Journal Articles

Using lessons from deploying national digital health systems, IDHN faculty and collaborators propose an enterprise architecture framework for national-scale IT solutions for comprehensive primary care.

We propose that traditional methods to protect patient privacy and control won’t work in the new digitized health ecosystem where data is collected, transmitted, aggregated across thousands of nodes instantaneously. We examine the merits and limitations of proposed alternatives like the fiduciary framework that imposes accountability on those that use the data; privacy by design principles that rely on technological safeguards against abuse; or regulations.

We call for the inclusion of regulatory sandboxes in the nation’s digital health ecosystem, as successfully done in the fintech sector, to provide a real-world testing environment for mHealth solutions before deploying them at scale.