Modem information technology has been utilized progressively to store and distribute a large amount of healthcare data to reduce costs and improve medical facilities.In this context,the emergence of e-Health clouds of...Modem information technology has been utilized progressively to store and distribute a large amount of healthcare data to reduce costs and improve medical facilities.In this context,the emergence of e-Health clouds offers novel opportunities,like easy and remote accessibility of medical data.However,this achievement produces plenty of new risks and challenges like how to provide integrity,security,and confidentiality to the highly susceptible e-Health data.Among these challenges,authentication is a major issue that ensures that the susceptible medical data in clouds is not available to illegal participants.The smart card,password and biometrics are three factors of authentication which fulfill the requirement of giving high security.Numerous three-factor ECC-based authentication protocols on e-Health clouds have been presented so far.However,most of the protocols have serious security flaws and produce high computation and communication overheads.Therefore,we introduce a novel protocol for the e-Health cloud,which thwarts some major attacks,such as user anonymity,offline password guessing,impersonation,and stolen smart card attacks.Moreover,we evaluate our protocol through formal security analysis using the Random Oracle Model(ROM).The analysis shows that our proposed protocol is more efficient than many existing protocols in terms of computation and communication costs.Thus,our proposed protocol is proved to be more efficient,robust and secure.展开更多
The article reviews the questions related to building the e-health systems. The key element of the system is electronic healthcare record to be formed according to the modular approach in the form of primary and satel...The article reviews the questions related to building the e-health systems. The key element of the system is electronic healthcare record to be formed according to the modular approach in the form of primary and satellite electronic medical records. Person-centred healthcare is proposed as a foundation for e-health. Such an approach provides a potential opportunity for all the medical doctors to obtain necessary information about their patients at any time via the teleconsultations in particular. Transition to e-health is associated with the creation of new opportunities for making diagnostic and therapeutic decisions based on the use of build-in decision support modules. The computer-assisted software design or hybrid systems are considered as the fourth generation medical information systems. It is reasonable to implement the entire information space of e-health, including the information systems of medical institutions and regional data repositories, based on cloud-optimized storage and computing solutions. This approach is expected to be implemented in Russia as a part of the unified state health information system. The authorized access to integrated databases for medical doctors of various specialties is required. In the framework of e-health, telemedicine is considered as an important component. Main elements comprise the real-time access of medical consultants to personified medical databases and remote follow-up of patients by the means of personal or home-based telemedicine. The use of personal portable devices for the control of vital signs of the organism is especially promising. Electronic stethoscopes and specialized video cameras for acquiring objective information should be increasingly used by remote consultants. Unfortunately, this trend is still underdeveloped in Russia. In perspective, e-health as unified medical space will provide a transition to the integrated analysis of population health by medical doctors of various specialties from different countries and will open new prospects for studying health based on the intelligent analysis of integrated data of patients.展开更多
Many boundaries are hindering successful utilisation of e-health in the Kingdom of Saudi Arabia (KSA). We have previously proposed an integrated framework of knowledge management and knowledge discovery to overcome ba...Many boundaries are hindering successful utilisation of e-health in the Kingdom of Saudi Arabia (KSA). We have previously proposed an integrated framework of knowledge management and knowledge discovery to overcome barriers of e-health in KSA. Our proposed framework facilitates diabetes self-management for diabetic citizens in the Kingdom. In this paper, we will investigate and rank the barriers of e-health in KSA from the prospective of three stakeholders. We designed a questionnaire which constituted of items related to eight different e-health barriers and its associated sub-barriers. Citizens participated in 51 items related to six barriers. Healthcare professionals answered 83 items related to eight barriers. IT specialists participated in 74 items related to six barriers. Within each group of respondents, we compared the mean scores for each factor and sub-factor. The highest possible score for the mean was 5.00 and the lowest was 0.00 where the higher the mean score was the more the barrier constituted an obstacle for e-health in KSA. Citizens ranked the connectivity of information system as the top barrier with the mean of 4.0 whereas the least barrier was the cultural barriers with the mean score of 3.1. Healthcare professionals ranked the connectivity of information systems as the top barriers with the mean score of 3.5 whereas the least barrier was the technical expertise and computer skills with the mean score of 2.2. The top ranked barrier from the perspective of IT specialists was the medication safety with the mean score of 3.5 and the least ranked barrier was security and privacy with the mean score of 2.2. The results showed consistency with the literature review. Our proposed framework will contribute to the successful implementation of e-health initiatives and assist citizens in KSA to self- manage diabetes.展开更多
