Factors Influencing the Adoption of Advanced Cryptographic Techniques for Data Protection of Patient Medical Records.

OBJECTIVES: Healthcare organizations that maintain and process Electronic Medical Records are at risk of cyber-attacks, which can lead to breaches of confidentiality, financial harm, and possible interference with medical care. State-of-the-art methods in cryptography have the potential to offer improved security of medical records; nonetheless, healthcare providers may be reluctant to adopt and implement them. The objectives of this study were to assess current data management and security procedures; to identify attitudes, knowledge, perceived norms, and self-efficacy regarding the adoption of advanced cryptographic techniques; and to offer guidelines that could help policy-makers and data security professionals work together to ensure that patient data are both secure and accessible. METHODS: We conducted 12 in-depth semi-structured interviews with managers and individuals in key cybersecurity positions within Israeli healthcare organizations. The interviews assessed perceptions of the feasibility and benefits of adopting advanced cryptographic techniques for enhancing data security. Qualitative data analysis was performed using thematic network mapping. RESULTS: Key data security personnel did not perceive advanced cybersecurity technologies to be a high priority for funding or adoption within their organizations. We identified three major barriers to the adoption of advanced cryptographic technologies for information security: barriers associated with regulators; barriers associated with healthcare providers; and barriers associated with the vendors that develop cybersecurity systems. CONCLUSIONS: We suggest guidelines that may enhance patient data security within the healthcare system and reduce the risk of future data breaches by facilitating cross-sectoral collaboration within the healthcare ecosystem.

Designing a multiroute synthesis scheme in combinatorial chemistry.

Solid-phase mix-and-split combinatorial synthesis is often used to produce large arrays of compounds to be tested during the various stages of the drug development process. This method can be represented by a synthesis graph in which nodes correspond to grow operations and arcs to beads transferred among the different reaction vessels. In this work, we address the problem of designing such a graph which maximizes the number of produced target compounds (namely, compounds out of an input library of desired molecules), given constraints on the number of beads used for library synthesis and on the number of reaction vessels available for concurrent grow steps. We present a heuristic based on a discrete search for solving this problem, test our solution on several data sets, explore its behavior, and show that it achieves good performance.