Electronic Health Record Breaches as Social Indicators


This study presents compelling social indicators of such magnitude that they cannot be ignored. The statistical evidence shows that data breaches of electronic health records have taken place at an unprecedented scale. Currently, the number of individuals affected, as regulations of Health Insurance Portability and Accountability Act refers to us, has surpassed the half of the US population (some data is breached several times lowering the number of victims but increasing the possibility of being sold quickly). The data breaches are recorded and posted by Department of Health and Human Services.

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  1. Amante, D. J., Hogan, T. P., & Pagoto, S. L. (2015). Access to care and use of the internet to search for health information: Results from the US National Health interview survey. Journal of Medical Internet Research, 17, e106.

    Article  Google Scholar 

  2. Bilgic, Y. K., & Susmann, H. (2013). rlme: An R package for rank-based estimation and prediction in random effects nested models. The R Journal, 5(2), 71–79.

    Google Scholar 

  3. Bivand, R., & Lewin-Koh, N. (2017). Maptools: Tools for reading and handling spatial objects. R package version 0.9-2.

  4. Brennan, T. A., Leape, L. L., Laird, N. M., Hebert, L., Localio, A. R., Lawthers, A. G., et al. (1991). Incidence of adverse events and negligence in hospitalized patients: Results of the Harvard Medical Practice Study I. The New England Journal of Medicine, 324(6), 370–376.

    Article  Google Scholar 

  5. Crotty, B. H., & Mostaghimi, A. (2014). Confidentiality in the digital age. BMJ-British Medical Journal, 348, g2943.

    Article  Google Scholar 

  6. Goksuluk, D., Korkmaz, S., Zararsiz, G., & Karaagaoglu, A. E. (2016). easyROC: An interactive web-tool for roc curve analysis using R language environment. The R Journal, 8(2), 213–230.

  7. HITECH—Health Information Technology for Economic and Clinical Health Act. (2009). American Recovery and Reinvestment Act, Public Law (pp. 111–115).

  8. HHS Breach Portal. (2017). https://ocrportal.hhs.gov/ocr/breach/breach_report.jsf. Accessed May, 2017.

  9. Koczkodaj, W. W., Kakiashvili, T., Szymańska, A., Montero-Marin, J., Araya, R., Garcia-Campayo, J., et al. (2017). How to reduce the number of rating scale items without predictability loss? Scientometrics, 111(2), 581–593.

    Article  Google Scholar 

  10. Leape, L. L., Brennan, T. A., Laird, N., Lawthers, A. G., Localio, A. R., Barnes, B. A., et al. (1991). The nature of adverse events in hospitalized patients: Results of the Harvard Medical Practice Study II. The New England Journal of Medicine, 324, 377–384.

    Article  Google Scholar 

  11. Lee, P., Leung, L., Lo, V., Xiong, C., & Wu, T. (2011). Internet communication versus face-to-face interaction in quality of life. Social Indicators Research, 100(3), 375–389.

    Article  Google Scholar 

  12. Maggino, F., & Facioni, C. (2017). Measuring stability and change: Methodological issues in quality of life studies. Social Indicators Research, 130, 161–187.

    Article  Google Scholar 

  13. Nigrin, D. J. (2014). When ‘hacktivists’ target your hospital. The New England Journal of Medicine, 371, 393.

    Article  Google Scholar 

  14. O’Connor, J. (2011). Informational privacy, public health, and state laws. American Journal of Public Health, 101(1845–1850), 2011.

    Google Scholar 

  15. R Core Team. (2016). R: A language and environment for statistical computing. Vienna: R Foundation for Statistical Computing.

    Google Scholar 

  16. Senol-Durak, E., & Durak, M. (2011). The mediator roles of life satisfaction and self-esteem between the active components of psychological well-being and the cognitive symptoms of problematic internet use. Social Indicators Research, 103(1), 23–32.

    Article  Google Scholar 

  17. UIC Health Informatics. (2017). Why data security is the biggest concern of health care. https://healthinformatics.uic.edu/resources/articles/why-data-security-is-the-biggest-concern-of-health-care/.

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We thank Grant O. Duncan, Team Lead, Business Intelligence, Integration and Development, Health Sciences North, (Sudbury, Ontario, Canada) and Martha O’Kennon from Albion College for reading the first draft.

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Correspondence to Waldemar W. Koczkodaj.

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Koczkodaj, W.W., Mazurek, M., Strzałka, D. et al. Electronic Health Record Breaches as Social Indicators. Soc Indic Res 141, 861–871 (2019). https://doi.org/10.1007/s11205-018-1837-z

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  • Security breach
  • Office for Civil Rights
  • Department of Health and Human Services