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Åhlfeldt, Rose-MharieORCID iD iconorcid.org/0000-0002-8607-948X
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Publications (10 of 65) Show all publications
Rexhepi, H., Åhlfeldt, R.-M., Cajander, Å. & Huvila, I. (2018). Cancer Patients’ Attitudes and Experiences of Online Access to their Electronic Medical Records: A Qualitative Study. Health Informatics Journal, 24(2), 115-124
Open this publication in new window or tab >>Cancer Patients’ Attitudes and Experiences of Online Access to their Electronic Medical Records: A Qualitative Study
2018 (English)In: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 24, no 2, p. 115-124Article in journal (Refereed) Published
Abstract [en]

Patients’ access to their online medical records serves as one of the cornerstones in the efforts to increase patient engagement and improve healthcare outcomes. The aim of this paper is to provide in-depth understanding of cancer patients’ attitudes and experiences of online medical records, as well as an increased understanding of the complexities of developing and launching e-Health services. The study result confirms that online access can help patients prepare for doctor visits and to understand their medical issues. In contrast to the fears of many physicians the study shows that online access to medical records did not generate substantial anxiety, concerns or increased phone calls to the hospital

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
Electronic medical records, medical information, patient access, patient empowerment
National Category
Information Systems, Social aspects
Research subject
Humanities and Social sciences; Information Systems
Identifiers
urn:nbn:se:his:diva-12806 (URN)10.1177/1460458216658778 (DOI)000432068300001 ()27440056 (PubMedID)2-s2.0-85046829118 (Scopus ID)
Available from: 2016-08-22 Created: 2016-08-22 Last updated: 2019-01-22Bibliographically approved
Åhlfeldt, R.-M., Nohlberg, M., Söderström, E., Lennerholt, C. & van Laere, J. (2018). Current Situation Analysis of Information Security Level in Municipalities. Journal of Information System Security, 14(1), 3-19
Open this publication in new window or tab >>Current Situation Analysis of Information Security Level in Municipalities
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2018 (English)In: Journal of Information System Security, ISSN 1551-0123, E-ISSN 1551-0808, Vol. 14, no 1, p. 3-19Article in journal (Refereed) Published
Abstract [en]

Municipalities manage a significant part of society's services, and hence they also handle a vast amount of information. A municipality's activities include managing a significant part of society's services, and municipalities’ supply and management of information are, therefore, critical for society in general, and also for achieving the municipalities’ own operational goals. However, research shows weaknesses in the municipalities' work on information security, and there is a need to study and identify the current level of security.

This paper presents the result from a GAP analysis mapping the current situation of Swedish municipalities' for systematic information security work, based on the demands made on municipalities from both research and social perspectives. The result shows that the information security level regarding the systematic security work is generally low, and that there is a need to implement adapted tools for Information Security Management Systems in order to support municipalities.

Keywords
Information Security, Information Security Management Systems, Municipality
National Category
Computer and Information Sciences
Research subject
Information Systems
Identifiers
urn:nbn:se:his:diva-16354 (URN)
Available from: 2018-11-02 Created: 2018-11-02 Last updated: 2019-02-08Bibliographically approved
Iwaya, L., Fischer-Hübner, S., Åhlfeldt, R.-M. & Martucci, L. (2018). mHealth: A privacy threat analysis for public health surveillance systems. In: B Kane, J Hollmen, C McGregor, P Soda (Ed.), 2018 IEEE 31st International Symposium on Computer-Based Medical Systems (CBMS), (2018): . Paper presented at 31st IEEE International Symposium on Computer-Based Medical Systems, CBMS 2018; Karlstad; Sweden; 18 June 2018 through 21 June 2018 (pp. 42-47). IEEE
Open this publication in new window or tab >>mHealth: A privacy threat analysis for public health surveillance systems
2018 (English)In: 2018 IEEE 31st International Symposium on Computer-Based Medical Systems (CBMS), (2018) / [ed] B Kane, J Hollmen, C McGregor, P Soda, IEEE , 2018, p. 42-47Conference paper, Published paper (Refereed)
Abstract [en]

