Medicloud: Hybrid Cloud Computing Framework to Optimize E-Health Activities

Abstract

Abstract-Cloud computing is emerging technology and its usage in health sector is marvelous. It enhances the patient treatment process and allows the physicians to get remotely access to patient medical record anywhere and anytime. Numerous cloud based solution are working currently and offering facilities to people in rural area of developing countries. It is estimated by global healthcare that within few years of adoption of cloud in health sector will increase drastically whereas cloud based health services have opportunities and challenges as well. Privacy, security, interoperability and standards are the factors that influence cloud computing in ehealth. For cloud adoption, organization must understand the existing requirements and make strategy for further development. Cloud offers service and deployment model, each organization select the appropriate model according to their requirements. Interesting thing in cloud is that the responsibility is shared among provider and customer from usage perspective. For initiation of whole procedure service level agreement is signed among customer and provider. Organization can access the cloud services from multiple providers. Hybrid cloud computing is best suitable architecture for health organizations. The whole scenario will provide ease to physician and patient and maximize the work production.

Towards Smart and Green Features of Cloud Computing in Healthcare Services: A Systematic Literature Review

“…1, we presented various aspects of cloud computing. According to research studies [12], [28], [29], in the software as a service (SaaS) model, end-users can use the cloud applications through a web browser, mobile apps, or website links over any type of digital device (i.e., interoperable). The community cloud deployment model is provisioned for exclusive use by a specific community of consumers from organizations that have shared concerns.…”

“…According to [24], the healthcare sector faces challenges in health care data digitization, accessibility, and IT infrastructure, especially in small hospitals. However, a study [29] advised that a cloud model can transform capital expenditure (CAPEX) into operational expenditure (OPEX). As per the study [24], the quality of services depends on IT infrastructure, skilled manpower, and technology transformation.…”

“…As per the study [24], the quality of services depends on IT infrastructure, skilled manpower, and technology transformation. The study [29] revealed factors influencing cloud computing in e-health, including security, privacy, interoperability, and data standards. It designed a hybrid cloud computing conceptual framework for e-health but neglected greenness, energy-saving, carbon footprint, and security concerns.…”

“…Also, a study [20] states that cloud computing can be achieved by establishing distributed data centers that consume a significant volume of energy. Other studies [20], [29], [34] reveal that cloud computing in healthcare sectors has witnessed major development in recent years due to its remote access capabilities and attracting abundant attention. The study [27], also discusses the economic (low capital investment, lower maintenance costs, reduced IT labor costs, energy savings), operational (unlimited resources, enhanced collaboration, and improved security), and functional (wider variety of services, interoperability, and integration) benefits of cloud computing in healthcare organizations.…”

“…Many researchers [18], [40], [62] have disclosed that most medical errors are due to poor access to patient information. Numerous recent research studies [14], [18], [29], [30], [35]- [38], [42], [43], [21], [25], [49]- [51], [53], [55], [56], [58], [59] typically overlooked secure shareability, service collaboration, energy efficiency, and accessibility features in their study contexts. The research studies [36], [37], [40], [45], [47], [51], [63] didn't measure the performance of the proposed models.…”