Abstract
A typical telemedicine system involves a small set of hospitals providing remote healthcare services to a small section of the society using dedicated nodal centers. However, in developing nations like India where majority live in rural areas that lack specialist care, we envision the need for much larger Internet-based telemedicine systems that would enable a large pool of doctors and hospitals to collectively provide healthcare services to entire populations. We propose a scalable, Internet-based P2P architecture for telemedicine integrating multiple hospitals, mobile medical specialists, and rural mobile units. This system, based on the store and forward model, features a distributed context-aware scheduler for providing timely and location-aware telemedicine services. Other features like zone-based overlay structure and persistent object space abstraction make the system efficient and easy to use. Lastly, the system uses the existing internet infrastructure and supports mobility at doctor and patient ends.
Highlights
The European Commission’s health care telematics programme [1] defines telemedicine as “rapid access to shared and remote medical expertise by means of telecommunications and information technologies, no matter where the patient or relevant information is located.” Telemedicine has prime importance especially in developing countries because of several reasons
In India, about 70% of the population live in the rural areas while 75% of the doctors practice in the urban centers [3, 4]
We present Arogyasree (Arogyasree means “good health” in Sanskrit), a context-aware, P2P grid framework for mobile telemedicine
Summary
The European Commission’s health care telematics programme [1] defines telemedicine as “rapid access to shared and remote medical expertise by means of telecommunications and information technologies, no matter where the patient or relevant information is located.” Telemedicine has prime importance especially in developing countries because of several reasons. We propose to support telemedicine services with P2P technologies using the internet as the backbone This will facilitate cost-effective utilization of the existing hardware resources and in future (if at all) an easy integration with dedicated infrastructure. We present Arogyasree (Arogyasree means “good health” in Sanskrit), a context-aware, P2P grid framework for mobile telemedicine This Internet-based scalable system integrates multiple hospitals, mobile medical specialists and rural mobile units/clinics to form a large virtual enterprise. It discusses the design of a distributed context-aware scheduler (using tuple spaces) that considers parameters like proximity, patient history, severity of ailment, and so forth to locate appropriate doctors.
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