This paper presents the design and development of a health information system following the requirements of Spanish law as well as physicians and patients. In Spain, these systems are relatively new because, until rec...This paper presents the design and development of a health information system following the requirements of Spanish law as well as physicians and patients. In Spain, these systems are relatively new because, until recently, ownership of patients＇ medical records belonged to the health institution. The proposed system gives patients all the information about their medical records, online. The difference from other initiatives is that the hospital provides patients with information and the latter are responsible for its future use. Importantly, this application allows physicians to carry out a personalized and individualized monitoring and treatment of each patient. The tests were conducted with real patients, all with a chronic disease （to show each patient the personalized data）. They all expressed their appreciation of this application＇s usefulness, and obtained satisfaction level was very high. Thanks to having medical information stored on the proposed system, it can be provided to other specialists to improve the knowledgement about the patient.展开更多
Interfaces have always been of concern with respect to the delivery of bioactives.Interfaces within the delivery system that can affect stability are a concern;however,there are other interfaces of importance,such as ...Interfaces have always been of concern with respect to the delivery of bioactives.Interfaces within the delivery system that can affect stability are a concern;however,there are other interfaces of importance,such as the interface with the body tissue,the regulatory interface and the emerging interface when drug delivery is linked to e-health applications.This presentation will address all these interfaces covering basic science aspects as well as discussion of e-health applications.There are interfaces between different phases in formulations such as emulsions,foams,suspensions etc.There are interfaces between actives and excipients within a formulation.The actives as well as excipients may be in different states.展开更多
Many patients have begun to use mobile applications to handle different health needs because they can better access high-speed Internet and smartphones.These devices and mobile applications are now increasingly used a...Many patients have begun to use mobile applications to handle different health needs because they can better access high-speed Internet and smartphones.These devices and mobile applications are now increasingly used and integrated through the medical Internet of Things(mIoT).mIoT is an important part of the digital transformation of healthcare,because it can introduce new business models and allow efficiency improvements,cost control and improve patient experience.In the mIoT system,when migrating from traditional medical services to electronic medical services,patient protection and privacy are the priorities of each stakeholder.Therefore,it is recommended to use different user authentication and authorization methods to improve security and privacy.In this paper,our prosed model involves a shared identity verification process with different situations in the e-health system.We aim to reduce the strict and formal specification of the joint key authentication model.We use the AVISPA tool to verify through the wellknown HLPSL specification language to develop user authentication and smart card use cases in a user-friendly environment.Our model has economic and strategic advantages for healthcare organizations and healthcare workers.The medical staff can increase their knowledge and ability to analyze medical data more easily.Our model can continuously track health indicators to automatically manage treatments and monitor health data in real time.Further,it can help customers prevent chronic diseases with the enhanced cognitive functions support.The necessity for efficient identity verification in e-health care is even more crucial for cognitive mitigation because we increasingly rely on mIoT systems.展开更多
e-Health—a new form of health care service using information technology—has received a great deal of academic attention in the past. What can we learn from these prior studies? This article analyses the development ...e-Health—a new form of health care service using information technology—has received a great deal of academic attention in the past. What can we learn from these prior studies? This article analyses the development of prior work using the scientific literature related to e-Health from the Web of Science core database. Our systematic review suggest that: 1) IT adoption is the most important research topic in this field, 2) Research methods are growing in diversity, 3) Research topics are reasonably differentiated.展开更多
In this study we use the experiences from the service industry and explore pre-requisites of the e-health market which will need to achieve to stimulate both sides of the market (vendors, healthcare organizations, gov...In this study we use the experiences from the service industry and explore pre-requisites of the e-health market which will need to achieve to stimulate both sides of the market (vendors, healthcare organizations, government, institutions, corporations and services organizations) to interact with each other and develop demand driven services and social innovations. The results presented in this paper may be of interest for decision makers, industries (e.g. software or technology designers), small and medium enterprises (SME) and entrepreneurs with an interest in becoming a part of the e-health market, and for consumers (e.g. healthcare personnel and patients) that are willing to influence the market through their choices. The outcomes of the study shown that the role of virtual brokers is essential to the further development of a sustainable e-health market globally because its role as catalyst for interaction between the two-sides of the markets, its effects on the reduction of competitive constrains, its effects on the accessibility to broader network of actors and its effects on the support of public-private exchanges of knowledge and experience.展开更多
