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Cloud Computing for Achieving Interoperability in Home-based Healthcare
Blekinge Institute of Technology, Faculty of Computing, Department of Creative Technologies.
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: urn:nbn:se:bth-14017ISBN: 978-91-7295-338-3 (print)OAI: oai:DiVA.org:bth-14017DiVA: diva2:1082558
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: 2017-04-05Bibliographically approved
List of papers
1. Sharing Health Data Through Hybrid Cloud For Self-Management
Open this publication in new window or tab >>Sharing Health Data Through Hybrid Cloud For Self-Management
2015 (English)In: 2015 IEEE International Conference on Multimedia & Expo Workshops (ICMEW), IEEE, 2015Conference paper, (Refereed)
Abstract [en]

Nowadays, patient self-management is encouraged in home-based healthcare, especially for chronic disease care. Sharing health information could improve the quality of patient self-management. In this paper, we introduce cloud computing as a potential technology to provide a more sustainable long-term solution compared with other technologies. A hybrid cloud is identified as a suitable way to enable patients to share health information for promoting the treatment of chronic diseases. And then a prototype on the case of type 2 diabetes is implemented to prove the feasibility of the proposed solution.

Place, publisher, year, edition, pages
IEEE, 2015
Series
IEEE International Conference on Multimedia and Expo Workshops, ISSN 2330-7927
Keyword
Chronic disease, information sharing, self-management, cloud computing, hybrid cloud
National Category
Other Electrical Engineering, Electronic Engineering, Information Engineering
Identifiers
urn:nbn:se:bth-11385 (URN)10.1109/ICMEW.2015.7169752 (DOI)000380531100012 ()978-1-4799-7079-7 (ISBN)
Conference
IEEE International Conference on Multimedia & Expo Workshops (ICMEW), Torino
Available from: 2016-01-11 Created: 2016-01-11 Last updated: 2017-06-19Bibliographically approved
2. A Cloud Computing Solution for Sharing Healthcare Information
Open this publication in new window or tab >>A Cloud Computing Solution for Sharing Healthcare Information
2012 (English)Conference paper, (Refereed) Published
Abstract [en]

In recent years, sharing healthcare information becomes one of essential requirements of e-health development. To cover this gap, different solutions are presented through different technologies. In this paper, we proposed a cloud computing solution for sharing healthcare information based on Google App Engine (GAE). With the experiment test results, we achieve interoperability among different healthcare centers and between healthcare providers and receivers with high stability and availability.

Place, publisher, year, edition, pages
London: IEEE, 2012
Keyword
healthcare information, interoperability, cloud computing, GAE
National Category
Computer Science Media and Communications
Identifiers
urn:nbn:se:bth-6975 (URN)000317120000073 ()oai:bth.se:forskinfo49305B71D08B95B5C1257AC400540959 (Local ID)oai:bth.se:forskinfo49305B71D08B95B5C1257AC400540959 (Archive number)oai:bth.se:forskinfo49305B71D08B95B5C1257AC400540959 (OAI)
Conference
The 7th International Conference for Internet Technology and Secured Transactions (ICITST)
Available from: 2013-05-31 Created: 2012-11-28 Last updated: 2017-03-17Bibliographically approved
3. Future Directions of Applying Healthcare Cloud for Home-based Chronic Disease Care
Open this publication in new window or tab >>Future Directions of Applying Healthcare Cloud for Home-based Chronic Disease Care
2017 (English)Conference paper, (Refereed)
Abstract [en]

The care of chronic disease has become the main challenge for healthcare institutions around the world. To meet the growing needs of patients, moving the front desk of healthcare from hospital to home is essential. Recently, cloud computing has been applied to healthcare domain; however, adapting to and using this technology effectively for home-based care is still in its initial phase. We have proposed a conceptual hybrid cloud model for home-based chronic disease care, and have evaluated its future feasibility by a case study of diabetes care in Blekinge, Sweden. In this paper, we discuss some possible future opportunities and challenges to apply this cloud model with the huge population for home-based chronic diseases care. To apply this model in practice, a professional IT healthcare education team is needed for both healthcare providers and healthcare recipients. For home-based healthcare, a monitoring system with an automatic alarm to healthcare providers is also necessary in some cases. Also, how to record and integrate excises data through wearable devices in a cloud should be considered. Given the high demand, sharing medical images through the cloud should be another research focus.

Place, publisher, year, edition, pages
IARIA XPS Press, 2017
Keyword
future trends, hybrid cloud, chronic diseases, home-based care
National Category
Electrical Engineering, Electronic Engineering, Information Engineering
Identifiers
urn:nbn:se:bth-14016 (URN)978-1-61208-540-1 (ISBN)
Conference
The Ninth International Conference on eHealth, telemedicine and Social Medicine (eTELEMED), Nice
Note

open access

Available from: 2017-03-17 Created: 2017-03-17 Last updated: 2017-03-28Bibliographically approved
4. A Virtual Community Design for Home-Based Chronic Disease Healthcare
Open this publication in new window or tab >>A Virtual Community Design for Home-Based Chronic Disease Healthcare
2016 (English)In: Lecture Notes in Computer Science / [ed] Seyff N.,Ebert A.,Humayoun S.R.,Perini A.,Barbosa S.D.J.,Seyff N., Springer Publishing Company, 2016Conference paper, (Refereed)
Abstract [en]

