An access control model for a South African National Electronic Health Record System
- Authors: Tsegaye, Tamir Asrat
- Date: 2019
- Subjects: Medical records -- Data processing , Medical records -- Data processing -- Safety measures , Medical records -- Data processing -- South Africa , Medical records -- Data processing -- Access control , Medical informatics , Medical records -- Management -- South Africa , Health services administration -- South Africa
- Language: English
- Type: text , Thesis , Masters , MCom
- Identifier: http://hdl.handle.net/10962/97046 , vital:31390
- Description: Countries such as South Africa have attempted to leverage eHealth by digitising patients’ medical records with the ultimate goal of improving the delivery of healthcare. This involves the use of the Electronic Health Record (EHR) which is a longitudinal electronic record of a patient’s information. The EHR is comprised of all of the encounters that have been made at different health facilities. In the national context, the EHR is also known as a national EHR which enables the sharing of patient information between points of care. Despite this, the realisation of a national EHR system puts patients' EHRs at risk. This is because patients’ information, which was once only available at local health facilities in the form of paper-based records, can be accessed anywhere within the country as a national EHR. This results in security and privacy issues since patients’ EHRs are shared with an increasing number of parties who are geographically distributed. This study proposes an access control model that will address the security and privacy issues by providing the right level of secure access to authorised clinicians. The proposed model is based on a combination of Role-Based Access Control (RBAC) and Attribute-Based Access Control (ABAC). The study found that RBAC is the most common access control model that is used within the healthcare domain where users’ job functions are based on roles. While RBAC is not able to handle dynamic events such as emergencies, the proposed model’s use of ABAC addresses this limitation. The development of the proposed model followed the design science research paradigm and was informed by the results of the content analysis plus an expert review. The content analysis sample was retrieved by conducting a systematic literature review and the analysis of this sample resulted in 6743 tags. The proposed model was evaluated using an evaluation framework via an expert review.
- Full Text:
- Authors: Tsegaye, Tamir Asrat
- Date: 2019
- Subjects: Medical records -- Data processing , Medical records -- Data processing -- Safety measures , Medical records -- Data processing -- South Africa , Medical records -- Data processing -- Access control , Medical informatics , Medical records -- Management -- South Africa , Health services administration -- South Africa
- Language: English
- Type: text , Thesis , Masters , MCom
- Identifier: http://hdl.handle.net/10962/97046 , vital:31390
- Description: Countries such as South Africa have attempted to leverage eHealth by digitising patients’ medical records with the ultimate goal of improving the delivery of healthcare. This involves the use of the Electronic Health Record (EHR) which is a longitudinal electronic record of a patient’s information. The EHR is comprised of all of the encounters that have been made at different health facilities. In the national context, the EHR is also known as a national EHR which enables the sharing of patient information between points of care. Despite this, the realisation of a national EHR system puts patients' EHRs at risk. This is because patients’ information, which was once only available at local health facilities in the form of paper-based records, can be accessed anywhere within the country as a national EHR. This results in security and privacy issues since patients’ EHRs are shared with an increasing number of parties who are geographically distributed. This study proposes an access control model that will address the security and privacy issues by providing the right level of secure access to authorised clinicians. The proposed model is based on a combination of Role-Based Access Control (RBAC) and Attribute-Based Access Control (ABAC). The study found that RBAC is the most common access control model that is used within the healthcare domain where users’ job functions are based on roles. While RBAC is not able to handle dynamic events such as emergencies, the proposed model’s use of ABAC addresses this limitation. The development of the proposed model followed the design science research paradigm and was informed by the results of the content analysis plus an expert review. The content analysis sample was retrieved by conducting a systematic literature review and the analysis of this sample resulted in 6743 tags. The proposed model was evaluated using an evaluation framework via an expert review.