文摘Modem information technology has been utilized progressively to store and distribute a large amount of healthcare data to reduce costs and improve medical facilities.In this context,the emergence of e-Health clouds offers novel opportunities,like easy and remote accessibility of medical data.However,this achievement produces plenty of new risks and challenges like how to provide integrity,security,and confidentiality to the highly susceptible e-Health data.Among these challenges,authentication is a major issue that ensures that the susceptible medical data in clouds is not available to illegal participants.The smart card,password and biometrics are three factors of authentication which fulfill the requirement of giving high security.Numerous three-factor ECC-based authentication protocols on e-Health clouds have been presented so far.However,most of the protocols have serious security flaws and produce high computation and communication overheads.Therefore,we introduce a novel protocol for the e-Health cloud,which thwarts some major attacks,such as user anonymity,offline password guessing,impersonation,and stolen smart card attacks.Moreover,we evaluate our protocol through formal security analysis using the Random Oracle Model(ROM).The analysis shows that our proposed protocol is more efficient than many existing protocols in terms of computation and communication costs.Thus,our proposed protocol is proved to be more efficient,robust and secure.
文摘The article reviews the questions related to building the e-health systems. The key element of the system is electronic healthcare record to be formed according to the modular approach in the form of primary and satellite electronic medical records. Person-centred healthcare is proposed as a foundation for e-health. Such an approach provides a potential opportunity for all the medical doctors to obtain necessary information about their patients at any time via the teleconsultations in particular. Transition to e-health is associated with the creation of new opportunities for making diagnostic and therapeutic decisions based on the use of build-in decision support modules. The computer-assisted software design or hybrid systems are considered as the fourth generation medical information systems. It is reasonable to implement the entire information space of e-health, including the information systems of medical institutions and regional data repositories, based on cloud-optimized storage and computing solutions. This approach is expected to be implemented in Russia as a part of the unified state health information system. The authorized access to integrated databases for medical doctors of various specialties is required. In the framework of e-health, telemedicine is considered as an important component. Main elements comprise the real-time access of medical consultants to personified medical databases and remote follow-up of patients by the means of personal or home-based telemedicine. The use of personal portable devices for the control of vital signs of the organism is especially promising. Electronic stethoscopes and specialized video cameras for acquiring objective information should be increasingly used by remote consultants. Unfortunately, this trend is still underdeveloped in Russia. In perspective, e-health as unified medical space will provide a transition to the integrated analysis of population health by medical doctors of various specialties from different countries and will open new prospects for studying health based on the intelligent analysis of integrated data of patients.
文摘Many boundaries are hindering successful utilisation of e-health in the Kingdom of Saudi Arabia (KSA). We have previously proposed an integrated framework of knowledge management and knowledge discovery to overcome barriers of e-health in KSA. Our proposed framework facilitates diabetes self-management for diabetic citizens in the Kingdom. In this paper, we will investigate and rank the barriers of e-health in KSA from the prospective of three stakeholders. We designed a questionnaire which constituted of items related to eight different e-health barriers and its associated sub-barriers. Citizens participated in 51 items related to six barriers. Healthcare professionals answered 83 items related to eight barriers. IT specialists participated in 74 items related to six barriers. Within each group of respondents, we compared the mean scores for each factor and sub-factor. The highest possible score for the mean was 5.00 and the lowest was 0.00 where the higher the mean score was the more the barrier constituted an obstacle for e-health in KSA. Citizens ranked the connectivity of information system as the top barrier with the mean of 4.0 whereas the least barrier was the cultural barriers with the mean score of 3.1. Healthcare professionals ranked the connectivity of information systems as the top barriers with the mean score of 3.5 whereas the least barrier was the technical expertise and computer skills with the mean score of 2.2. The top ranked barrier from the perspective of IT specialists was the medication safety with the mean score of 3.5 and the least ranked barrier was security and privacy with the mean score of 2.2. The results showed consistency with the literature review. Our proposed framework will contribute to the successful implementation of e-health initiatives and assist citizens in KSA to self- manage diabetes.
