{"id":8242,"date":"2020-08-10T12:20:24","date_gmt":"2020-08-10T16:20:24","guid":{"rendered":"http:\/\/localhost:10028\/uncategorized\/telehealth-tools-and-privacy-concerns\/"},"modified":"2020-08-10T12:20:24","modified_gmt":"2020-08-10T16:20:24","slug":"telesaglik-araclari-ve-gizlilik-endiseleri","status":"publish","type":"post","link":"https:\/\/napolilaw.lemonadestand.org\/tr\/article\/telesaglik-araclari-ve-gizlilik-endiseleri\/","title":{"rendered":"Telesa\u011fl\u0131k Ara\u00e7lar\u0131 ve Gizlilik Endi\u015feleri"},"content":{"rendered":"<p>Telesa\u011fl\u0131k veya t\u0131bbi hizmetlerin elektronik cihazlar arac\u0131l\u0131\u011f\u0131yla uzaktan sunulmas\u0131 ve kullan\u0131lmas\u0131 yeni bir \u015fey de\u011fil. Ancak COVID-19 koronavir\u00fcs\u00fcn\u00fcn neden oldu\u011fu k\u00fcresel salg\u0131n ve teknolojik geli\u015fmeler nedeniyle tele sa\u011fl\u0131k uygulamalar\u0131 giderek daha pop\u00fcler hale geliyor.<\/p>\n<p>Sanal t\u0131bbi hizmetler olabilir<u><a href=\"https:\/\/www.ajmc.com\/contributor\/john-rehm\/2016\/12\/telemedicine-the-cost-effective-future-of-healthcare\" target=\"_blank\" rel=\"noopener\"> kullan\u0131\u015fl\u0131 ve uygun maliyetli<\/a><\/u>. Ancak g\u00fcvenlik endi\u015feleri de dahil olmak \u00fczere potansiyel sorunlar da olu\u015fturabilirler mi?<\/p>\n<h2>Tele sa\u011fl\u0131k ve cihazlar insanlar\u0131n mahremiyetini nas\u0131l tehlikeye atabilir?<\/h2>\n<p>Pandeminin evde kalma uyar\u0131lar\u0131 ve sosyal mesafe \u00f6nerileri nedeniyle, gazetecilerin ve deneklerinin evlerinden yay\u0131n yapt\u0131\u011f\u0131n\u0131 g\u00f6r\u00fcyoruz. Ayr\u0131ca bu yay\u0131nlarda gazetecilerin ve deneklerin sevdiklerini ve evcil hayvanlar\u0131n\u0131 - ve ev dekorlar\u0131n\u0131 - g\u00f6r\u00fcyoruz.<\/p>\n<p>Bu g\u00f6r\u00fc\u015fler merak uyand\u0131r\u0131yor ve uyand\u0131r\u0131yor ama ayn\u0131 zamanda endi\u015feleri de art\u0131r\u0131yor. Pek \u00e7ok ki\u015fi, \u00e7al\u0131\u015fmak, okula gitmek, sosyalle\u015fmek veya sa\u011fl\u0131k uzmanlar\u0131n\u0131 ziyaret etmek i\u00e7in video ve ses g\u00f6r\u00fcnt\u00fclerini g\u00f6ndermek i\u00e7in Zoom gibi \u00e7evrimi\u00e7i platform hizmetlerini kullan\u0131yor.<\/p>\n<p>Bu \u00e7evrimi\u00e7i bulu\u015fmalara kat\u0131lmak i\u00e7in insanlar birbirleriyle ba\u011flant\u0131lar payla\u015f\u0131r. Ayn\u0131 zamanda bu toplant\u0131lar istenmeyen ziyaret\u00e7ilerden de nasibini alm\u0131\u015ft\u0131r.