Community Health Workers (CHWs) have been usingMobile Health Data Collection Systems (MDCSs) for supportingthe delivery of primary healthcare and carrying out public healthsurveys, feeding national-level databases with families’ personaldata. Such systems are used for public surveillance and to managesensitive data (i.e., health data), so addressing the privacy issuesis crucial for successfully deploying MDCSs. In this paper wepresent a comprehensive privacy threat analysis for MDCSs,discuss the privacy challenges and provide recommendationsthat are specially useful to health managers and developers. Weground our analysis on a large-scale MDCS used for primarycare (GeoHealth) and a well-known Privacy Impact Assessment(PIA) methodology. The threat analysis is based on a compilationof relevant privacy threats from the literature as well as brainstormingsessions with privacy and security experts. Among themain findings, we observe that existing MDCSs do not employadequate controls for achieving transparency and interveinability.Thus, threatening fundamental privacy principles regarded asdata quality, right to access and right to object. Furthermore, itis noticeable that although there has been significant research todeal with data security issues, the attention with privacy in itsmultiple dimensions is prominently lacking.

Place, publisher, year, edition, pages
IEEE, 2018
Series
IEEE Symposium on Computer-Based Medical Systems, ISSN 1063-7125, E-ISSN 2372-9198
Keywords
mHealth, privac, data protection, threat analysis, mHealth data collection system, public healthcare
National Category
Computer and Information Sciences
Research subject
INF303 Information Security; Information Systems
Identifiers
urn:nbn:se:his:diva-16431 (URN)10.1109/CBMS.2018.00015 (DOI)2-s2.0-85050971478 (Scopus ID)978-1-5386-6061-4 (ISBN)
Conference
31st IEEE International Symposium on Computer-Based Medical Systems, CBMS 2018; Karlstad; Sweden; 18 June 2018 through 21 June 2018
Available from: 2018-11-24 Created: 2018-11-24 Last updated: 2019-02-08Bibliographically approved
Hägglund, M., Moll, J., Åhlfeldt, R.-M. & Scandurra, I. (2018). Timing It Right: Patients' Online Access to Their Record Notes in Sweden. In: Adrien Ugon, Daniel Karlsson, Gunnar O. Klein, Anne Moen (Ed.), Building Continents of Knowledge in Oceans of Data: The Future of Co-Created eHealth. Proceedings of MIE2018. Paper presented at Medical Informatics Europe, MIE2018, Gothenburg, Sweden, April 24-26, 2018 (pp. 336-340). IOS Press, 247
Open this publication in new window or tab >>Timing It Right: Patients' Online Access to Their Record Notes in Sweden
2018 (English)In: Building Continents of Knowledge in Oceans of Data: The Future of Co-Created eHealth. Proceedings of MIE2018 / [ed] Adrien Ugon, Daniel Karlsson, Gunnar O. Klein, Anne Moen, IOS Press, 2018, Vol. 247, p. 336-340Conference paper, Published paper (Refereed)
Abstract [en]

In Sweden, and internationally, there is an ongoing debate about the effects of national implementations of Patient Accessible Electronic Health Records (PAEHRs). The purpose of this paper was to describe the current situation in Sweden and compare this with the expectations on reasonable waiting time for information access of users of the Swedish PAEHR. Data were collected from publicly available resources regarding current implementation in the 21 county councils, contrasted with patient experiences, gathered from a national online survey. The results indicate that patients have high expectations on immediate access to information, while this varies greatly in implementation across Sweden.

Place, publisher, year, edition, pages
IOS Press, 2018
Series
Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365
Keywords
Patient portals, Electronic health records, Health Information Exchange, Patient Accessible EHR
National Category
Information Systems
Research subject
Information Systems
Identifiers
urn:nbn:se:his:diva-15113 (URN)10.3233/978-1-61499-852-5-336 (DOI)2-s2.0-85046538091 (Scopus ID)978-1-61499-851-8 (ISBN)978-1-61499-852-5 (ISBN)
Conference
Medical Informatics Europe, MIE2018, Gothenburg, Sweden, April 24-26, 2018
Available from: 2018-05-02 Created: 2018-05-02 Last updated: 2018-09-03
Åhlfeldt, R.-M., Nohlberg, M. & Söderstöm, E. (2017). Länsstyrelsernas förutsättningar att stödja kommuner gällande informationssäkerhet. Stockholm: Myndigheten för samhällsskydd och beredskap
Open this publication in new window or tab >>Länsstyrelsernas förutsättningar att stödja kommuner gällande informationssäkerhet
2017 (Swedish)Report (Other academic)
Abstract [sv]

