Abstract
The adoption of Electronic Medical Record (EMR) systems has marked a transformative stage in healthcare data management worldwide. However, this transition is notably delayed by the prevailing concerns about privacy and security, particularly in the context of patient information, causing many health organizations in developing countries across the Pacific region to be cautious in their approach. The worry stems from the significant challenge of safeguarding an extensive volume of sensitive health data that exists in various forms and is distributed across diverse locations. This paper investigates the multi-layered privacy and security challenges associated with EMR systems, emphasizing Pacific developing nations’ unique circumstances. The complexities surrounding data protection, compliance with privacy regulations, and the potential for data breaches are precisely examined. A case study of the Pacific region is presented to illuminate the significance of these challenges. It underlines the real-world details that healthcare providers and patients in these developing nations face as they navigate the adoption of EMR systems. Moreover, this document provides an exhaustive array of tactics for tackling these issues and guaranteeing the security of patient information. These strategies encompass robust encryption techniques, access controls, user authentication mechanisms, and ongoing security assessments. However, in response to these challenges, and given the unique needs and circumstances of the Pacific region, we propose a strategic shift towards a cloud-based medical record system. This approach enhances data security and provides a cost-effective solution, especially vital in resource-constrained settings.
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References
Abel, D., Gavidi, B., Rollings, N., Chandra, R.: Development of an android application for an electronic medical record system in an outpatient environment for healthcare in Fiji. arXiv preprint arXiv:1503.00810 (2015)
Ahmad, Z., Nadeem, S.: An economic study of regional pattern of growth of herbal medicine. J. Alternat. Perspect. Soc. Sci. 11(4) (2023)
Connell, J.: Nauru: the first failed pacific state? The Round Table 95(383), 47–63 (2006)
Cornelius, K.: Contextualizing transformation of healthcare sector in Asia-Pacific in the post-COVID-19 era (2022)
Cullen, R.: The use of ICT in the health sector in Pacific Island countries. In: Cullen, R., Hassall, G. (eds.) Achieving Sustainable E-Government in Pacific Island States, pp. 305–335. Springer, Cham (2017). https://doi.org/10.1007/978-3-319-50972-3_11
Ekeroma, A., Biribo, S., Herman, J., Hill, A., Kenealy, T.: Health research systems in six Pacific Island countries and territories (2016)
Finau, S.A.: National health information systems in the Pacific Islands: in search of a future. Health Policy Plan. 9(2), 161–170 (1994)
Foliaki, S., Best, D., Akau’ola, S., Cheng, S., Borman, B., Pearce, N.: Cancer incidence in four pacific countries: Tonga, Fiji Islands, cook Islands and Niue. Pac. Health Dialog 17(1), 21–32 (2011)
Gouda, H.N., Richards, N.C., Beaglehole, R., Bonita, R., Lopez, A.D.: Health information priorities for more effective implementation and monitoring of non-communicable disease programs in low-and middle-income countries: lessons from the Pacific. BMC Med. 13, 1–8 (2015)
Kamal, H., et al.: Clinical and echocardiography characteristics of in-situ pulmonary artery thrombosis in Morocco: case series about 4 patients. Asian J. Cardiol. Res. 6(1), 315–319 (2023)
Keshta, I., Odeh, A.: Security and privacy of electronic health records: concerns and challenges. Egypt. Inf. J. 22(2), 177–183 (2021)
Khoo, X.H., Ramli, S.N.B.: Care foundation electronic medical record system cryptographic-based approach and role-based access control. Appl. Inf. Technol. Comput. Sci. 4(1), 059–078 (2023)
Levu, V.: “Fiji,” Wildlife Conservation Society, Suva, Fiji (2021). http://www.wcsfiji.org/Resources/ManagementPlans/tabid/3431/Default.aspx
Li, C., Jiang, B., Dong, M., Xin, X., Ota, K.: Privacy preserving for electronic medical record sharing in healthchain with group signature. IEEE Syst. J. (2023)
Moton, T., Nosa, V.: A narrative review of noncommunicable diseases in the Pacific region: a case study of the island of Niue. New Zealand Med. Stud. J. 32, 32–34 (2021)
Nicolai, B., Tallarico, S., Pellegrini, L., Gastaldi, L., Vella, G., Lazzini, S.: Blockchain for electronic medical record: assessing stakeholders’ readiness for successful blockchain adoption in health-care. Meas. Bus. Excell. 27(1), 157–171 (2023)
On, M.L., Bennett, V., Whittaker, M.: Health information systems in the Pacific: a case study of Vanuatu. Document. Note Ser. (3) (2009)
W. H. Organization. The Fiji Islands Health System Review. (2011)
W. H. Organization. Health information systems in the Pacific at a glance 2016. (2017)
W. H. Organization. Country case studies on primary health care: Samoa: engaging people for health promotion. World Health Organization (2018)
W. H. Organization. Meeting on Health Information System Strengthening in Pacific Island Countries in Suva, Fiji, 27–29 June 2018: Meeting Report (2018)
Ravindra, S.S.: An Assessment of Medical Informatics in Fijian Public Hospitals. (2016)
Sharma, P., Harkishan, M.: Designing an intelligent tutoring system for computer programing in the Pacific. Educ. Inf. Technol. 27(5), 6197–6209 (2022)
Sio-Ki-Sia Fonua, F.: A learning journey to the Kingdom of Tonga: Accelerating transformative change in nutrition-sensitive value chains in Pacific islands: Promoting nutritious food systems in the Pacific islands. CTA (2019)
Soar, J., Gow, J., Caniogo, V.: Sustainability of health information systems in developing countries: the case of Fiji. Health Inf. Manag. J. 41(3), 13–19 (2012)
Stanceski, K., Alexander, N., Gifford, J., Baysari, M.: Student access to electronic medical records: missing an opportunity to prepare our workforce. In: Context Sensitive Health Informatics and the Pandemic Boost, pp. 29–33. IOS Press (2023)
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Sharma, P., Bir, J., Prakash, S. (2024). Navigating Privacy and Security Challenges in Electronic Medical Record (EMR) Systems: Strategies for Safeguarding Patient Data in Developing Countries – A Case Study of the Pacific. In: Su, R., Zhang, YD., Frangi, A.F. (eds) Proceedings of 2023 International Conference on Medical Imaging and Computer-Aided Diagnosis (MICAD 2023). MICAD 2023. Lecture Notes in Electrical Engineering, vol 1166. Springer, Singapore. https://doi.org/10.1007/978-981-97-1335-6_33
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