countries.
  • Performed threat analysis and stakeholder consultations to elicit user requirements and identify adoption barriers/facilitators.

Main Results:

  • Current HIT adoption shows incomplete adherence to information security standards; a holistic security approach is lacking.
  • Identified 30 user goals through threat analysis and documented workflows with challenges for pilot sites.
  • Key barriers to HIT adoption include lack of awareness, security culture, and usability issues; facilitators include standards adoption and EU legislation.

Conclusions:

  • The study offers crucial insights for secure and interoperable health data exchange.
  • The developed methodological framework can be applied to investigate various cybersecurity risks in the healthcare sector.
  • Findings will inform the design of the KONFIDO toolkit to enhance HIT adoption and data exchange within the EU.