This study aims to review the literature on antecedent factors of information security related to the protection of health information systems (HISs) in the healthcare organization. We classify those factors into organizational and individual aspects. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. Academic articles were sourced from five online databases (Scopus, PubMed, IEEE, ScienceDirect, and SAGE) using keywords related to information security, behavior, and healthcare facilities. The search yielded 35 studies, in which the three most frequent individual factors were self-efficacy, perceived severity, and attitudes, while the three most frequent organizational factors were management support, cues to action, and organizational culture. Individual factors for patients and medical students are still understudied, as are the organizational factors of academic healthcare facilities. More individual factors have been found to significantly influence security behavior. Previous studies have been dominated by the security compliance behavior of clinical and non-clinical hospital staff. These research gaps highlight the theoretical implications of this study. This study provides insight for managers of healthcare facilities and governments to consider individual factors in establishing information security policies and programs for improving security behavior.
Health information security (IS) breaches are increasing with the use of information technology for health care services, and a strong security culture is important for driving employees' information asset protection behavior. This study aimed to analyze differences in information security cultures (ISCs) across health care providers based on factors drawn from the ISC model. We used twelve factors to measure the ISCs of health care providers. This research applied a survey method with the Kruskal–Wallis H Test and the Mann–Whitney U Test as data analysis techniques. We collected the data through a questionnaire distributed to 470 employees of health care facilities (i.e. hospitals, community health centers, and primary care clinics) in Indonesia. The results revealed the differences between health care provider types for 9 of the 12 security culture factors. Top management support, change management, and knowledge were the differentiating factors between all types of health care providers. Organizational culture and security compliance only differed in primary care clinics. Meanwhile, security behavior, soft issues and workplace independence, information security policies, training, and awareness only differed in hospitals. The results indicated that each type of health care provider required different approaches to develop an ISC considering the above factors. They provided insight for top management to design suitable programs for cultivating ISCs in their institutions.
One of information security management elements is information security awareness program. Usually, this programs only involve the employees within the organization. Some organizations also consider security awareness for some parties outside the organization like providers, vendors, and contractors. This paper add consumers as variable to be considered in information security awareness program as there are also some threats for organization through them. Information security awareness will be measured from user's knowledge and behavior of five information security focus areas in telecommunication, especially related with smartphone users as one segment of telecommunication provider. In other researches, information security measurement from outside an organization is focused in Internet use by end-user. In telecommunication industry, information security threats for consumers not only from Internet, but also by phone call or texting. This research used CFA for data analysis method. The result showed that the indicators of knowledge dimension is not good enough to measure dimensions of knowledge where most of them are not significant. Meanwhile, behavior dimension gave different result with high significant value for measuring security awareness level. Indicators of behaviour dimension is good for measuring dimension of behaviour because only one indicator that isn't significant.
Background: The health information system (HIS) functions are getting wider with more diverse users. Information security in the health industry is crucial because it involves comprehensive and strategic information that might harm human life. The human factor is one of the biggest security threats to HIS. Objective: This study aims to investigate the information security behavior (ISB) of HIS users using a comprehensive assessment scale suited to the information security concerns in health care. Patients are increasingly being asked to submit their own data into HIS systems. As a result, this study examines the security behavior of health workers and patients, as well as their demographic variables. Methods: We used a quantitative approach using surveys of health workers and patients. We created a research instrument from 4 existing measurement scales to measure prosecurity and antisecurity behavior. We analyzed statistical differences to test the hypotheses, that is, the Kruskal-Wallis test and the Mann-Whitney test. The descriptive analysis was used to determine whether the group exhibited exemplary behavior when processing the survey results. A correlational test using the Spearman correlation coefficient was performed to establish the significance of the relationship between ISB and age as well as level of education. Results: We analyzed 421 responses from the survey. According to demographic factors, the hypotheses tested for full and partial security behavior reveal substantial differences. Education levels most significantly affect security behavior differences, followed by user type, gender, and age. The health workers’ ISB is higher than that of the patients. Women are more likely than men to engage in prosecurity actions while avoiding antisecurity behaviors. The older the HIS user, the more likely it is that they will participate in prosecurity behavior and the less probable it is that they will engage in antisecurity behavior. According to this study, differences in prosecurity behavior are mostly impacted by education level. Higher education, on the other hand, does not guarantee improved ISB for HIS users. All demographic characteristics, particularly concerning user type, show discrepancies that are caused mainly by antisecurity behavior rather than prosecurity behavior. Conclusions: Since patients engage in antisecurity behavior more frequently than health workers and may pose security risks, health care facilities should start to consider information security education for patients. More comprehensive research on ISB in health care facilities is required to better understand the patient’s perspective, which is currently understudied.
Information security has become an important thing for any organization because of information technology adoption, including for higher education institutions. Increasing the number of information security incidents in academic environment make those institutions have to implement a good information security management. However, most of them cannot do it easily because of various factors. This study has a purpose to determine factors that influence information security management in higher education institutions. Variables that related to those factors were divided into five, i.e., awareness, budget, security policy, management support and organization mission. This research used quantitative method with factor analysis technique. The population in this study were universities in Bandung, Indonesia. The sampling technique used was purposive sampling. Based on the results of the factor analysis, two factors were constructed. The first factor consists of four variables; i.e., awareness, budget, information security policy, and top management support. The second factor consists of a variable, mission organization. All the variables in the first factor (awareness, budget, information security policy, and top management support) are more significant in affecting implementation of information security management in higher education.