Using the internet to access confidential patient records: a case study

Summary points As an alternative to NHSnet, the internet can be used to access patients' medical records Patient confidentiality is ensured by using strong encryption and trusted third parties, these are stronger methods than those used within NHSnet The encryption and strong authentication hav...

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Bibliographic Details
Published in:BMJ 2000-09, Vol.321 (7261), p.612-614
Main Authors: Chadwick, D W, Crook, P J, Young, A J, McDowell, D M, Dornan, T L, New, J P
Format: Article
Language:English
Subjects:
Biological and medical sciences
Case studies
Chronic illnesses
Computer Security
Computer software
Confidentiality
Data encryption
Diabetes
Diabetes. Impaired glucose tolerance
Disease management
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Humans
Information dissemination
Information In Practice
Information storage and retrieval systems
Information systems
Internet
Intranets
Management. Various non-drug treatments. Langerhans islet grafts
Medical Record Linkage
Medical records
Medical Records Systems, Computerized
Medical sciences
Network security
Organizational Case Studies
Patient confidentiality
State Medicine - organization & administration
United Kingdom
User authentication
Web servers
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Summary:Summary points As an alternative to NHSnet, the internet can be used to access patients' medical records Patient confidentiality is ensured by using strong encryption and trusted third parties, these are stronger methods than those used within NHSnet The encryption and strong authentication have been integrated into current browsers (such as Internet Explorer), producing an interface that is familiar to most people Improved access to patients' data should improve healthcare delivery Problem Description Solution User authentication How does the hospital system know that a remote user's identity is genuine? [...]passwords that are not encrypted cannot be used for reliable authentication across the internet.
ISSN:0959-8138
0959-8146
1468-5833
1756-1833
DOI:10.1136/bmj.321.7261.612