Security Techniques for the Electronic Health Records
Open accessAbstract
The privacy of patients and the security of their information is the most imperative barrier to entry when considering the adoption of electronic health records in the healthcare industry. Considering current legal regulations, this review seeks to analyze and discuss prominent security techniques for healthcare organizations seeking to adopt a secure electronic health records system. Additionally, the researchers sought to establish a foundation for further research for security in the healthcare industry. The researchers utilized the Texas State University Library to gain access to three online databases: PubMed (MEDLINE), CINAHL, and ProQuest Nursing and Allied Health Source. These sources were used to conduct searches on literature concerning security of electronic health records containing several inclusion and exclusion criteria. Researchers collected and analyzed 25 journals and reviews discussing security of electronic health records, 20 of which mentioned specific security methods and techniques. The most frequently mentioned security measures and techniques are categorized into three themes: administrative, physical, and technical safeguards. The sensitive nature of the information contained within electronic health records has prompted the need for advanced security techniques that are able to put these worries at ease. It is imperative for security techniques to cover the vast threats that are present across the three pillars of healthcare.
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The identified barriers, such as data privacy concerns and technical infrastructure limitations, are consistent with those reported by Kruse et al. in their systematic review of telemedicine adoption barriers.
“The identified barriers, such as data privacy concerns and technical infrastructure limitations, are consistent with those reported by Kruse et al. [41] in their systematic review of telemedicine adoption barriers.”
From Acceptance and perceived usefulness of digital health services in the management of chronic urticaria: a survey of patients and physicians (2025) · cites this paper as [41]
The Results and Conclusions (pages unavailable) identify privacy and security concerns as barriers to electronic health record adoption. The paper reviews EHR security techniques, not telemedicine adoption barriers, and the passages do not identify technical infrastructure limitations as an adoption barrier. (LLM, conf=0.88)
Experimental — accuracy not yet measuredElectronic medical records have security of the type provided by a local LLM behind a secure firewall.
“Electronic medical records, for example, have this type of security [127].”
From The ethics of using artificial intelligence in scientific research: new guidance needed for a new tool (2025) · cites this paper as [127]
If an organization operates a local application of an LLM behind a secure firewall, its members can use the technology safely.
“For example, if an organization operates a local application of an LLM and places the technology behind a secure firewall, its members can use the technology safely.”
From The ethics of using artificial intelligence in scientific research: new guidance needed for a new tool (2025) · cites this paper as [127]
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Cites
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Flagged first, then by citations
Research works printed but not linked: 1
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“The identified barriers, such as data privacy concerns and technical infrastructure limitations, are consistent with those reported by Kruse et al. [41] in their systematic review of telemedicine adoption barriers.”
- Authors
- Kruse, C. S., Smith, B., Vanderlinden, H., & Nealand, A.
- Affiliations
- Texas State University (US)
- Corresponding author
- Kruse, Clemens Scott
- ORCID
- Kruse, Clemens Scott
- Venue
- Journal of Medical Systems
- Published
- 2017-07-21
- Volume
- 41
- Issue
- 8
- Pages
- 127-127
- ISSN
- 0148-5598 (ISSN-L)
- 1573-689X
- PMC
- PMC5522514
- OpenAlex
- W2736368095
- Cited by
- 275
- References
- 23
- Citations by year
- 2026: 31 · 2025: 30 · 2024: 62 · 2023: 37 · 2022: 38 · 2021: 25 · 2020: 15 · 2019: 23 · 2018: 13 · 2017: 1
- FWCI
- 19.39
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Medical Systems (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Texas State University
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Physical Sciences › Computer Science › Information Systems › Thoreau and American Literature
- Physical Sciences › Computer Science › Information Systems › Information and Cyber Security
- Keywords
- electronic health records, healthcare information security, patient privacy, security techniques, technical safeguards, healthcare data protection
- MeSH terms
- Confidentiality, Security Measures, Computer Security, Privacy, Electronic Health Records
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