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Comparing security and privacy issues of EHR: Portugal, the Netherlands and the United Kingdom

Health information technologies are becoming more common in the health care practice and electronic health records are considered a keystone. However, there is also an increasing concern of keeping secure the patient's data and assure privacy. The aim of this paper was to perceive and illustrate by what means Portugal, the Netherlands and the United Kingdom intend to keep their electronic health information secure and assure patient privacy. Based in official documents collected in the health department's websites of the three selected countries, it was used an analysis model framework previously published that includes 14 topic areas of health records security policies. Analyzing 14 official documents of the subject countries, it was possible to design an illustrative table of the 14 topic areas regarding security and privacy issues. This table allows comparing the different security measures adopted by the three countries to keep the patient privacy, such as a network security and access control to system resources. Given the analysis of the official documents of the three countries, it was verified that none of them has a very thorough approach of how electronic health records should be implemented with regard to privacy and security.