Evidence map›Paper›PMID 41270269›Full record

ArticleJMIR medical informatics2025

The State of Practice About Security in Telemedicine Systems in Chile: Exploratory Study.

Gaston Marquez, Michelle Pacheco, Priscilla Vergara, Felix Liberona, May Chomalí, Eric Rojas

Abstract read
In one paragraph

Article in JMIR medical informatics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Gaston Marquez *Departamento de Ciencias de la Computación y Tecnologías de la Información, Universidad del Bío-Bío, Av. Andrés Bello 720, Chillán, 3780000, Chile, 56 422463324.ORCID 0000-0003-0167-5969
Michelle Pacheco *Transferencia Gestión Colaborativa en Salud Pública (Polo de Salud) para la región de Ñuble, Chillán, Chile.ORCID 0009-0006-9117-359X
Priscilla Vergara *Centro Nacional de Sistemas de Información en Salud (CENS), Santiago, Chile.ORCID 0009-0009-7080-6871
Felix Liberona *Centro Nacional de Sistemas de Información en Salud (CENS), Santiago, Chile.ORCID 0000-0001-9590-3613
May Chomalí *Centro Nacional de Sistemas de Información en Salud (CENS), Santiago, Chile.ORCID 0000-0002-3921-1126
Eric Rojas *Centro Nacional de Sistemas de Información en Salud (CENS), Santiago, Chile.ORCID 0000-0002-2570-1861

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Information security within telemedicine systems is essential to advancing the digital transformation of health care. Telemedicine encompasses diverse modalities, including teleconsultation, telehealth, and remote patient monitoring, all of which depend on digital platforms, secured communication networks, and internet-connected devices. Although these systems have progressed in aligning with information security standards and regulations, there remains a shortage of comprehensive, practice-oriented studies evaluating which aspects of security are effectively addressed and which remain insufficiently managed, particularly within the Chilean context. Objective: This study aims to examine how effectively telemedicine systems in Chile address the core security attributes of confidentiality, availability, and integrity. Methods: Data were analyzed from an evaluation tool designed to assess the quality of telemedicine systems in Chile. Over a 6-year period, 25 telemedicine systems from different providers were assessed, and an in-depth examination of how companies manage key information security subcharacteristics within their systems was undertaken. Results: The findings indicate that 52% (n=13) of telemedicine systems optimally implement cryptographic techniques to protect confidentiality. In contrast, 44% (n=11) lack robust strategies for adapting to, recovering from, and mitigating security-related incidents. Fault tolerance mechanisms are frequently integrated to minimize service disruption caused by system failures. However, the prioritization of data integrity varies: while some companies treat it as a critical requirement, others assign it limited importance. Conclusions: This study offers an understanding of the security priorities and practices adopted by telemedicine providers. It highlights a prevailing tendency to prioritize security measures over usability, underscoring the need for a balanced approach that safeguards patient information while supporting efficient clinical workflows.

Indexed as

Computer SecurityConfidentialityTelemedicineChileHumansassessmentqualitysecuritytelemedicine systemsusability

Identifiers

PMID41270269
PMCPMC12638033

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.