文摘This paper presents the design and development of a health information system following the requirements of Spanish law as well as physicians and patients. In Spain, these systems are relatively new because, until recently, ownership of patients＇ medical records belonged to the health institution. The proposed system gives patients all the information about their medical records, online. The difference from other initiatives is that the hospital provides patients with information and the latter are responsible for its future use. Importantly, this application allows physicians to carry out a personalized and individualized monitoring and treatment of each patient. The tests were conducted with real patients, all with a chronic disease （to show each patient the personalized data）. They all expressed their appreciation of this application＇s usefulness, and obtained satisfaction level was very high. Thanks to having medical information stored on the proposed system, it can be provided to other specialists to improve the knowledgement about the patient.
文摘Interfaces have always been of concern with respect to the delivery of bioactives.Interfaces within the delivery system that can affect stability are a concern;however,there are other interfaces of importance,such as the interface with the body tissue,the regulatory interface and the emerging interface when drug delivery is linked to e-health applications.This presentation will address all these interfaces covering basic science aspects as well as discussion of e-health applications.There are interfaces between different phases in formulations such as emulsions,foams,suspensions etc.There are interfaces between actives and excipients within a formulation.The actives as well as excipients may be in different states.
基金This work was supported by Taif University(in Taif,Saudi Arabia)through the Researchers Supporting Project Number(TURSP-2020/150).
文摘Many patients have begun to use mobile applications to handle different health needs because they can better access high-speed Internet and smartphones.These devices and mobile applications are now increasingly used and integrated through the medical Internet of Things(mIoT).mIoT is an important part of the digital transformation of healthcare,because it can introduce new business models and allow efficiency improvements,cost control and improve patient experience.In the mIoT system,when migrating from traditional medical services to electronic medical services,patient protection and privacy are the priorities of each stakeholder.Therefore,it is recommended to use different user authentication and authorization methods to improve security and privacy.In this paper,our prosed model involves a shared identity verification process with different situations in the e-health system.We aim to reduce the strict and formal specification of the joint key authentication model.We use the AVISPA tool to verify through the wellknown HLPSL specification language to develop user authentication and smart card use cases in a user-friendly environment.Our model has economic and strategic advantages for healthcare organizations and healthcare workers.The medical staff can increase their knowledge and ability to analyze medical data more easily.Our model can continuously track health indicators to automatically manage treatments and monitor health data in real time.Further,it can help customers prevent chronic diseases with the enhanced cognitive functions support.The necessity for efficient identity verification in e-health care is even more crucial for cognitive mitigation because we increasingly rely on mIoT systems.
文摘e-Health—a new form of health care service using information technology—has received a great deal of academic attention in the past. What can we learn from these prior studies? This article analyses the development of prior work using the scientific literature related to e-Health from the Web of Science core database. Our systematic review suggest that: 1) IT adoption is the most important research topic in this field, 2) Research methods are growing in diversity, 3) Research topics are reasonably differentiated.
文摘In this study we use the experiences from the service industry and explore pre-requisites of the e-health market which will need to achieve to stimulate both sides of the market (vendors, healthcare organizations, government, institutions, corporations and services organizations) to interact with each other and develop demand driven services and social innovations. The results presented in this paper may be of interest for decision makers, industries (e.g. software or technology designers), small and medium enterprises (SME) and entrepreneurs with an interest in becoming a part of the e-health market, and for consumers (e.g. healthcare personnel and patients) that are willing to influence the market through their choices. The outcomes of the study shown that the role of virtual brokers is essential to the further development of a sustainable e-health market globally because its role as catalyst for interaction between the two-sides of the markets, its effects on the reduction of competitive constrains, its effects on the accessibility to broader network of actors and its effects on the support of public-private exchanges of knowledge and experience.
