More Web Proxy on the site http://driver.im/

short-paper

e-Governance for healthcare service delivery in India: challenges and opportunities in security and privacy

Authors:

Swapnil Shrivastava,

Dileep VSAuthors Info & Claims

ICEGOV '20: Proceedings of the 13th International Conference on Theory and Practice of Electronic Governance

Pages 180 - 183

https://doi.org/10.1145/3428502.3428527

Published: 29 October 2020 Publication History

Abstract

The past e-Governance initiatives in Indian healthcare sector have created silos of digital health data held in the custody of various healthcare providers. In recent times, as part of the National Health Policy, there have been multifaceted initiatives in the healthcare sector with the focus towards providing patient-centric, cost effective and efficient healthcare service delivery to the citizens. This development is bringing fundamental change in the healthcare sector owing to emergence of a revolutionary Federated Digital Healthcare Ecosystem. The ecosystem components like Healthcare Providers, Disease Repositories, Health Information Exchange(s) are planned to be distributed, scalable and dynamically interconnected for patient care and secondary use. In this paper we discuss security and privacy challenges identified for seamless development of the components of this planned ecosystem in the Indian context. We also provide pointers as ready references for designers and researchers of digital healthcare solutions to delve in these open study areas.

References

[1]

Ruchika Asija and Rajarathnam Nallusamy. 2014. A Survey on Security and Privacy of Healthcare Data. GHC 2014.

[2]

Ayushman Bharat - National Health Protection Mission https://www.india.gov.in/

[3]

C. Chandramouli. 2011. Rural Urban Distribution of Population, Census of India. http://censusindia.gov.in/

[4]

Enrico Coiera and Roger Clarke. 2004. e-Consent: The Design and Implementation of Consumer Consent Mechanisms in an Electronic Environment. Journal of the American Medical Informatics Association. 2004 Mar-Apr; 11(2): 129--140.

[5]

Consent Based Framework. Government of India. http://dla.gov.in/

[6]

COVID-19 puts new demands on e-health record systems https://www.computerworld.com/

[7]

Digital Information Security in Healthcare Act (DISHA). Government of India. 2018

[8]

Cynthia Dwork. 2006. Differential Privacy. In: Proceedings of the 33rd International Colloquium on Automata, Languages and Programming (ICALP). (2) pp. 1--12

Digital Library

[9]

Electronic Health Record Standards for India. Government of India. 2016

[10]

Philippe Genestier, Sajida Zouarhi, Pascal Limeux, David Excoffier, Alain Prola, Stephane Sandon, and Jean-Marc Temerson. 2017. Blockchain for Consent Management in the eHealth Environment: A Nugget for Privacy and Secusity Challenges. J Int Soc Telemed eHealth. 2017;5(GKR):e24

[11]

Tracy D. Gunter and Nicolas P. Terry. 2005. The Emergence of National Electronic Health Record Architectures in the United States and Australia: Models, Costs, and Questions. J Med Internet Res. 2005 Jan-Mar; 7(1): e3.

[12]

Healthcare Data Breach Statistics https://www.hipaajournal.com/healthcare-data-breach-statistics/

[13]

Ilias Iakovidis. 1998. Towards Personal Health Record: Current situation, obstacles and trends in implementation of Electronic Healthcare Records in Europe. International Journal of Medical Informatics. 52(1): 105--115.

[14]

India Stack http://indiastack.org/

[15]

Arvind Kasthuri. 2018. Challenges to Healthcare in India - The Five A's. Indian J Community Med. 2018;43(3): 141--143.

[16]

My Health Record Portal https://myhealthrecord.nhp.gov.in/

[17]

Zeinab Nakhaei and Ali Ahmadi. 2019. Unsupervised Deep Learning for Conflict Resolution in Big Data Analysis. Communications in Computer and Information Science. Vol 891. Springer Cham. https://doi.org/10.1007/978-3-030-33495-6_4

[18]

National Digital Health Blueprint. Government of India. 2019

[19]

National Health Stack - Strategy and Approach Document. Niti Aayog. Government of India. 2018

[20]

Fouzia F. Ozair, Nayer Jamshed, Amit Sharma, and Praveen Aggarwal. 2015. Ethical issues in electronic health records: a general overview. Perspect Clin Res. 2015;6(2): 73--76.