<\/p>\n<p>Bilgisayar korsanlar\u0131 adlar\u0131, e-posta adreslerini, parolalar\u0131 ve di\u011fer bilgileri \u00e7almak i\u00e7in bu toplant\u0131lara giriyor. Yazmak <em>Teknik Zamanlar<\/em>, Eric Hamilton baz\u0131 yollar \u00f6nerdi<u><a href=\"https:\/\/www.techtimes.com\/articles\/249572\/20200512\/zoom-hacking-is-on-the-rise-heres-what-you-need-to-do-to-be-secure.htm\" target=\"_blank\" rel=\"noopener\"> bu t\u00fcr hacklemeleri \u00f6nlemek<\/a><\/u>, i\u00e7ermek:<\/p>\n<ul>\n<li>Toplant\u0131 kimliklerini \u00f6zel mesajlarla g\u00f6ndermek ve herkese a\u00e7\u0131k olarak payla\u015fmamak.<\/li>\n<li>Benzersiz parolalar se\u00e7mek ve bunlar\u0131 yaln\u0131zca toplant\u0131 \u00fcyeleriyle payla\u015fmak.<\/li>\n<li>Toplant\u0131 sahiplerinin ekranlar\u0131 kimin payla\u015ft\u0131\u011f\u0131n\u0131 kontrol etmesine izin verme.<\/li>\n<li>Toplant\u0131 sahiplerinin potansiyel kat\u0131l\u0131mc\u0131lar\u0131 taramas\u0131na izin vermek i\u00e7in bekleme odalar\u0131 olu\u015fturmak.<\/li>\n<li>Toplant\u0131lardan \u00e7\u0131kar\u0131lan ki\u015filerin oturumlara yeniden kat\u0131lmas\u0131n\u0131 engelleme.<\/li>\n<li>Kat\u0131l\u0131mc\u0131lar\u0131n istenmeyen, k\u00f6t\u00fc ama\u00e7l\u0131 belgeler g\u00f6ndermemesi i\u00e7in dosya aktar\u0131m \u00f6zelliklerini devre d\u0131\u015f\u0131 b\u0131rakmak.<\/li>\n<\/ul>\n<p>Bu ad\u0131mlar\u0131n at\u0131lmas\u0131, insanlar\u0131n t\u0131bbi randevular ve sa\u011fl\u0131kla ilgili di\u011fer sanal bulu\u015fmalar i\u00e7in de g\u00fcvenlik sa\u011flayabilece\u011fi y\u00f6ntemlerden biridir.<\/p>\n<h2>Veri ihlalleri mahremiyeti nas\u0131l tehlikeye atar?<\/h2>\n<p>\u0130nsanlar, telesa\u011fl\u0131\u011f\u0131n bilgi ihlallerine yol a\u00e7abilece\u011finden endi\u015fe duyabilir.<u><a href=\"https:\/\/www.healthaffairs.org\/doi\/full\/10.1377\/hlthaff.2013.0997\" target=\"_blank\" rel=\"noopener\"> mahremiyet endi\u015feleri i\u00e7erebilir<\/a><\/u>:<\/p>\n<ul>\n<li>\u0130nsanlar\u0131n fiziksel veya zihinsel sa\u011fl\u0131\u011f\u0131, sigorta kapsam\u0131 veya mali durumu hakk\u0131nda hassas bilgileri a\u00e7\u0131\u011fa \u00e7\u0131karan veri ihlalleri.<\/li>\n<li>Di\u011fer verileri de iletebilecek t\u0131bbi durumlar hakk\u0131nda bilgi alg\u0131layan ve yay\u0131nlayan sens\u00f6rler.<\/li>\n<li>Di\u011fer taraflarla payla\u015f\u0131labilecek t\u0131bbi cihaz ve uygulamalardan gelen bilgiler.<\/li>\n<li>Elektronik cihazlardan ki\u015fisel bilgileri \u00e7alan vir\u00fcsler ve di\u011fer k\u00f6t\u00fc ama\u00e7l\u0131 yaz\u0131l\u0131mlar (k\u00f6t\u00fc ama\u00e7l\u0131 yaz\u0131l\u0131mlar).<\/li>\n<\/ul>\n<p>Sa\u011fl\u0131k bilgilerinin k\u00f6t\u00fcye kullan\u0131lmas\u0131 bir t\u00fcr kimlik h\u0131rs\u0131zl\u0131\u011f\u0131 olabilir. Kimlik h\u0131rs\u0131zl\u0131\u011f\u0131n\u0131n al\u0131c\u0131 taraf\u0131ndaki ki\u015filer, vergi beyan etme zorluklar\u0131ndan kredi puanlar\u0131yla ilgili sorunlara kadar her t\u00fcrl\u00fc sorunla kar\u015f\u0131la\u015fabilir.