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The motif of initiation in selected works by Joseph Conrad
- Authors: Doherty, Helen
- Date: 1998
- Subjects: Conrad, Joseph, 1857-1924 -- Criticism and interpretation , Initiation rites in literature
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2220 , http://hdl.handle.net/10962/d1002263 , Conrad, Joseph, 1857-1924 -- Criticism and interpretation , Initiation rites in literature
- Description: This thesis explores the archetypal theme of initiation in selected texts by Joseph Conrad. The Introduction first surveys critical attention to initiatory motifs in Conrad with the objective of demonstrating the need for an approach to the topic informed by a more formal and theorized understanding of initiation. It then offers a prima facie case for the centrality of the idea of initiation in Conrad's oeuvre, based on references culled from a range of the author's writings. Chapter One seeks to contextualise initiation by providing a history of anthropological research into and theorisations of the rite, proceeding to a description of its typical structure and functions. A detailed account is given of the most widely accepted model of initiation, Arnold van Gennep's tripartite schema. Moving on to Conrad's writing, Chapter Two draws on both his fiction and more personal writings in order to provide a provisional account of the writer's own understanding of initiation and its importance, and to offer some explanation of why Conrad should have been prompted to accord the motif such prominence in his work. Conrad's presentation and (impliedly) his understanding of initiation was never entirely consistent and underwent some change in the course of his writing career. The critical assessment of "Typhoon" in Chapter Three depicts Conrad's more optimistic conception of initiation as a rite benefitting both society, by promoting solidarity, and the individual, by advancing self-knowledge. Chapter Four introduces, via analyses of the novellas "Youth" and "The Shadow Line", that variation on the motif of initiation which is more typical of its manifestation in Conrad: the failure of individuals to complete their cycles of initiation. Chapter Five identifies those characteristics of initiation which appear to be determinative in the representations of incomplete initiation in Conrad's work. Initiation seems to play out approximately seven paradoxes; the impact of some of these is examined through analysis of the initiatory ordeals of the main protagonists in The Secret Agent. Integral to this discussion is an attempt to demonstrate the vital role which initiation plays in the healthy maintenance not only of social order but also of faith and life itself. The Conclusion summarises the more important findings of the study and indicates some directions for further, related research.
- Full Text:
- Authors: Doherty, Helen
- Date: 1998
- Subjects: Conrad, Joseph, 1857-1924 -- Criticism and interpretation , Initiation rites in literature
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2220 , http://hdl.handle.net/10962/d1002263 , Conrad, Joseph, 1857-1924 -- Criticism and interpretation , Initiation rites in literature
- Description: This thesis explores the archetypal theme of initiation in selected texts by Joseph Conrad. The Introduction first surveys critical attention to initiatory motifs in Conrad with the objective of demonstrating the need for an approach to the topic informed by a more formal and theorized understanding of initiation. It then offers a prima facie case for the centrality of the idea of initiation in Conrad's oeuvre, based on references culled from a range of the author's writings. Chapter One seeks to contextualise initiation by providing a history of anthropological research into and theorisations of the rite, proceeding to a description of its typical structure and functions. A detailed account is given of the most widely accepted model of initiation, Arnold van Gennep's tripartite schema. Moving on to Conrad's writing, Chapter Two draws on both his fiction and more personal writings in order to provide a provisional account of the writer's own understanding of initiation and its importance, and to offer some explanation of why Conrad should have been prompted to accord the motif such prominence in his work. Conrad's presentation and (impliedly) his understanding of initiation was never entirely consistent and underwent some change in the course of his writing career. The critical assessment of "Typhoon" in Chapter Three depicts Conrad's more optimistic conception of initiation as a rite benefitting both society, by promoting solidarity, and the individual, by advancing self-knowledge. Chapter Four introduces, via analyses of the novellas "Youth" and "The Shadow Line", that variation on the motif of initiation which is more typical of its manifestation in Conrad: the failure of individuals to complete their cycles of initiation. Chapter Five identifies those characteristics of initiation which appear to be determinative in the representations of incomplete initiation in Conrad's work. Initiation seems to play out approximately seven paradoxes; the impact of some of these is examined through analysis of the initiatory ordeals of the main protagonists in The Secret Agent. Integral to this discussion is an attempt to demonstrate the vital role which initiation plays in the healthy maintenance not only of social order but also of faith and life itself. The Conclusion summarises the more important findings of the study and indicates some directions for further, related research.
