A systematic literature review of cloud computing in eHealth

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

Hybrid clouds for data-Intensive, 5G-Enabled IoT applications: an overview, key issues and relevant architecture

Hybrid cloud multi-access edge computing (MEC) deployments have been proposed as efficient means to support Internet of Things (IoT) applications, relying on a plethora of nodes and data. In this paper, an overview on the area of hybrid clouds considering relevant research areas is given, providing technologies and mechanisms for the formation of such MEC deployments, as well as emphasizing several key issues that should be tackled by novel approaches, especially under the 5G paradigm. Furthermore, a decentralized hybrid cloud MEC architecture, resulting in a Platform-as-a-Service (PaaS) is proposed and its main building blocks and layers are thoroughly described. Aiming to offer a broad perspective on the business potential of such a platform, the stakeholder ecosystem is also analyzed. Finally, two use cases in the context of smart cities and mobile health are presented, aimed at showing how the proposed PaaS enables the development of respective IoT applications.Peer ReviewedPostprint (published version