{"id":43449,"date":"2023-11-06T22:24:51","date_gmt":"2023-11-06T21:24:51","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=43449"},"modified":"2023-11-06T22:24:51","modified_gmt":"2023-11-06T21:24:51","slug":"praktici-zbroji-proti-utokum-hackeru","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=43449","title":{"rendered":"Praktici zbroj\u00ed proti \u00fatok\u016fm hacker\u016f"},"content":{"rendered":"\n

Dny pap\u00edrov\u00fdch kartot\u00e9k by mohly b\u00fdt kone\u010dn\u011b se\u010dteny, chorobopisy pacient\u016f jsou dnes ve v\u011bt\u0161in\u011b ordinac\u00ed uchov\u00e1v\u00e1ny elektronicky. S\u00a0mno\u017estv\u00edm osobn\u00edch dat online v\u0161ak roste i riziko jejich odcizen\u00ed nebo \u00faniku. Prakti\u010dt\u00ed l\u00e9ka\u0159i upozor\u0148uj\u00ed, \u017ee se jejich ordinace st\u00e1le \u010dast\u011bji st\u00e1vaj\u00ed ob\u011b\u0165mi hackersk\u00fdch \u00fatok\u016f, a zd\u016fraz\u0148uj\u00ed pot\u0159ebu kvalitn\u00edho zabezpe\u010den\u00ed datab\u00e1z\u00ed. Na rozd\u00edl od nemocnic se jim v\u0161ak nedost\u00e1v\u00e1 podpory ze strany st\u00e1tu, p\u0159esto\u017ee n\u00e1klady na zabezpe\u010den\u00ed jsou vysok\u00e9. Pot\u0159eba chr\u00e1nit data roste i se st\u00e1le \u010dast\u011bj\u0161\u00edm vyu\u017e\u00edv\u00e1n\u00edm telemedic\u00edny v\u00a0prim\u00e1rn\u00ed p\u00e9\u010di. I to bude jedn\u00edm z\u00a0t\u00e9mat v\u00fdro\u010dn\u00ed konference Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed (SVL) \u010cLS JEP, kter\u00e1 startuje 8. listopadu ve Zl\u00edn\u011b.<\/strong><\/p>\n\n\n\n

V\u00a0pr\u016fm\u011bru ka\u017ed\u00e1 ordinace praktika v\u00a0\u010cesk\u00e9 republice vede p\u0159ibli\u017en\u011b 1 900 pacient\u016f a sami l\u00e9ka\u0159i upozor\u0148uj\u00ed, \u017ee bezpe\u010dn\u00e9 uchov\u00e1n\u00ed osobn\u00edch dat je pro n\u011b st\u00e1le d\u016fle\u017eit\u011bj\u0161\u00ed. \u201eU praktick\u00e9ho l\u00e9ka\u0159e b\u011b\u017en\u011b kon\u010d\u00ed dokumentace nejen o l\u00e9\u010db\u011b, kterou pacientovi sami poskytuj\u00ed, ale tak\u00e9 z\u00e1znamy od jin\u00fdch specialist\u016f, propou\u0161t\u011bc\u00ed zpr\u00e1vy z\u00a0nemocnic, v\u00fdsledky test\u016f a podobn\u011b. To jsou data t\u00e9 nejintimn\u011bj\u0161\u00ed povahy a my nesm\u00edme dopustit, aby se k\u00a0nim dostal n\u011bkdo nepovolan\u00fd, hacker, nebo je n\u011bkdo dokonce prod\u00e1val na darknetu,\u201c <\/em>\u0159\u00edk\u00e1 MUDr. Cyril Mucha, m\u00edstop\u0159edseda SVL pro digitalizaci a IT. Podle n\u011bj p\u0159ib\u00fdv\u00e1 pokus\u016f o \u00fatok i na ordinace praktick\u00fdch l\u00e9ka\u0159\u016f, p\u0159esto\u017ee se v\u00edce hovo\u0159\u00ed hlavn\u011b o nemocnic\u00edch.<\/p>\n\n\n\n

