Evidence map›Paper›PMID 41886732›Full record

ArticlePLOS digital health2026

Safeguarding patient privacy in eHealth systems: Bridging theory and practice through a scoping review and healthcare survey.

Michael Winter, Robin Kraft, Celine Belas, Manfred Reichert, Maximilian Ertl, Rüdiger Pryss

Abstract read
In one paragraph

Article in PLOS digital health, 2026. 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.

Michael WinterInstitute for Clinical Epidemiology and Biometry, University of Würzburg, Würzburg, Germany.ORCID https://orcid.org/0000-0003-2561-7923
Robin KraftInstitute for Clinical Epidemiology and Biometry, University of Würzburg, Würzburg, Germany.ORCID https://orcid.org/0000-0003-0657-3232
Celine BelasInstitute of Databases and Information Systems, Ulm University, Ulm, Germany.
Manfred ReichertInstitute of Databases and Information Systems, Ulm University, Ulm, Germany.
Maximilian ErtlService Center Medical Informatics, University Hospital Würzburg, Würzburg, Germany.ORCID https://orcid.org/0000-0002-1290-9444
Rüdiger PryssInstitute for Clinical Epidemiology and Biometry, University of Würzburg, Würzburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The integration of eHealth technologies in hospitals has transformed patient care while raising privacy concerns. To address the latter, this paper combines a scoping review with a survey of healthcare professionals to examine both theoretical and practical aspects of privacy in hospital eHealth systems. Publications from 2021 to June 2024 focusing on privacy in hospital eHealth systems were reviewed. Literature was retrieved from PubMed, IEEE Xplore, ACM Digital Library, and Web of Science, resulting in 1,556 initial records. Additionally, 122 healthcare professionals from Swiss and German hospital networks were surveyed using purposive and convenience sampling regarding their perceptions of privacy measures and implementation challenges. From 434 included studies, 339 focused on technical measures, 40 on organizational processes, 29 on patient perspectives and ethical considerations, and 26 on legal and regulatory aspects. Key technical advancements included blockchain and AI. The survey revealed that participants primarily associated privacy with confidentiality of patient data and protection against unauthorized access. Most identified insufficient training, lack of standardization, and inadequate existing measures as key implementation challenges, thus highlighting gaps between theoretical privacy concepts and practical implementation in healthcare settings. While technical solutions dominate the literature, the survey emphasizes the importance of staff perspectives, particularly regarding confidentiality, access controls, training, and standardization. An integrated framework addressing technical, organizational, and workflow-specific privacy measures is proposed to bridge the theory-practice gap. Future eHealth privacy frameworks should balance technological innovation with practical implementation considerations that incorporate healthcare professionals' insights to effectively safeguard patient data.

Identifiers

PMID41886732
PMCPMC13021168

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.