Influence of security monitoring practices on security of electronic health records in Tanzanian public hospitals.

Godson, Ernest (2023) Influence of security monitoring practices on security of electronic health records in Tanzanian public hospitals. Doctoral thesis, The Open University of Tanzania.

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Abstract

The study aimed to assess the influence of security monitoring practices on security of electronic health records in Tanzanian public hospitals. The study was carried out in six public hospitals each hospital selected from each country zone. A quantitative research approach and cross-sectional research design were used, whereby integrated system theory and theory of planned behaviour were adopted. Data was collected using questionnaire whereby a sample of 300 respondents were involved. Descriptive and inferential statistics were used in data analysis. The study found that security awareness training yielded a positive and significant influence on the security of EHRs (Beta= 0.455, P<0.001), security controls assessment had a positive and significant influence on the security of EHRs (Beta= 0.181, P<0.001), security automation yielded a positive and significant influence on the security of EHRs (Beta= 0.384, P<0.001), and behavioural monitoring yielded a positive and significant influence on the security of EHRs (Beta= 0.056, P<0.001). The study concluded that security monitoring practices positively influence the security of electronic health records in Tanzanian public hospitals. The study recommended that the government should conduct policies review to ensure that the existing eHealth policy incorporate the security monitoring practices. Public hospitals should also strengthen security monitoring practices by conducting regular security awareness training to its staff, conducting regular security control assessment to EHRs systems, improve ICT infrastructure and should invest more on security automation and perform behavioural monitoring to its staff to ensure users compliance with security rules, standards and regulations

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