\u201eZa posledn\u00ed rok v\u00edm hned o n\u011bkolika p\u0159\u00edpadech, nicm\u00e9n\u011b to hovo\u0159\u00edme o t\u011bch, kdy se \u00fatok poda\u0159il. O v\u011bt\u0161in\u011b pokus\u016f se ani nedozv\u00edme, proto\u017ee na\u0161t\u011bst\u00ed skon\u010d\u00ed ne\u00fasp\u011b\u0161n\u011b,\u201c<\/em> vysv\u011btluje MUDr. Mucha. P\u0159ev\u00e1\u017en\u011b se podle n\u011bj jedn\u00e1 o tzv. phishingov\u00e9 \u00fatoky, kter\u00e9 se nap\u0159\u00edklad podvodn\u00fdmi e-maily sna\u017e\u00ed z\u00edskat p\u0159\u00edstup k\u00a0po\u010d\u00edta\u010d\u016fm v\u00a0ordinaci a t\u00edm i\u00a0k\u00a0datab\u00e1zi pacient\u016f. <\/p>\n\n\n\n

\u201eOchrana dat v\u00a0na\u0161ich ordinac\u00edch vy\u017eaduje komplexn\u00ed soubor opat\u0159en\u00ed, od spr\u00e1vn\u00e9ho nastaven\u00ed z\u00e1lohov\u00e1n\u00ed p\u0159es antivirovou ochranu po \u0161kolen\u00ed samotn\u00fdch zam\u011bstnanc\u016f, jak k\u00a0podobn\u00fdm hrozb\u00e1m p\u0159istupovat a jak jim nepodl\u00e9hat. V\u00a0dne\u0161n\u00ed dob\u011b je to pro n\u00e1s velmi pal\u010div\u00e9 a aktu\u00e1ln\u00ed t\u00e9ma,\u201c<\/em> \u0159\u00edk\u00e1 doc. MUDr. Svatopluk B\u00fdma, CSc., p\u0159edseda SVL. Takov\u00e1 ochrana je v\u0161ak podle n\u011bj drah\u00e1.<\/p>\n\n\n\n

\u201eJe paradoxn\u00ed, \u017ee p\u0159esto\u017ee uchov\u00e1v\u00e1me prakticky ve\u0161kerou zdravotn\u00ed dokumentaci o pacientech, st\u00e1t na\u0161im l\u00e9ka\u0159\u016fm \u2013 na rozd\u00edl od nemocnic \u2013 s\u00a0IT podporou nijak nepom\u00e1h\u00e1,\u201c<\/em> dod\u00e1v\u00e1 MUDr.\u00a0Mucha. D\u016fle\u017eitost kybernetick\u00e9ho zabezpe\u010den\u00ed u praktick\u00fdch l\u00e9ka\u0159\u016f roste i kv\u016fli telemedic\u00edn\u011b, kterou si l\u00e9ka\u0159i zvykli pou\u017e\u00edvat p\u0159i covidov\u00e9 pandemii. Z\u00a0telemedic\u00ednsk\u00e9 konzultace se stal b\u011b\u017en\u00fd l\u00e9ka\u0159sk\u00fd \u00fakon, kter\u00fd umo\u017e\u0148uje vy\u0161et\u0159ovat nap\u0159\u00edklad akutn\u011b nemocn\u00e9 pacienty, ani\u017e by museli v\u00e1\u017eit cestu do ordinace. <\/p>\n\n\n\n