<\/p>\n<h2>Yanl\u0131\u015f beyanlar tele sa\u011fl\u0131kla nas\u0131l ili\u015fkilendirilebilir?<\/h2>\n<p>Kimlik h\u0131rs\u0131zl\u0131\u011f\u0131, bilgilerin k\u00f6t\u00fcye kullan\u0131lmas\u0131na ek olarak, insanlar\u0131n telesa\u011fl\u0131\u011f\u0131 ba\u015fka \u015fekillerde k\u00f6t\u00fcye kullanabilece\u011fini g\u00f6stermektedir.<\/p>\n<p>Re\u00e7eteli ila\u00e7lara ba\u011f\u0131ml\u0131 ki\u015filer bazen doktor al\u0131\u015fveri\u015fi olarak bilinen bir uygulamaya girerler. Doktor al\u0131\u015fveri\u015fi s\u0131ras\u0131nda insanlar doktor doktor dola\u015f\u0131p her birinden ila\u00e7 almaya \u00e7al\u0131\u015f\u0131yor.<\/p>\n<p>Bu uygulaman\u0131n amac\u0131, \u00f6zellikle doktorlar\u0131n bir seferde yazabilecekleri ila\u00e7 miktar\u0131 konusunda s\u0131n\u0131rlamalar\u0131 varsa, b\u00fcy\u00fck miktarda ila\u00e7 elde etmektir. Bu \u00f6zellikle a\u015fa\u011f\u0131dakiler i\u00e7in ge\u00e7erlidir:<u><a href=\"\/tr\/uygulama-alanlari-2\/ilac-davasi\/opioid-salgin\/\"> opioidler gibi ila\u00e7lar<\/a><\/u> g\u00fc\u00e7l\u00fc ve daha y\u00fcksek d\u00fczeyde d\u00fczenlenmi\u015f olanlard\u0131r.<\/p>\n<p>Tele sa\u011fl\u0131k \u00fczerindeki k\u0131s\u0131tlamalar, doktor al\u0131\u015fveri\u015fini zorla\u015ft\u0131rmay\u0131 ama\u00e7l\u0131yor. Ba\u011flant\u0131l\u0131 Sa\u011fl\u0131k Politikas\u0131 Merkezi, doktorlar\u0131n ve hastalar\u0131n<u><a href=\"https:\/\/www.cchpca.org\/telehealth-policy\/online-prescribing\" target=\"_blank\" rel=\"noopener\"> bir ili\u015fki kurmal\u0131<\/a><\/u> doktorlar tele sa\u011fl\u0131k prosed\u00fcrleri yoluyla ila\u00e7 re\u00e7ete etmeden \u00f6nce.<\/p>\n<p>Sa\u011flay\u0131c\u0131lar\u0131n tele sa\u011fl\u0131k i\u015flemlerinin sona ermesiyle ilgili korkular da var. \u00d6rne\u011fin, bir pratisyen hem\u015fire ve birka\u00e7 ki\u015finin federal h\u00fck\u00fcmetin TRICARE askeri sa\u011fl\u0131k sigortas\u0131na $65 milyondan fazla as\u0131ls\u0131z talepte bulundu\u011fu iddia edildi.<\/p>\n<p>Bu plan\u0131n bir par\u00e7as\u0131 olarak, \u015f\u00fcpheliler telefon g\u00f6r\u00fc\u015fmeleri yapt\u0131lar ve bunlar\u0131 tele sa\u011fl\u0131k ziyaretleri olarak faturaland\u0131rd\u0131lar. ABD federal m\u00fcfetti\u015fleri<u><a href=\"https:\/\/mhealthintelligence.com\/news\/false-telemedicine-sessions-at-center-of-federal-fraud-crackdown\" target=\"_blank\" rel=\"noopener\"> bu davay\u0131 kovu\u015fturmak<\/a><\/u> ve di\u011ferleri bundan ho\u015flan\u0131r.