医院患者门户的安全风险评估:台湾的一个案例研究
Pei-Cheng Yeh1,2, Kuen-Wei Yeh3,4,5, Jiun-Lang Huang6,7
1Graduate Institute of Clinical Dentistry, School of Dentistry, College of Medicine, National Taiwan University, Taipei, Taiwan, Republic of China.
Risk management and healthcare policy
|June 24, 2024
概括
网络攻击威胁到医疗保健信息系统的安全. 一项对台湾医院的研究发现,患者门户安全性因医院类型和合同而异,大医院通常更安全.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的网络安全
- 信息系统安全 信息系统安全
背景情况:
- 越来越多的网络攻击对医疗保健信息系统 (HIS) 构成重大风险.
- 提供患者门户访问电子健康记录 (EHR) 的医院面临着更高的安全挑战.
- 在医院系统中维护患者数据的安全性至关重要.
研究的目的:
- 评估台湾EMR交换中心 (EEC) 成员医院之间的患者门户安全风险.
- 分析患者门户安全性,医院位置,合同类别和医院类型之间的关系.
- 确定改善医疗机构网络安全的领域.
主要方法:
- 收集了373家EEC成员医院的人口统计数据 (位置,合同类别,医院类型).
- 使用UPGUARD扫描仪评估了患者门户对先进网络攻击的脆弱性.
- 根据UPSCAN的分数,医院安全被分为四个风险级别 (绝对低,低中,中高,高).
- 分析了安全等级,合同类别和医院类型之间的关联,使用奇平方测试.
主要成果:
- 在373家医院中,20家被评为"绝对低风险",104家被评为"低至中等风险",99家被评为"中至高风险",150家被评为"高风险".
- 患者门户安全性与医院合同类别和类型有显著的关联 (P<0.001).
- 更大,更成熟的医院通常表现出更高的安全水平.
结论:
- 患者门户的安全级别在不同的医院类型和合同类别之间有很大差异.
- 低级和小规模医院需要加强安全措施来保护患者信息.
- 医院必须优先对患者门户网站进行定期的安全风险评估,以确保数据隐私.
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