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Characterizing cyber harms from digital health

The expansion of digital health comes with benefits, but also potential harms, including those to economic, psychological and societal wellbeing. This article presents a framework to characterize cyber harms so that they can be prevented and mitigated.

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References

  1. Healthcare Breach Report 2021: Hacking and IT Incidents on the Rise (Bitglass, 2021); https://pages.bitglass.com/rs/418-ZAL-815/images/CDFY21Q1HealthcareBreachReport2021.pdf

  2. Levine, A. S. Politico https://www.politico.com/news/2022/01/28/suicide-hotline-silicon-valley-privacy-debates-00002617 (2022).

  3. Sharp, T., Shreve-Neiger, A., Fremouw, W., Kane, J. & Hutton, S. J. Forensic Sci. 49, 131–136 (2004).

    Article  PubMed  Google Scholar 

  4. Scroxton, A. ComputerWeekly.com https://www.computerweekly.com/news/252492575/Use-of-abusive-stalkerware-against-women-skyrocketed-in-2020 (2020).

  5. Wadhwa, S., Gupta, A., Dokania, S., Kanji, R. & Bagler, G. PLOS One 13, e0193959 (2020).

    Article  Google Scholar 

  6. Agrafiotis, I., Nurse, J. R. C., Goldsmith, M., Creese, S. & Upton, D. J. Cybersecurity 4, tyy006 (2018).

    Article  Google Scholar 

  7. US Centers for Disease Control. Measures of Risk (CDC, 2012); https://www.cdc.gov/csels/dsepd/ss1978/lesson3/section2.html

  8. Thornton, R. L. J. et al. Health Aff. 35, 1416–1423 (2019).

    Article  Google Scholar 

  9. Yao, K. & Ranney, M. L. CNN.org https://www.cnn.com/2022/06/16/opinions/period-trackers-app-roe-abortion-ranney-yao (2022).

  10. Messerly, M. Politico.com https://www.politico.com/news/2022/06/24/abortion-laws-by-state-roe-v-wade-00037695 (2022).

  11. Agency for Toxic Substances and Disease Registry (ATSDR), CDC. Social Vulnerability Index (2022); https://www.atsdr.cdc.gov/placeandhealth/svi/index.html

  12. US Centers for Medicare & Medicaid Service. 2019 Estimated Improper Payment Rates for Centers for Medicare & Medicaid Services (CMS) Programs (2019); https://www.cms.gov/newsroom/fact-sheets/2019-estimated-improper-payment-rates-centers-medicare-medicaid-services-cms-programs

  13. Hamideh, D. & Nebeker, C. Curr. Addict. Rep. 7, 317–332 (2020).

    Article  Google Scholar 

  14. Grundy, Q. et al. BMJ 364, l920 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  15. Schaffer, A., Marks, J. & Knowles, H. P. Washington Post https://www.washingtonpost.com/nation/2021/12/01/los-angeles-planned-parenthood-hack/ (2021).

  16. Whitney, L. 2020 sees huge increase in records exposed in data breaches. TechRepublic https://www.techrepublic.com/article/2020-sees-huge-increase-in-records-exposed-in-data-breaches/ (2021).

  17. Skiba, K. Pandemic proves to be fertile ground for identity thieves. AARP (2021); https://www.aarp.org/money/scams-fraud/info-2021/ftc-fraud-report-identity-theft-pandemic.html

  18. Guynn, J. USA Today https://www.usatoday.com/story/tech/conferences/2020/02/21/data-breach-tips-mental-health-toll-depression-anxiety/4763823002/ (2020).

  19. Kelley, T. F. J. Media Eth. 37, 141–150 (2022).

    Google Scholar 

  20. Grant, K. CNBC.com https://www.cnbc.com/2019/01/07/how-identity-theft-causes-problems-at-work.html (2019).

  21. US Department of Health and Human Services. Covered Entities and Business Associates (HHS, 2017); https://www.hhs.gov/hipaa/for-p.rofessionals/covered-entities/index.html

  22. Seals, T. Women, minorities are hacked more than others. Threatpost.com (2021); https://threatpost.com/women-minorities-hacked/175038/

  23. Perakslis, E. & Stanley, M. Digital Health: Understanding the Benefit-Risk Patient-Provider Framework (Oxford Univ. Press, 2021).

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Correspondence to Megan L. Ranney.

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Perakslis, E.D., Ranney, M.L. & Goldsack, J.C. Characterizing cyber harms from digital health. Nat Med 29, 528–531 (2023). https://doi.org/10.1038/s41591-022-02167-6

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