<\/p>\n<h2>HIPAA mahremiyeti nas\u0131l te\u015fvik eder?<\/h2>\n<p>Di\u011fer h\u00fck\u00fcmet \u00e7abalar\u0131, i\u00e7inde bulundu\u011fumuz zaman\u0131n tele sa\u011fl\u0131k ve hasta g\u00fcvenli\u011fi i\u00e7in \u00f6zellikle iyi bir zaman olabilece\u011fini g\u00f6steriyor.<\/p>\n<p>Mevzuat, \u00f6zel bilgilerin gizli tutulmas\u0131na yard\u0131mc\u0131 olabilir. gibi yasalar \u00e7er\u00e7evesinde<u><a href=\"https:\/\/www.hhs.gov\/sites\/default\/files\/ocr\/privacy\/hipaa\/understanding\/consumers\/consumer_rights.pdf\" target=\"_blank\" rel=\"noopener\"> 1996 Sa\u011fl\u0131k Sigortas\u0131 Ta\u015f\u0131nabilirlik ve Sorumluluk Yasas\u0131 (HIPAA)<\/a><\/u>, Insanlar yapabilir:<\/p>\n<ul>\n<li>Sa\u011fl\u0131k hizmeti sa\u011flay\u0131c\u0131lar\u0131n\u0131n ve sigorta \u015firketlerinin hastalar\u0131n sa\u011fl\u0131k bilgilerini nas\u0131l kulland\u0131\u011f\u0131n\u0131 ve payla\u015ft\u0131\u011f\u0131n\u0131 ke\u015ffedin.<\/li>\n<li>Sa\u011fl\u0131k bilgilerini alman\u0131n yollar\u0131n\u0131 isteyin (\u00f6rne\u011fin, evleri yerine ofislerinden telefon alma).<\/li>\n<li>Sigortac\u0131lardan ve sa\u011fl\u0131k hizmeti sa\u011flay\u0131c\u0131lar\u0131ndan, \u00f6rne\u011fin bir hastanede ge\u00e7irilen s\u00fcreye ili\u015fkin bilgiler gibi bilgileri ba\u015fkalar\u0131yla payla\u015fmamalar\u0131n\u0131 isteyin.<u><a href=\"https:\/\/www.sunshinebehavioralhealth.com\/alcohol-addiction\/alcohol-rehab\/\" target=\"_blank\" rel=\"noopener\"> alkol rehabilitasyon merkezi<\/a><\/u>.<\/li>\n<\/ul>\n<p>Sa\u011fl\u0131k hizmeti sa\u011flay\u0131c\u0131lar\u0131 ve sigorta \u015firketleri bilgileri if\u015fa eder veya k\u00f6t\u00fcye kullan\u0131r ve HIPAA yasalar\u0131n\u0131 dikkate almazsa, cezalar a\u011f\u0131r olabilir. Hukuki veya cezai su\u00e7lamalarla kar\u015f\u0131 kar\u015f\u0131ya kalabilirler ve sonunda \u00fccret \u00f6deyebilirler veya hapishanede zaman ge\u00e7irebilirler.<\/p>\n<p>Bu nedenle, insanlar tele-sa\u011fl\u0131k tedavileri i\u00e7in veri, ses veya video iletmek \u00fczere elektronik cihazlar kulland\u0131klar\u0131nda, devlet ve \u00f6zel sekt\u00f6r \u00e7abalar\u0131, verilerini yaln\u0131zca ama\u00e7lanan taraflara iletme olas\u0131l\u0131\u011f\u0131n\u0131 art\u0131r\u0131r.<\/p>\n<p>Tele sa\u011fl\u0131k ara\u00e7lar\u0131, insanlar\u0131n evde kalmas\u0131na ve di\u011ferlerinden uzakla\u015fmas\u0131na olanak tan\u0131r. K\u00fcresel bir hastal\u0131k salg\u0131n\u0131 s\u0131ras\u0131nda bile insanlar\u0131n g\u00fcvenli ve sa\u011fl\u0131kl\u0131 kalmas\u0131na yard\u0131mc\u0131 olabilirler.