En studie har genomförts av Högskolan i Skövde på uppdrag av Myndigheten för Samhällsskydd och beredskap (MSB) med syfte att kartlägga länsstyrelsernas faktiska möjligheter att samordna och stödja kommunernas arbete avseende informationssäkerhet. Arbetet har även inkluderat hur länsstyrelserna arbetar med att samordna och stödja kommunernas arbete avseende informationssäkerhet. Kartläggningen genomfördes hos sju utvalda länsstyrelser under perioden oktober 2016 till januari 2017 genom intervjuer av representanter från varje länsstyrelse.

Resultatet visar att länsstyrelserna behöver ett tydligt uppdrag med tillhörande mandat och resurser för att ha förutsättningar att kunna samordna och stödja kommunerna i deras informationssäkerhetsarbete. Detta anser de involverade länsstyrelserna saknas i nuläget. Dessutom visar resultatet på att det finns omfattande kompetensbrist inom informationssäkerhetsområdet. Kompetensbristen finns såväl i det interna arbetet som i det externa arbetet ut mot kommunerna, allt från ledningsnivå till operativ nivå. Det finns även behov av tydligare roller både strategiskt och operativt för att sätta igång arbetet och möjliggöra en tydligare överblick. Detta behövs för att ge förutsättningar till länsstyrelserna för att kunna samordna och stödja länsstyrelserna i informationssäkerhetsarbetet relaterat till kris och höjd beredskap men även för att erhålla en strategisk helhetssyn på informationssäkerhetsarbetet utifrån ett samhällsperspektiv.

Place, publisher, year, edition, pages
Stockholm: Myndigheten för samhällsskydd och beredskap, 2017. p. 29
Keywords
informationssäkerhet, krisberedskap
National Category
Information Systems
Research subject
Information Systems
Identifiers
urn:nbn:se:his:diva-13655 (URN)978-91-7383-729-3 (ISBN)
Projects
LISAK - Länsstyrelsernas förutsättningar att stödja kommuner gällande informationssäkerhet
Funder
Swedish Civil Contingencies Agency
Available from: 2017-06-08 Created: 2017-06-08 Last updated: 2018-01-13Bibliographically approved
Bergström, E., Åhlfeldt, R.-M. & Anteryd, F. (2016). Informationsklassificering och säkerhetsåtgärder. Skövde
Open this publication in new window or tab >>Informationsklassificering och säkerhetsåtgärder
2016 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Skövde: , 2016. p. 34
Series
IKI Technical Reports ; HS‐IIT‐TR‐16‐002
Keywords
information security, information classification, information security management
National Category
Information Systems
Research subject
Humanities and Social sciences; Technology; Information Systems
Identifiers
urn:nbn:se:his:diva-12100 (URN)
Funder
Swedish Civil Contingencies Agency
Available from: 2016-04-05 Created: 2016-04-05 Last updated: 2019-01-22Bibliographically approved
Söderström, E., Eriksson, N. & Åhlfeldt, R.-M. (2016). Managing healthcare information: analyzing trust. International Journal of Health Care Quality Assurance, 29(7), 786-800
Open this publication in new window or tab >>Managing healthcare information: analyzing trust
2016 (English)In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 29, no 7, p. 786-800Article in journal (Refereed) Published
Abstract [en]

