Development Of Healthcare Information System Research Articles

How to Apply and Manage Critical Success Factors in Healthcare Information Systems Development?

Studies on Critical Success Factors (CSFs) in Healthcare Information Systems (HIS) development projects have traditionally often been limited to retrospectively identifying CSFs in a finished project. In this paper, we focus on how to prospectively apply and manage CSFs in HIS projects. Based on a holistic perspective and systems thinking, an inductive research strategy was applied and a single in-depth case study was conducted. The findings include detailed descriptions that contribute to further understanding of how to prospectively apply and manage CSFs in HIS projects. The analysis reveals that CSFs must be applied differently and managed on various system levels. Furthermore, it shows how interactions exist between different system levels, both in the case of a specific CSF and between different CSFs on various system levels. Our analysis framework and findings indicate new directions for future research: how to prospectively apply and manage CSFs in HIS development projects can now be investigated both in a more holistic way and more in detail. Finally, healthcare practitioners can use the descriptions as practical checklists for guiding them in how to realize situational adaptation of CSFs in HIS projects across different system levels.

Secure channel free public key authenticated encryption with multi-keyword search on healthcare systems

A significant amount of electronic health records (EHRs) have been kept in the cloud due to the quick development of healthcare information systems. However, storing EHRs in the cloud may raise security and data privacy issues. Because of the privacy of a patient’s medical data, storing it on a cloud server requires encryption. Public-key encryption with keyword search (PEKS) solves the problem of retrieval on ciphertext, thus avoiding the problem of plaintext information leakage. However, most PEKS schemes are susceptible to inside keyword guessing attacks (KGA). Besides, transmitting the trapdoor to the cloud server requires a secure channel, which is impractical in healthcare information systems. Roughly speaking, PEKS does not protect the privacy of trapdoor and it is expensive to establish secure channels. In this paper, we propose a secure-channel free public key authenticated encryption with multi-keyword search (SCF-PAEMKS) scheme. The proposed SCF-PAEMKS scheme supports conjunctive keyword search, meanwhile satisfying multi-ciphertext indistinguishability (MCI) and multi-trapdoor privacy (MTP) simultaneously. The efficiency analysis and experimental results show that our SCF-PAEMKS scheme enjoys a better performance compared with related schemes.

Innovative Development of the Health Care Sector of the Future in the Conditions of Modern Challenges of the Covid-19 Coronavirus Infection in Ukraine

This article focuses on innovative development of Health Care Sector of the future in terms of modern challenges of the Covid-19 Coronavirus Infection in Ukraine Aims: To identify innovative healthcare delivery models that have been implemented in Ukraine as well as to evaluate their effectiveness in healthcare improvement of the access and delivery, availability and distribution of medical equipment and PPE, healthcare infrastructure, healthcare workforce development and retention, and development of healthcare information systems in Ukraine. Study design: In this study a mixed-approach strategy that combines quantitative and qualitative research methodologies was utilised. Place and Duration of Study: The study was conducted on patients, professionals’ healthcare establishment and policy maker stakeholders in Ukraine. It is a mix of different evaluations on the topic. Methodology: Surveys, interviews, and questionnaires were examples of data collecting tools. The research was conducted online, offline, or both means. Data analysis processes included both quantitative and qualitative methods. Results: Most countries adopted Beveridge principle-based health care system, which were 90% efficient and 98% pandemic resistant. Masks, gloves, and PPE were globally limited, and hospitals had 73, 35% medical equipment and 57% personal protective equipment in April 2020, but 32, 9% and 67,5% in December 2020 due to COVID-19 instances. In December 2020, hospital personnel rose from 85, 56% (Chernihiv region) to 94% to serve new COVID-19 patients (Kherson area). Technology, data analytics, AI, and the block chain may fix the coronavirus. Facebook is the finest example of using digital technology. Another example is to produce digital maps of population. Government efficiency and resources have powered pandemic responses. Conclusion: Ukraine must adopt new healthcare delivery methods and must stock and use medical and PPE. A strong, patient-centered healthcare system requires effective health finance. Healthcare professionals need ongoing training to stay. A hospital IT development initiative is needed to improve efficiency as Ukraine struggled with healthcare information systems during this pandemic.