[21]

Privacy, security, and public health in a pandemic year https://www.mckinsey.com/

[22]

Sunil K. Srivastava. 2016. Adoption of Electronic Health Records: A Roadmap for India. Health Inform Res. 2016 Oct; 22(4): 261--269.

[23]

Take This Lollipop http://www.takethislollipop.com/

[24]

Telemedicine Practice Guidelines, Government of India. 2020

[25]

The Personal Data Protection Bill. Government of India. 2019

[26]

Third National Health Policy. Government of India. 2017

[27]

Top ten Big Data Security and Privacy Challenges., Cloud Security Alliance, 2013

Cited By

Jayakumar DBansal AAlbano JMirhan J(2024)Dr. Devi Prasad Shetty: The Visionary Cardiothoracic Surgeon Who Championed Affordable HealthcareCureus10.7759/cureus.70683Online publication date: 2-Oct-2024
https://doi.org/10.7759/cureus.70683
Kaushik ABarcellona CMandyam NTan STromp J(2024)Challenges and opportunities for data sharing related to Artificial Intelligence (AI) tools in healthcare in low- and middle-income countries: A systematic review and case study from Thailand. (Preprint)Journal of Medical Internet Research10.2196/58338Online publication date: 13-Mar-2024
https://doi.org/10.2196/58338
Chibuike MGrobbelaar SBotha A(2024)Overcoming Challenges for Improved Patient-Centric Care: A Scoping Review of Platform Ecosystems in HealthcareIEEE Access10.1109/ACCESS.2024.335686012(14298-14313)Online publication date: 2024
https://doi.org/10.1109/ACCESS.2024.3356860
Show More Cited By

Index Terms

e-Governance for healthcare service delivery in India: challenges and opportunities in security and privacy
1. Applied computing
  1. Computers in other domains
    1. Computing in government
      1. E-government

Recommendations

e-governance initiatives in India
ICEGOV '08: Proceedings of the 2nd international conference on Theory and practice of electronic governance

Information and Communication Technology (ICT) in government agencies as well as educational and research institutions facilitates an efficient, speedy and transparent dissemination of information to the public and other agencies for performance of ...
Efficiency of electronic public service delivery in India: public-private partnership as a critical factor
ICEGOV '07: Proceedings of the 1st international conference on Theory and practice of electronic governance

The dynamics of public administration in India have altered drastically with the introduction of e-governance as a guiding concept in the late 1980s. Citizens, the world over, have been demanding smaller, effective and responsive governments, obviously ...
E-Governance and Public Service Delivery at the Grassroots: A Study of ICT Use in Health and Nutrition Programs in India
Organizational Information and Communication Technology ICT Issues in Developing Economies

E-Governance projects continue to witness sustained policy focus in low-and lower middle-income countries such as India. Not many e-Governance projects are, however, associated with improved performance leading to an enhanced public value, especially in ...

Comments

Please enable JavaScript to view thecomments powered by Disqus.

Information & Contributors

Information

Published In

cover image ACM Other conferences

ICEGOV '20: Proceedings of the 13th International Conference on Theory and Practice of Electronic Governance

September 2020

880 pages

ISBN:9781450376747

DOI:10.1145/3428502

Editors:
Yannis Charalabidis
University of the Aegean, Greece
,
Maria Alexandra Cunha
Getúlio Vargas Foundation, Brazil
,
Demetrios Sarantis
United Nations University (UNU-EGOV), Portugal

Copyright © 2020 ACM.

Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

In-Cooperation

University of the Aegean: University of the Aegean

Publisher

Association for Computing Machinery

New York, NY, United States

Publication History

Published: 29 October 2020

Permissions

Request permissions for this article.

