Accessing and managing open medical resources in Africa over the Internet

Recent commentaries have proposed the advantages of using open exchange of data and informatics resources for improving health-related policies and patient care in Africa. Yet, in many African regions, both private medical and public health information systems are still unaffordable. Open exchange over the social Web 2.0 could encourage more altruistic support of medical initiatives. We have carried out some experiments to demonstrate the feasibility of using this approach to disseminate open data and informatics resources in Africa. After the experiments we developed the AFRICA BUILD Portal, the first Social Network for African biomedical researchers. Through the AFRICA BUILD Portal users can access in a transparent way to several resources. Currently, over 600 researchers are using distributed and open resources through this platform committed to low connections

A Bibliometric Analysis of Health Cloud Scientific\u27s Productions

Introduction: Cloud computing is an innovative paradigm meeting the user\u27s demand for accessing a shared source comprising adjustable computational sources, such as servers and applied programs. An increase in the costs of information technology, emerging problems with updating software and hardware, and expanded storage volume, make it possible to utilize cloud-based health information cases. Organizations have focused on cloud platform-based services as a new opportunity to develop the software industry for healthcare. The aim of the research is to conduct a bibliometric study of the scientific productions on health cloud . Methodology: The present study, applied in nature, was conducted using a bibliometric and scientometric method. It was conducted in 2018 using PubMed and key portmanteaus over the period 2009-2018. Subjected to the application of input and output standards, 491 research papers were selected for analysis. Findings: The findings revealed that the production of health cloud-focused papers over a decade, excluding those in 2017, had an upward trend. The US, India, and China were the most productive in this respect. Having presented 5 papers on cloud computing, Costa, Lee, Malamateniou, Stoicu-Tivadar, Vassilacopoulos, writers, were most productive. The greatest co-occurrence was that of the words Internet, electronic health records, computer security, information storage and retrieval, algorithms, confidentiality, female, male, delivery of health care, computer communication networks, medical informatics, mobile applications, data mining, and health information exchang. Conclusion: The results of the present study indicate the leading status of the USA in health cloud publications. In view of the recognition received for using cloud computing, the trend of the papers in the base was upward in nature. On analysis of the co-occurrence of words, the largest cluster was that of cloud computing with 6 items focused on: The Internet of Things (IoT), Electronic health record, healthcare, and e-health in one cluster, indicating the continuity of the issues

A case study in open source innovation: developing the Tidepool Platform for interoperability in type 1 diabetes management.

OBJECTIVE:Develop a device-agnostic cloud platform to host diabetes device data and catalyze an ecosystem of software innovation for type 1 diabetes (T1D) management. MATERIALS AND METHODS:An interdisciplinary team decided to establish a nonprofit company, Tidepool, and build open-source software. RESULTS:Through a user-centered design process, the authors created a software platform, the Tidepool Platform, to upload and host T1D device data in an integrated, device-agnostic fashion, as well as an application ("app"), Blip, to visualize the data. Tidepool's software utilizes the principles of modular components, modern web design including REST APIs and JavaScript, cloud computing, agile development methodology, and robust privacy and security. DISCUSSION:By consolidating the currently scattered and siloed T1D device data ecosystem into one open platform, Tidepool can improve access to the data and enable new possibilities and efficiencies in T1D clinical care and research. The Tidepool Platform decouples diabetes apps from diabetes devices, allowing software developers to build innovative apps without requiring them to design a unique back-end (e.g., database and security) or unique ways of ingesting device data. It allows people with T1D to choose to use any preferred app regardless of which device(s) they use. CONCLUSION:The authors believe that the Tidepool Platform can solve two current problems in the T1D device landscape: 1) limited access to T1D device data and 2) poor interoperability of data from different devices. If proven effective, Tidepool's open source, cloud model for health data interoperability is applicable to other healthcare use cases

Opportunity and Implementation of Cloud Computing in Indian Health Sector

In this paper I am dealing with the effectiveness of cloud computing technologies in health care information systems. Health care, like other service operation, requires consistent and systematic innovation in order to remain cost effective, efficient and timely to provide high-quality services. The health care industry is generally considered a slow in adoption of technology. In the last few years, expectations about patient privacy information, medical services, data retention and health care provider availability have risen dramatically. For solving such kind of issues I suggest the electronic health care systems using cloud computing techniques. Cloud technology reduces the time delay and more time can be spared for patient care. In this paper I discuss the cloud computing evolution, how can the health care industries use the cloud computing and improves the service to patient in India, challenges of cloud in health care and benefits of cloud techniques in health care industries

A Framework for Evaluating the Tension between Sharing and Protecting Health Information

Health information exchange (HIE) is expected to improve the quality and cost of healthcare but sustained use of HIE by providers has been difficult to achieve. A number of factors play a role in that process including concern for the security and privacy of the exchanged information. This tension between the expected benefits of HIE resulting from collaboration and information sharing on the one hand, and the potential security risks inherent in the exchange process on the other hand, is not well understood. We propose an information security control theory to explain this tension. We evaluate this theory through a case study of the iterative development of the information security policy for an HIE in the western United States. We find that the theory offers a good framework through which to understand the information security policy development process

Capabilities and advantages of cloud computing in the implementation of Electronic Health Record

