|Subject Code and Title||STAT6001: Public Health Informatics|
|Assessment||Assessment 2: Evaluating eHealth/mHealth/Future of PHI|
|Length||15 minutes presentation and 500 words summary|
|Total Marks||100 marks|
There are many ethical and legal challenges in eHealth and mHealth. Over the past few modules, you have been exposed to some of these challenges. In this module, you will prepare an assignment based on this learning.
To prepare for this Assessment:
Topics - CHOOSE ONE ONLY
Ethical, legal issues, risk, big data, sustainability and other key challenges for eHealth and mHealth:
Assignment Criteria :
E-Health consists of major segment of Customer and Medical Information and important Meta data as depicted by the figure. The Information needs to be guarded, converted into easily accessible format and should help patients, doctors and end users in establishing a good healthcare system of the country (Kargl, et.al.,2008). It should also adhere to rules, regulations and policies made by the government and legislation of that particular country, thereby formulating clean and operational directives beneficial to the society on the whole.
For example eHealth Ontario Privacy and Data Protection Policy. This formulates how the eHealth policy will secure decision making to set some guidance and protocols for making the medical data, confidentiality principle, personal Health Information safe thereby maintaining its Integrity and access. This also entails how the Agency helps to achieve privacy compliance culture, a proper coordination among eHealth divisions and branches and also how to give safe environment to their staff and employees (Boric-Lubecke, et.al.,2014).
Data privacy and protection in eHealth is all about patient and other medical personal and private Information used by healthcare organizations, government, companies are being managed well in protected and authenticated environment (Li, et.al.,2010). These stakeholders should follow stringent common ground protocols and ethics for healthcare privacy and integrity. The data should be used at right place, right time and for the right kind of authenticated users in the system. Data should not stored for longer than required and medical policies should also adhere to these norms.
A major challenges comes in the form of health equity and accessibility making it necessary to achieve health justice through properly planned investments and policies. It is to be noted that health equity refers to social justice in health but not limited to equal sharing fo resoucres. The focus of health equity is on equal health outcomes made accessible for different groups of people in the society (Braeman et al., 2011). In other words, it si an ethical concept based on the principles of justice where the achievement of objectives refers to making health services accessible for every person in order meet his or her minimum health needs. Here, the emphasis should be on using ehealth tools to provde equal health care to elderly, poor, the uneducate and the disabled people in the society (Son, 2009). There is a need to remove any disparities arisng due to non availability of permanent hardware, software, skil set and staff members to ensure such eHealth care. This requires a collaborative approach from government, policy makers, health care providers, hospital management and social workers to move towards providing benefit to the society in a proper disciplined manner. This can be achieved through taking advantage of information and communication technology along to remove any ICT-driven health inequalities and make all health services accesible to different groups of peple in a society (Linares et al., 2012).
The healthcare data authenticity can have some pivotal risks such as Central archiving attacks where the eHR from central server or repository is open to organizational level access by open networks by local and remote healthcare practitioners so can be exploited and may posit threat or danger for the sensitive medical records (Ball & Lillis, 2001).. Ownership of Medical Records to the right person; eHr has confusing roles in ownership of records. The question arises whether Ehr belongs to parental organizational unit or the patients or healthcare professionals who created them at first place. Communication channels tempering; The user friendly communication interface can be tampered on many pretexts as it is open to access in open networks thus sacrificing the integrity, authenticity and privacy of Medical Data. Data repudiation; The Legal liability of medical data origin and transfer must be thoroughly checked and provided very clearly, the repudiation of data roots must be avoided in all twisted circumstances maintaining a common platform.
Ensuring the Health Equity and accessibility.
There are many procedures through which we can ensure health equity for people in the society:
We have tried to portray eHealthcare security and privacy concerns along with health equity and access, the various sensitive data and all the potent, deeply researched methods to secure this data. Apart from all this, the other best ways to health equity and accessibilityunder eHealth Management Systems is through availability of resoucres and collorative approach followed by public –private partnerships. Also the adoption of personalized medicines is a strong way to address any disaparities in gealth care delivery while avoiding any stigmatization of individual patients. In summary, the analysis provides major challenges faced and opportunities available to improve health equity and access in the society.