The internet based social network has been applied to serve many social functions, such as democratic decision making, knowledge sharing, educa‐ tion, and healthcare. In this paper, we provide a prototype of virtual community designed for home-based chronic diseases healthcare. We studied the concept “community” from the activity theory model in order to design the prototype with a solid theoretical base. Then we conducted a questionnaire from healthcare recipients and interviewed healthcare providers to gather the requirements for the design of the community. With some user stories we described the requirements as use cases for our design and a conceptual prototype is built based on the requirements. This virtual community servers as a shared platform for all the stakeholders who are engaged in the healthcare activity. With this shared community platform, the interoperability problems of current healthcare systems can be moderated

Place, publisher, year, edition, pages
Springer Publishing Company, 2016
Keyword
Virtual community, Self-management, Home-based chronic disease healthcare, Requirements, Activity theory
National Category
Engineering and Technology
Identifiers
urn:nbn:se:bth-13752 (URN)10.1007/978-3-319-45916-5_11 (DOI)978-3-319-45915-8 (ISBN)
Conference
GetIt@BTH (standard)(opens in a new window)|GetIt@BTH (1.0)(opens in a new window)|E-Journal Portal|View at Publisher| Export | Download | Add to List| More... Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics) Volume 9312 LNCS, 2016, Pages 175-189 1st International Workshop on Usability- and Accessibility-Focused Requirements Engineering, UsARE 2012, Held in Conjunction with 34th International Conference on Software Engineering, ICSE 2012, 2nd International Workshop, Usability- and Accessibility-Focused Requirements Engineering, UsARE 2014 and Held in Conjunction with International Requirements Engineering Conference, RE 2014; Karlskrona
Available from: 2017-01-13 Created: 2017-01-13 Last updated: 2017-03-17Bibliographically approved
5. A hybrid cloud model for diabetes home-based care: a case study for perceived future feasibility
Open this publication in new window or tab >>A hybrid cloud model for diabetes home-based care: a case study for perceived future feasibility
(English)In: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811Article in journal (Refereed) Submitted
National Category
Engineering and Technology
Identifiers
urn:nbn:se:bth-14015 (URN)
Available from: 2017-03-17 Created: 2017-03-17 Last updated: 2017-03-28Bibliographically approved
6. A Cloud Model for Interoperable Home-based Chronic Diseases Healthcare
Open this publication in new window or tab >>A Cloud Model for Interoperable Home-based Chronic Diseases Healthcare
2014 (English)Conference paper, (Refereed)
Abstract [en]

Traditional hospital based care cannot meet all the needs of chronic diseases care in home, especially for elderly people. A new approach applying eHealth that supports interoperable health care is required. To find a way to meet the new needs, we firstly carried out a questionnaire to analyze current problems and needs in chronic disease care. Then we compared possible technical solutions and proposed a cloud model for the identified problems. This model would help chronic patients self-record and control their daily care data, communicate with other patients who have the similar situation. The proposed solution could be also used to integrate data from different healthcare providers for a cooperative work, namely in this paper as Home-based Chronic Diseases Healthcare (HCDH).

Place, publisher, year, edition, pages
IEEE, 2014
Keyword
eHealth, home-based chronic disease healthcare, cloud, interoperability
National Category
Computer Science
Identifiers
urn:nbn:se:bth-6774 (URN)000363899900001 ()978-1-4799-2806-4 (ISBN)
Conference
World Symposium on Computer Applications and Research (WSCAR),Sousse, Tunisia
Available from: 2014-02-04 Created: 2014-02-03 Last updated: 2017-03-17Bibliographically approved
7. A systematic literature review of cloud computing in eHealth
Open this publication in new window or tab >>A systematic literature review of cloud computing in eHealth
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
Keyword
Systematic review, eHealth, cloud computing, home-based healthcare
National Category
Computer Science
Identifiers
urn:nbn:se:bth-6502 (URN)10.5121/hiij.2014.3402 (DOI)oai:bth.se:forskinfo8F2BF13D41ADD99AC1257DA2004DD483 (Local ID)oai:bth.se:forskinfo8F2BF13D41ADD99AC1257DA2004DD483 (Archive number)oai:bth.se:forskinfo8F2BF13D41ADD99AC1257DA2004DD483 (OAI)
Note
Open Access JournalAvailable from: 2014-12-05 Created: 2014-12-02 Last updated: 2017-03-17Bibliographically approved
8. Using P2P Technology to Achieve eHealth Interoperability
Open this publication in new window or tab >>Using P2P Technology to Achieve eHealth Interoperability
2011 (English)Conference paper, (Refereed) Published
Abstract [en]

Abstract—eHealth is an emerging area that boosts up with advancement in Information and Communication Technology (ICT). Due to variety of eHealth solutions developed by different IT firms with no unified standards, interoperability issue has raised. In this paper, a case study in Blekinge County healthcare organizations has been conducted for understanding the contexts of eHealth interoperability issues. Then a peer-to-peer (P2P) model based on JXTA platform is implemented to solve the identified eHealth interoperability problems. According to the test result of the prototype, the suggested syntactic level interoperability among healthcare organizations has been achieved.

Place, publisher, year, edition, pages
Tian Jin, China: IEEE, 2011
Keyword
eHealth, Interoperability, Peer-to-peer, JXTA
National Category
Computer Science
Identifiers
urn:nbn:se:bth-7526 (URN)oai:bth.se:forskinfo25D4C55DB28F3751C12578BA0058702C (Local ID)oai:bth.se:forskinfo25D4C55DB28F3751C12578BA0058702C (Archive number)oai:bth.se:forskinfo25D4C55DB28F3751C12578BA0058702C (OAI)
Conference
8th International Conference on Service Systems and Service Management
Available from: 2012-09-18 Created: 2011-06-25 Last updated: 2017-03-17Bibliographically approved

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