- Full Text:
The ideals of consciousness and conduct in Henry James's The Ambassadors and The Golden Bowl
- Authors: Bryer, Lynne
- Date: 1969
- Subjects: James, Henry, 1843-1916. Ambassadors , James, Henry, 1843-1916. Golden bowl
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2321 , http://hdl.handle.net/10962/d1014635
- Description: The mature work of Henry James gives the fullest expression of certain ideals which I have called the ideals of consciousness and conduct. These ideals are the subject of this thesis. As they are best illustrated in the two novels The Ambassadors (1903) and The Golden Bowl (1904), I have first analysed these books in detail. Though emphasising "theme" rather than "techniques" (I make the usual working distinction while recognising its limitations), I have also attempted to show how intimately James's technique is related to his exploration of consciousness and conduct. In Part Three I have tried to gather up ideas arising from the analyses of The Ambassadors and The Golden Bowl to compare them, expand on them and generalise from them. In this way I have arrived at conclusions that may help to interpret mature vision of James.
- Full Text:
- Authors: Bryer, Lynne
- Date: 1969
- Subjects: James, Henry, 1843-1916. Ambassadors , James, Henry, 1843-1916. Golden bowl
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2321 , http://hdl.handle.net/10962/d1014635
- Description: The mature work of Henry James gives the fullest expression of certain ideals which I have called the ideals of consciousness and conduct. These ideals are the subject of this thesis. As they are best illustrated in the two novels The Ambassadors (1903) and The Golden Bowl (1904), I have first analysed these books in detail. Though emphasising "theme" rather than "techniques" (I make the usual working distinction while recognising its limitations), I have also attempted to show how intimately James's technique is related to his exploration of consciousness and conduct. In Part Three I have tried to gather up ideas arising from the analyses of The Ambassadors and The Golden Bowl to compare them, expand on them and generalise from them. In this way I have arrived at conclusions that may help to interpret mature vision of James.
- Full Text:
The reminiscences of Thomas Stubbs, 1820 - 1877
- Authors: McGeoch, Robert Thomas
- Date: 1965
- Subjects: Stubbs family , British settlers of 1820 (South Africa) -- Personal narratives , South Africa -- History -- Frontier Wars, 1811-1878 , Cape of Good Hope (South Africa) -- History
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2609 , http://hdl.handle.net/10962/d1012851
- Description: The "Reminiscences" of Thomas Stubbs are one of several such compositions which have survived from the 1820 Settlers. The manuscript offers one of the fullest and most lively accounts of frontier life, and the experiences of the Settlers as seen through the eyes of Thomas Stubbs. The object of this thesis has been to reconstruct the life of Thomas Stubbs which has proved an arduous yet absorbing task and to comment upon and evaluate some of the views Stubbs expressed when he wrote the "Reminiscences" between 1874 and 1875, as well as to test, where possible, the validity of the opinions and sentiments formed during a half-century's acquaintance with the Eastern frontier of the Cape of Good Hope.
- Full Text:
- Authors: McGeoch, Robert Thomas
- Date: 1965
- Subjects: Stubbs family , British settlers of 1820 (South Africa) -- Personal narratives , South Africa -- History -- Frontier Wars, 1811-1878 , Cape of Good Hope (South Africa) -- History
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2609 , http://hdl.handle.net/10962/d1012851
- Description: The "Reminiscences" of Thomas Stubbs are one of several such compositions which have survived from the 1820 Settlers. The manuscript offers one of the fullest and most lively accounts of frontier life, and the experiences of the Settlers as seen through the eyes of Thomas Stubbs. The object of this thesis has been to reconstruct the life of Thomas Stubbs which has proved an arduous yet absorbing task and to comment upon and evaluate some of the views Stubbs expressed when he wrote the "Reminiscences" between 1874 and 1875, as well as to test, where possible, the validity of the opinions and sentiments formed during a half-century's acquaintance with the Eastern frontier of the Cape of Good Hope.
- Full Text:
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