<\/p>\n<p>Teknik \u00f6nlemler ve h\u00fck\u00fcmet d\u00fczenlemeleri, tele sa\u011fl\u0131k ara\u00e7lar\u0131n\u0131 da g\u00fcvenli ve sa\u011fl\u0131kl\u0131 tutabilir.<\/p>\n<p>***<\/p>\n<p><strong>Yazar hakk\u0131nda<\/strong>: <a href=\"https:\/\/linkprotect.cudasvc.com\/url?a=https%3a%2f%2fpatrickbaileys.com&amp;c=E,1,H6I9W7YJesK2VWk7OX9feuUh3xxoqgngNx82nV_eGAxyB8WhHNpFsdtvIq5TgR47Is5HmC8XvSBS7svA_cRDgIolJ40B2Qx8we4oqxzqFL9vpBPBJA,,&amp;typo=1\" target=\"_blank\" rel=\"noopener\">Patrick Bailey<\/a> a\u011f\u0131rl\u0131kl\u0131 olarak ruh sa\u011fl\u0131\u011f\u0131, ba\u011f\u0131ml\u0131l\u0131k ve iyile\u015fme i\u00e7inde ya\u015famak alanlar\u0131nda profesyonel bir yazard\u0131r. Ba\u011f\u0131ml\u0131l\u0131k ve ak\u0131l sa\u011fl\u0131\u011f\u0131 d\u00fcnyas\u0131ndaki en son haberleri takip etmeye \u00e7al\u0131\u015f\u0131yor ve bu konularla ilgili damgalamay\u0131 k\u0131rmak i\u00e7in bu konular hakk\u0131nda yazmaktan zevk al\u0131yor.<\/p>\n<pre><sub>kaynaklar: <\/sub><sub><u><a href=\"https:\/\/www.ajmc.com\/contributor\/john-rehm\/2016\/12\/telemedicine-the-cost-effective-future-of-healthcare\" target=\"_blank\" rel=\"noopener\">ajmc.com<\/a><\/u> - Telet\u0131p: Sa\u011fl\u0131k Hizmetlerinin Uygun Maliyetli Gelece\u011fi<\/sub><\/pre>","protected":false},"excerpt":{"rendered":"<p>Telesa\u011fl\u0131k veya t\u0131bbi hizmetlerin elektronik cihazlar arac\u0131l\u0131\u011f\u0131yla uzaktan sunulmas\u0131 ve kullan\u0131lmas\u0131 yeni bir \u015fey de\u011fil. Ancak COVID-19 koronavir\u00fcs\u00fcn\u00fcn neden oldu\u011fu k\u00fcresel salg\u0131n ve teknolojik geli\u015fmeler nedeniyle tele sa\u011fl\u0131k uygulamalar\u0131\u2026<\/p>","protected":false},"author":3,"featured_media":8243,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[772],"tags":[925,992,993,1006,1009],"class_list":["post-8242","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-business-litigation","tag-litigation-lawyer","tag-coronavirus","tag-covid-19","tag-data-breach","tag-privacy"],"acf":[],"page_builder_type":"gutenberg","gutenberg_data":[],"_links":{"self":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/posts\/8242","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/comments?post=8242"}],"version-history":[{"count":0,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/posts\/8242\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/media\/8243"}],"wp:attachment":[{"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/media?parent=8242"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/categories?post=8242"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/tr\/wp-json\/wp\/v2\/tags?post=8242"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}