Purpose– The purpose of this paper is to analyze two case studies with a trust matrix tool, to identify trust issues related to electronic health records. Design/methodology/approach– A qualitative research approach is applied using two case studies. The data analysis of these studies generated a problem list, which was mapped to a trust matrix. Findings– Results demonstrate flaws in current practices and point to achieving balance between organizational, person and technology trust perspectives. The analysis revealed three challenge areas, to: achieve higher trust in patient-focussed healthcare; improve communication between patients and healthcare professionals; and establish clear terminology. By taking trust into account, a more holistic perspective on healthcare can be achieved, where trust can be obtained and optimized. Research limitations/implications– A trust matrix is tested and shown to identify trust problems on different levels and relating to trusting beliefs. Future research should elaborate and more fully address issues within three identified challenge areas. Practical implications– The trust matrix’s usefulness as a tool for organizations to analyze trust problems and issues is demonstrated. Originality/value– Healthcare trust issues are captured to a greater extent and from previously unchartered perspectives.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2016
Keywords
Medical records, Trust, Health and safety, Public health service, Patient safety, Electronic healthcare records, Trust matrix
National Category
Information Systems, Social aspects
Research subject
Technology; Information Systems; Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-12859 (URN)10.1108/IJHCQA-11-2015-0136 (DOI)000382484800007 ()27477934 (PubMedID)2-s2.0-84980322429 (Scopus ID)
Available from: 2016-09-01 Created: 2016-09-01 Last updated: 2019-01-22Bibliographically approved
Åhlfeldt, R.-M., Söderstöm, E., Nohlberg, M., Lennerholt, C. & van Laere, J. (2016). Metod och kartläggning av informationssäkerhet för kommuner i Västra Götaland.
Open this publication in new window or tab >>Metod och kartläggning av informationssäkerhet för kommuner i Västra Götaland
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2016 (Swedish)Report (Other (popular science, discussion, etc.))
Abstract [sv]

Information är ett viktigt arbetsverktyg för alla typer av verksamheter, inklusive kommunalverksamhet. Kommuner hanterar en betydande del av samhällets tjänster varför kommunensinformationsförsörjning blir en kritisk del för samhällets informationssäkerhet. En säkerinformationshantering är en verksamhetsfråga och omfattar därför hela kommunens verksamhet.Utredningar visar dock på brister hos kommunernas arbete med informationssäkerhet och det finnsett behov av att se över detta arbete och identifiera nuvarande säkerhetsnivå.Högskolan i Skövde och forskargruppen i Informationssystem fick i uppdrag av VästKom ochSkaraborgs femton kommuner att dels utveckla metoden för genomförande av en Gap-analys medutgångspunkt från det nationella metodstödet som finns på informationssäkerhet.se, dels praktisktgenomföra en Gap-analys utifrån metodutvecklingen i Skaraborgs femton kommuner. I arbetet medmetodutvecklingen ingick aktiviteterna att 1) uppdatera checklistan i Gap-analysen till ny version, 2)kommunanpassa vilka åtgärder som anses kritiska för en kommun samt anpassa de roller som ingår ianalysen till kommunal kontext, 3) utveckla ett förenklat IT-verktyg som stöd för analysarbetet.Projektet varade mellan april 2015 och januari 2016. Metodutvecklingen samt planering förkartläggningen hos kommunerna genomfördes under våren och själva kartläggningen genomfördesunder första delen av hösten. Analysarbetet och sammanställning av resultat har sedan pågått underresterande del av 2015 och presenterats och slutrapporterats under januari månad 2016.Resultatet av metodutvecklingen har genererat dels en uppdaterat checklista för genomförande aven Gap-analys där kritiska åtgärder för kommunerna har identifierats. Dessutom har enrollförteckning anpassad för kommunal kontext upprättats. Ett förenklat IT-verktyg har ocksåutformats mest i syfte att visa på vilka krav på design och övriga förbättringar som behövs för att fåett effektivt och användbart IT-stöd vid genomförande av en Gap-analys.Resultatet av kartläggningen i Skaraborgs femton kommuner visar generellt på att kommunerna harbrister vad gäller det systematiska informationssäkerhetsarbetet. Främst handlar bristerna om attfundamentet för ett systematiskt informationssäkerhetsarbete saknas i de flesta kommunerna, d v s.styrdokument, organisation och ansvar kring informationssäkerhetsarbetet brister. Dessutom visarkartläggningen på stort behov av ökad kompetens inom informationssäkerhetsområdet.Fortsatt arbete i form av samverkan mellan kommunerna i Västra Götaland ses som enframgångsfaktor. Det är unikt att ha gjort denna form av gemensamt arbete och därför finnspotential för att fortsätta arbetet med att införa ett systematiskt informationssäkerhetsarbete ikommunerna och då främst genom att samarbeta kring aktiviteter i ett införande av ettledningssystem för informationssäkerhet

