Characterizing cyber harms from digital health. Comment from Eric Perakslis, GoldsackJen and meganranney, as part of our series on Rethinking Evidence in Medicine.
. The primary categories of this proposed model therefore include harms in the physical/digital, economic, psychological, reputational and societal domains.The second step in the framework is to codify the potential harms that can result from these digital health vulnerabilities. Codifying harms from technologies can be difficult and complex, and should not be read as a blanket condemnation of digital health.
Cyber harm can have major economic ramifications, such as the criminal diversion of improper Medicare payments, estimated to have cost $28 billion in the United States in 2019 alone, and cyberattacks such as those against Boston Children’s Hospital in 2014 and the WannaCry ransomware attack, which crippled healthcare infrastructure.
Not all digital health cyber harms are caused by criminal actors. Patients can experience mental and psychological harm if their diagnoses are inadvertently revealed by digital health companies or seen on digital devices by friends, family or third parties.
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