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A systematic literature review of cloud computing in eHealth
Blekinge Institute of Technology, Faculty of Computing, Department of Creative Technologies.
Blekinge Institute of Technology, Faculty of Computing, Department of Creative Technologies.
2014 (English)In: Health Informatics-An International Journal (HIIJ), ISSN 2319-2046, Vol. 3, no 4, 11-20 p.Article in journal (Refereed) Published
Abstract [en]

Cloud computing in eHealth is an emerging area for only few years. There needs to identify the state of the art and pinpoint challenges and possible directions for researchers and applications developers. Based on this need, we have conducted a systematic review of cloud computing in eHealth. We searched ACM Digital Library, IEEE Xplore, Inspec, ISI Web of Science and Springer as well as relevant open-access journals for relevant articles. A total of 237 studies were first searched, of which 44 papers met the Include Criteria. The studies identified three types of studied areas about cloud computing in eHealth, namely (1) cloud-based eHealth framework design (n=13); (2) applications of cloud computing (n=17); and (3) security or privacy control mechanisms of healthcare data in the cloud (n=14). Most of the studies in the review were about designs and concept-proof. Only very few studies have evaluated their research in the real world, which may indicate that the application of cloud computing in eHealth is still very immature. However, our presented review could pinpoint that a hybrid cloud platform with mixed access control and security protection mechanisms will be a main research area for developing citizen centred home-based healthcare applications.

Place, publisher, year, edition, pages
AIRCC Publishing Corporation , 2014. Vol. 3, no 4, 11-20 p.
Keyword [en]
Systematic review, eHealth, cloud computing, home-based healthcare
National Category
Computer Science
Identifiers
URN: urn:nbn:se:bth-6502DOI: 10.5121/hiij.2014.3402Local ID: oai:bth.se:forskinfo8F2BF13D41ADD99AC1257DA2004DD483OAI: oai:DiVA.org:bth-6502DiVA: diva2:834020
Note
Open Access JournalAvailable from: 2014-12-05 Created: 2014-12-02 Last updated: 2017-03-17Bibliographically approved
In thesis
1. Cloud Computing for Achieving Interoperability in Home-based Healthcare
Open this publication in new window or tab >>Cloud Computing for Achieving Interoperability in Home-based Healthcare
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The care of chronic disease has become the main challenge for healthcare institutions around the world. As the incidence and prevalence of chronic diseases continue to increase, it is a big challenge for traditional hospital-based healthcare to meet requirements of patients. To meet the growing needs of patients, moving the front desk of healthcare from hospital to home is essential. Home-based healthcare for chronic disease involves many different organizations and healthcare providers. Therefore, there are interoperability problems for cooperation among the various organizations and healthcare providers to provide efficient and seamless home-based healthcare. 

This thesis aims to point out an appropriate technical solution to interoperability problems in home-based healthcare. There are different levels of interoperability, such as pragmatic, semantic and syntactic. We explored alternative solutions specifically for syntactic interoperability. We started to identify the interoperability problems among different healthcare centers by interviews and online surveys. Based on this empirical study, we mainly used two current techniques, namely peer-to-peer (P2P) networks and cloud computing, to design prototypes for sharing healthcare data. Comparing these two techniques, we found the cloud-based solution figured out most of the problems encountered in healthcare interoperability. 

To identify state of the art, and pinpoint the challenges and possible future directions for applying a cloud-based solution, a systematic literature review was carried out on cloud-based healthcare solutions. Based on the literature reviewed, we suggest a hybrid cloud model, with access controls and techniques for securing data, could be an acceptable solution for home-based healthcare in the future. This cloud model would work as a community for both healthcare providers and recipients, as well as other stakeholders, such as family members and other patients with similar symptoms. Then we conducted a questionnaire study with healthcare recipients and interviewed healthcare providers to gather the requirements for the design of the community. Based on the concept of ‘community’ from the activity theory model, we designed a prototype to demonstrate our proposed solution.   

Finally, we proposed the conceptual hybrid cloud model. In our hybrid cloud model, hospitals and primary healthcare centers could continue using their own databases as private clouds. For home-based healthcare data, we argued, the best approach is to store and process the data in public clouds. Healthcare recipients, as the owners of their health data in public clouds, should then decide who can access their data and the conditions for sharing. To evaluate this model, we conducted a two-step case study of diabetes healthcare in Blekinge, Sweden. We found that our improved hybrid cloud model will be feasible in the future for home-based healthcare, and it will benefit both healthcare providers and recipients.

To apply this model in practice, we suggest that a professional IT healthcare education team should be created to support both healthcare providers and recipients.

Place, publisher, year, edition, pages
Karlskrona: Blekinge Tekniska Högskola, 2017
Series
Blekinge Institute of Technology Doctoral Dissertation Series, ISSN 1653-2090 ; 5
National Category
Engineering and Technology
Identifiers
urn:nbn:se:bth-14017 (URN)978-91-7295-338-3 (ISBN)
Public defence
2017-04-28, J1650, Campus Gräsvik, Karlskrona, 13:15 (English)
Opponent
Supervisors
Available from: 2017-03-17 Created: 2017-03-17 Last updated: 2017-11-01Bibliographically approved

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