Publisher
p. 36
Series
IKI Technical Reports ; HS-IIT-TR-16-001
National Category
Information Systems
Research subject
Technology; Information Systems
Identifiers
urn:nbn:se:his:diva-12106 (URN)
Projects
KLISTER
Available from: 2016-04-06 Created: 2016-04-06 Last updated: 2019-01-22Bibliographically approved
Huvila, I., Daniels, M., Cajander, Å. & Åhlfeldt, R.-M. (2016). Patients reading their medical records: Differences in experiences and attitudes between regular and inexperienced readers. Information research, 21(1), Article ID 706.
Open this publication in new window or tab >>Patients reading their medical records: Differences in experiences and attitudes between regular and inexperienced readers
2016 (English)In: Information research, ISSN 1368-1613, E-ISSN 1368-1613, Vol. 21, no 1, article id 706Article in journal (Refereed) Published
Abstract [en]

Introduction. We report results of a study of how ordering and reading of printouts of medical records by regular and inexperienced readers relate to how the records are used, to the health information practices of patients, and to their expectations of the usefulness of new e-Health services and online access to medical records. Method. The study is based on a combined postal- and Web-survey of a simple random sample of 1000 patients who ordered a paper copy of their medical records from the Uppsala county council (Sweden) with a final analysed sample of 354 returned questionnaires. Analysis. The data were analysed using SPSS 21.0 using descriptive statistics, one-way analysis of variation (ANOVA) using Tamhane’s T2 test, chi-squared tests and logistic regression analysis. Results. The analysis shows that individuals who had ordered a copy of their medical records in the past perceive their usefulness in broader terms than first-timers. The regular readers are also most concerned about their health and the quality of care. Conclusions. It seems that in addition to certain demographic factors, many of the variations in the data can be explained in terms of adaptive structuration theory. This is a result of a parallel structuration of patients, medical records and the paper-based and online technologies of access, and consequently how patients perceive records and the different methods of accessing and using them.

National Category
Human Computer Interaction
Research subject
Technology; Information Systems
Identifiers
urn:nbn:se:his:diva-12254 (URN)000386350500015 ()2-s2.0-85000785452 (Scopus ID)
Projects
DOME
Available from: 2016-05-16 Created: 2016-05-16 Last updated: 2019-01-22Bibliographically approved
Åhlfeldt, R.-M., Persson, A., Rexhepi, H. & Wåhlander, K. (2016). Supporting Active Patient and Health Care Collaboration: A Prototype for Future Health Care Information Systems. Health Informatics Journal, 22(4), 839-853
Open this publication in new window or tab >>Supporting Active Patient and Health Care Collaboration: A Prototype for Future Health Care Information Systems
2016 (English)In: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 22, no 4, p. 839-853Article in journal (Refereed) Published
Abstract [en]

This article presents and illustrates the main features of a proposed process-oriented approach for patient information distribution in future health care information systems, by using a prototype of a process support system. The development of the prototype was based on the Visuera method, which includes five defined steps. The results indicate that a visualized prototype is a suitable tool for illustrating both the opportunities and constraints of future ideas and solutions in e-Health. The main challenges for developing and implementing a fully functional process support system concern both technical and organizational/management aspects.

Place, publisher, year, edition, pages
Sage Publications, 2016
Keywords
e-health services, patient centred care, process oriented approach, process support systems, prototype development
National Category
Information Systems
Research subject
Technology; Information Systems
Identifiers
urn:nbn:se:his:diva-11377 (URN)10.1177/1460458215590862 (DOI)000389055600005 ()26261220 (PubMedID)2-s2.0-84995777290 (Scopus ID)
Projects
Vårdens framtida informationsssystem
Available from: 2015-08-19 Created: 2015-08-19 Last updated: 2019-01-23Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8607-948X

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