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A Sociotechnical Approach to Bring-Your-Own-Device Security in Hospitals: Development and Pilot Testing of a Maturity

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This study developed a hospital BYOD security maturity model addressing technology, policy, and people. The pilot revealed a maturity level of 2.04, highlighting needs in access management and communication security for better healthcare cybersecurity.

Keywords:
AIBYODartificial intelligencebring your own devicemHealthmaturity modelmobile healthmobile phonepolicy and governanceprivacysecuritysociotechnical security

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Area of Science:

  • Health Informatics
  • Cybersecurity
  • Organizational Management

Background:

  • Healthcare adoption of Bring Your Own Device (BYOD) enhances clinician productivity but poses cybersecurity risks due to inadequate controls and human error.
  • Existing security frameworks are technocentric, neglecting crucial sociotechnical factors like clinician behavior, workflow integration, and organizational culture, limiting their effectiveness in healthcare.
  • The heterogeneity of hospitals necessitates a flexible yet structured approach to assess and improve BYOD security maturity, a gap not addressed by current models.

Purpose of the Study:

  • To develop and pilot a comprehensive hospital BYOD security maturity model.
  • To integrate technical, policy, and human factors for a structured assessment and improvement of BYOD security within healthcare settings.

Main Methods:

  • Employed mixed methods action research, combining surveys and interviews with IT managers and clinicians to shape the model.
  • Piloted the model at a metropolitan hospital in Victoria, Australia, involving maturity assessments and a co-design workshop.
  • Utilized descriptive statistics and thematic analysis for model refinement, focusing on clarity and usability.

Main Results:

  • Developed a 21-domain maturity model across technology, policy, and people dimensions, each with five maturity levels.
  • Pilot assessment revealed an overall maturity level of 2.04, with critical areas for improvement identified in identity/access management, clinical communication security, and governance.
  • Co-design workshop prioritized key domains and generated recommendations, including implementing single sign-on and formalizing BYOD strategy.

Conclusions:

  • The developed BYOD security maturity model offers a valuable, practical tool for hospitals and policymakers to identify gaps and plan structured security enhancements.
  • Pilot implementation demonstrated the model's applicability in assessing security and guiding improvements in a real-world healthcare setting.
  • Further validation across diverse healthcare environments is recommended to enhance the model's adaptability and long-term impact on healthcare cybersecurity.