Request Permissions

Check for updates

Author Tags

Qualifiers

Short-paper
Research
Refereed limited

Conference

ICEGOV 2020

ICEGOV 2020: 13th International Conference on Theory and Practice of Electronic Governance

September 23 - 25, 2020

Athens, Greece

Acceptance Rates

ICEGOV '20 Paper Acceptance Rate 79 of 209 submissions, 38%;

Overall Acceptance Rate 350 of 865 submissions, 40%

Contributors

Other Metrics

View Article Metrics

Bibliometrics & Citations

Bibliometrics

Article Metrics

10
Total Citations
View Citations
257
Total Downloads

Downloads (Last 12 months)42
Downloads (Last 6 weeks)6

Reflects downloads up to 04 Jan 2025

Other Metrics

View Author Metrics

Citations

Cited By

Jayakumar DBansal AAlbano JMirhan J(2024)Dr. Devi Prasad Shetty: The Visionary Cardiothoracic Surgeon Who Championed Affordable HealthcareCureus10.7759/cureus.70683Online publication date: 2-Oct-2024
https://doi.org/10.7759/cureus.70683
Kaushik ABarcellona CMandyam NTan STromp J(2024)Challenges and opportunities for data sharing related to Artificial Intelligence (AI) tools in healthcare in low- and middle-income countries: A systematic review and case study from Thailand. (Preprint)Journal of Medical Internet Research10.2196/58338Online publication date: 13-Mar-2024
https://doi.org/10.2196/58338
Chibuike MGrobbelaar SBotha A(2024)Overcoming Challenges for Improved Patient-Centric Care: A Scoping Review of Platform Ecosystems in HealthcareIEEE Access10.1109/ACCESS.2024.335686012(14298-14313)Online publication date: 2024
https://doi.org/10.1109/ACCESS.2024.3356860
Shrivastava SSrikanth T(2023)A Comprehensive Consent Management System for Electronic Health Records in the Healthcare EcosystemInformation Security and Privacy in Smart Devices10.4018/978-1-6684-5991-1.ch007(194-233)Online publication date: 31-Mar-2023
https://doi.org/10.4018/978-1-6684-5991-1.ch007
Kosowicz LTran KKhanh TDang TPham VTa Thi Kim HThi Bach Duong HNguyen TPhuong ALe TTa VWickramasinghe NSchofield PZelcer JPham Le TNguyen T(2023)Lessons for Vietnam on the Use of Digital Technologies to Support Patient-Centered Care in Low- and Middle-Income Countries in the Asia-Pacific Region: Scoping ReviewJournal of Medical Internet Research10.2196/4322425(e43224)Online publication date: 5-Apr-2023
https://doi.org/10.2196/43224
Narayan KVarghese JBeyh YBhattacharyya SKhandelwal SKrishnan GSiegel KThomas TKurpad A(2023)A Strategic Research Framework for Defeating Diabetes in India: A 21st-Century AgendaJournal of the Indian Institute of Science10.1007/s41745-022-00354-5103:1(33-54)Online publication date: 21-Mar-2023
https://doi.org/10.1007/s41745-022-00354-5
T K SRao GParthasarathy RRaj DMath SMehrotra STirthahalli JKumar NSudhir PJayarajan D(2021)Leveraging technology to improve quality of mental health care in KarnatakaCompanion Publication of the 13th ACM Web Science Conference 202110.1145/3462741.3466652(107-114)Online publication date: 21-Jun-2021
https://dl.acm.org/doi/10.1145/3462741.3466652
Shrivastava SSrikanth T(2021)A Dynamic Access Control Policy for Healthcare Service Delivery in Healthcare Ecosystem using Electronic Health Records2021 International Conference on COMmunication Systems & NETworkS (COMSNETS)10.1109/COMSNETS51098.2021.9352812(662-667)Online publication date: 5-Jan-2021
https://doi.org/10.1109/COMSNETS51098.2021.9352812
Tazi FDykstra JRajivan PDas S(2021)SOK: Evaluating Privacy and Security Vulnerabilities of Patients’ Data in HealthcareSocio-Technical Aspects in Security10.1007/978-3-031-10183-0_8(153-181)Online publication date: 8-Oct-2021
https://dl.acm.org/doi/10.1007/978-3-031-10183-0_8
Kask MPiho GRoss P(2021)Systematic Literature Review of Methods for Maintaining Data IntegrityAdvances in Model and Data Engineering in the Digitalization Era10.1007/978-3-030-87657-9_20(259-268)Online publication date: 7-Oct-2021
https://doi.org/10.1007/978-3-030-87657-9_20

View Options

Login options

Check if you have access through your login credentials or your institution to get full access on this article.

Full Access

Get this Publication

View options

PDF

View or Download as a PDF file.

eReader

View online with eReader.

Media

Figures

Other

Tables

View Table of Contents