Background: With regard to the high cost of the Electronic Health Record (EHR), in recent years the use of new technologies, in particular cloud computing, has increased. The purpose of this study was to review systematically the studies conducted in the field of cloud computing. Methods: The present study was a systematic review conducted in 2017. Search was performed in the Scopus, Web of Sciences, IEEE, Pub Med and Google Scholar databases by combination keywords. From the 431 article that selected at the first, after applying the inclusion and exclusion criteria, 27 articles were selected for surveyed. Data gathering was done by a self-made check list and was analyzed by content analysis method. Results: The finding of this study showed that cloud computing is a very widespread technology. It includes domains such as cost, security and privacy, scalability, mutual performance and interoperability, implementation platform and independence of Cloud Computing, ability to search and exploration, reducing errors and improving the quality, structure, flexibility and sharing ability. It will be effective for electronic health record. Conclusion: According to the findings of the present study, higher capabilities of cloud computing are useful in implementing EHR in a variety of contexts. It also provides wide opportunities for managers, analysts and providers of health information systems. Considering the advantages and domains of cloud computing in the establishment of HER, it is recommended to use this technology. © 2018 Maryam Ahmadi, Nasim Aslani

Deepen electronic health record diffusion beyond breadth: game changers and decision drivers

Cloud computing, financial incentive and patient-centered care are the game changers that deepen EHR diffusion beyond breadth. Based on the innovation diffusion theory (IDT), technology-organization-environment (TOE) framework and alignment literature, this study examines how these changes shape business requirement, service value and society need that drive different phases of EHR diffusion in terms of planning, adoption, usage and upgrade. A longitudinal analysis with the USA National Ambulatory Medical Care Survey (NAMCS) reveals the impacts of different drivers on EHR diffusion. In addition to quantitative results, interview observations corroborate the relationships among game changers, decision drivers and EHR diffusion. The findings provide healthcare providers, system vendors and policy-makers the insights on the best practices of promoting EHR diffusion for long-term success

The Potential for Machine Learning Analysis over Encrypted Data in Cloud-based Clinical Decision Support - Background and Review

This paper appeared at the 8th Australasian Workshop on Health Informatics and Knowledge Management (HIKM 2015), Sydney, Australia, January 2015. Conferences in Research and Practice in Information Technology (CRPIT), Vol. 164, Anthony Maeder and Jim Warren, Ed. Reproduction for academic, not-for profit purposes permitted provided this text is includedIn an effort to reduce the risk of sensitive data exposure in untrusted networks such as the public cloud, increasing attention has recently been given to encryption schemes that allow specific computations to occur on encrypted data, without the need for decryption. This relies on the fact that some encryption algorithms display the property of homomorphism, which allows them to manipulate data in a meaningful way while still in encrypted form. Such a framework would find particular relevance in Clinical Decision Support (CDS) applications deployed in the public cloud. CDS applications have an important computational and analytical role over confidential healthcare information with the aim of supporting decision-making in clinical practice. This review paper examines the history and current status of homomoprhic encryption and its potential for preserving the privacy of patient data underpinning cloud-based CDS applications

INSTITUTIONAL EFFECTS OF COMPARATIVE GOVERNMENT REGULATION FOR THE PROTECTION AND PRIVACY OF HEALTH DATA IN THE CLOUD

This research is a comparative study of the institutional effects of regulatory and compliance issues surrounding cloud computing in healthcare. Our focus is on health care organizations and the IT industry, and how these two important stakeholders interpret and apply the privacy and security rules from the U.S. and EU. As an institutional environment, healthcare is experiencing coercive, normative and mimetic isomorphic pressures on macro, meso and micro levels. International governments are seeking ways to build capacity in the cloud computing market, yet they are faced with difficult issues in relation to privacy and security of personal data. Our findings suggest that regulatory and compliance is being developed ‘in response to’ rather than ‘in anticipation of’ technical change. Normative pressures to encourage healthcare organizations to develop effective data protection and privacy policies to comply with new regulatory change are further complicated in an environment where cloud data may be transferred across different legal and regulatory jurisdictions. Our findings show that healthcare organizations and cloud providers need to work more closely together as business associates. However, translating HIPAA and EU rules and regulations into practice is thwarted by a lack of legal and regulatory knowledge, particularly in the smaller organizations

A CROSS-COUNTRY STUDY OF CLOUD COMPUTING POLICY AND REGULATION IN HEALTHCARE

International health IT policy currently supports the move towards cloud computing. Governments, industry leaders and advocacy groups are keen to build confidence among health professionals to adopt cloud-based solutions in healthcare. However, the potential benefits from cloud computing need to be evaluated against the risks. This research is a comparative study on U.S and EU health professionals´ views on the potential benefits and risks from cloud computing. The results from surveying healthcare organizations in the U.S and five EU countries (France, Germany, the Netherlands, Sweden and the UK) identify differences across countries in health IT policy, incentives for adoption, privacy and security, and trust in third party suppliers. Our findings show that privacy and security are important issus for healthcare organizations, yet differences exist between the U.S and across EU Member States in how these concepts are viewed. U.S laws and EU Directives on data protection are more advanced than other international regulatory systems. Our study provides insights on cross-jurisdictional approaches to personal data and privacy, regulations and rules on health data export, how countries interpret and implement different data protection regulations and rules, and the practical implementation of regulatory rules using a comparative research method. \