Nyn\u00ed praktici zkou\u0161ej\u00ed telemedic\u00ednu v\u00edce vyu\u017e\u00edvat nap\u0159. v\u00a0p\u00e9\u010di o\u00a0pacienty s\u00a0chorobami srdce, s diabetem nebo ko\u017en\u00edmi nemocemi. \u201eJedn\u00edm z\u00a0nej\u010dast\u011bj\u0161\u00edch p\u0159\u00edpad\u016f neakutn\u00edch onemocn\u011bn\u00ed, kter\u00fd nyn\u00ed \u0159e\u0161\u00edme telemedic\u00ednsky, je p\u00e9\u010de o pacienty s\u00a0vysok\u00fdm krevn\u00edm tlakem. Ti n\u00e1m mohou pos\u00edlat v\u00fdsledky dom\u00e1c\u00edho m\u011b\u0159en\u00ed a n\u00e1sledn\u011b je s\u00a0n\u00e1mi konzultovat. Nemus\u00ed tak \u010dasto na kontrolu chodit do ordinace, zvl\u00e1\u0161\u0165 nyn\u00ed, v\u00a0podzimn\u00edch m\u011bs\u00edc\u00edch pln\u00fdch vir\u00f3z a nachlazen\u00ed,\u201c<\/em> upozor\u0148uje MUDr. Mucha. U ko\u017en\u00edch pot\u00ed\u017e\u00ed mohou takto konzultovat s\u00a0kolegy specialisty nap\u0159. r\u016fzn\u00e9 nejasn\u00e9 vyr\u00e1\u017eky, l\u00e9ze, ale p\u0159\u00edpadn\u011b i pigmentov\u00e9 skvrny nebo znam\u00e9nka. Telemedic\u00edna m\u016f\u017ee pom\u00e1hat zejm\u00e9na pacient\u016fm v\u00a0odlehl\u00fdch oblastech, kte\u0159\u00ed za sv\u00fdm l\u00e9ka\u0159em mus\u00ed cestovat \u010dasto des\u00edtky kilometr\u016f. L\u00e9\u010dba na d\u00e1lku v\u00a0oblasti kardiologie a\u00a0dermatologie je v\u0161ak podle MUDr. Muchy pouze za\u010d\u00e1tek. V\u00a0budoucnu by mohli praktici podobn\u011b vyu\u017e\u00edvat data z\u00a0p\u0159\u00edstroj\u016f nap\u0159\u00edklad pro vzd\u00e1len\u00e9 kontroly pacient\u016f s\u00a0diabetem nebo kardiologick\u00fdm onemocn\u011bn\u00edm.<\/p>\n\n\n\n

\u201eU\u017e dnes um\u00ed EKG zm\u011b\u0159it i chytr\u00e9 hodinky. Probl\u00e9m v\u0161ak je, \u017ee tyto p\u0159\u00edstroje nejsou nijak certifikovan\u00e9, tak\u017ee na jejich m\u011b\u0159en\u00ed z\u00a0medic\u00ednsk\u00e9ho pohledu nem\u016f\u017eeme spol\u00e9hat. I to se v\u0161ak do budoucna m\u016f\u017ee zm\u011bnit,\u201c<\/em> uzav\u00edr\u00e1 MUDr. Mucha s\u00a0t\u00edm, \u017ee jak bude technologie v\u00edce pronikat do medic\u00edny, bude i zabezpe\u010den\u00ed dat pacient\u016f \u010d\u00edm d\u00e1l akutn\u011bj\u0161\u00edm probl\u00e9mem.<\/p>\n","protected":false},"excerpt":{"rendered":"

Dny pap\u00edrov\u00fdch kartot\u00e9k by mohly b\u00fdt kone\u010dn\u011b se\u010dteny, chorobopisy pacient\u016f jsou dnes ve v\u011bt\u0161in\u011b ordinac\u00ed uchov\u00e1v\u00e1ny elektronicky. S\u00a0mno\u017estv\u00edm osobn\u00edch dat online v\u0161ak roste i riziko […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":43451,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-43449","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-spolecnost"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/43449","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=43449"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/43449\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/43451"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=43449"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=43449"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=43449"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}