Challenges to healthcare information systems development: The case of Jordan

ABSTRACT This paper investigates the perception of healthcare providers in regard to the challenges that hinder the development of e-health initiative in Jordan based on a classification of challenges that was developed from the pre-existing literature. Twenty-six semi-structured interviews were conducted with various stakeholders of the e-health system. These challenges are Lack of Regulations and Policies to Support Health Information Systems, lack of financial resources, Privacy Concerns, and Nature of Healthcare Sector. The paper concludes that all of the unique findings that emerged in this paper are directly related to human and cultural issues. These two aspects appear to have a huge impact on the development of the e-health in Jordan. In order to ensure a smooth transformation of health services delivery and as an outcome and contribution of this paper to the managers and decision makers in the healthcare sector, a few findings were highlighted and could be of great value to people in charge of e-health initiatives these include: proper laws and policies that support the e-health development, secure the necessary needed funds, addressing privacy concerns of stakeholders, and standardization of e-health development. This paper serves as one of the newest interpretive studies that empirically explore the challenges to e-health in Jordan. It also attempts to bridge the gap found in the existing literature as it investigates the key issues that affect the development of e-health in Jordan from a different angle that was not adequately looked at and discussed previously.

Security Issues in IoT-Based Healthcare

The paper describes security issues of Internet of Things (IoT)-based applications like healthcare application systems. In recent years, because of increased usage of IoT devices the IoT networks are becoming prone to various security attacks. In this paper, a comprehensive study on security and privacy issues in IoT networks is provided. The IoT which has become a popular technology in recent days is a concept reflecting a connected set of anyone, anything, anytime, anyplace, any service and any network. The IoT builds smart objects, the ultimate devices in the development of healthcare information system. The usage of IoT technologies is a boon to the modern healthcare environment. Since IoT is the next stage of technological revolution, it has become a necessity to incorporate it in the medical field for the convenience it provides. Further, this paper surveys intelligent collaborative security model to minimise security risk. As opposed to the traditional Internet, in addition to humans, an IoT connects a large number of machines mobile, tablet, pc, resource-constrained devices and sensors using heterogeneous wired and wireless networks. An IoT typically has three conceptual layers consisting of perception, network and application layers.

IoT-based Healthcare Issues

Healthcare industry has constantly been on the top in the adoption and utilisation of information and communication technologies (ICT) for the efficient healthcare administration and treatment. Recent developments in ICT and the emergence of Internet of Things (IoT) have opened up new avenues for research and exploration in all fields including medical and healthcare industry. The IoT builds smart objects which are the ultimate building blocks in the development of healthcare information system. The revolution of IoT is restructuring modern healthcare with promising technological, economic and social prospects. This paper surveys advances in IoT-based healthcare technologies and reviews the state-of-the-art network architectures/platforms, applications and industrial trends in IoT-based healthcare solutions. In addition, in this paper, novel methods to utilise IoT within the field of scientific and crafty wellness care are presented. The majority of the survey is about the different healthcare approaches used in the IoT, similar to wireless well-being monitoring, U-healthcare, E-healthcare, age-friendly healthcare techniques. This paper describes a complete monitoring existence cycle and effective healthcare monitoring system designed by using the IoT and radiofrequency identification tags. Further, this paper surveys intelligent collaborative security model to minimise security risk and discusses how different innovations such as big data, ambient intelligence and wearables can be leveraged in a healthcare context; addresses various IoT-based Healthcare Service issues to determine how they can facilitate economies and societies in terms of sustainable development and surveys healthcare researches on IoT-based healthcare on a set of open issues and challenges.

Simulations of Agile Software Processes for Healthcare Information Systems Development Based on Machine Learning Methods

Requirements on software products are becoming more and more complicated and software systems of today are characterized by increasing complexity and size. Therefore, software systems can no longer be developed feasibly without the processes supported by appropriate methods. We propose a method for configuration and modification of software processes in companies based on gathered knowledge and our approach allows to support and optimize the processes with formal methods of modelling and machine-learning based simulations.

Improving clinicians' involvement in healthcare information systems development and delivery

The UK National Health Service (NHS) launched its biggest Information Technology (IT) programme to revolutionise the way care is delivered. Despite these high expectations UK government believes that the greatest challenge to the success of the National Program for IT (NPfIT) is that of securing the clinicians' active involvement in the NPfIT in order to ensure their buy-in at a local level. While there are many possible explanations for the lack of clinicians' involvement and buy-in, the poor relationship between IT and clinician groups is a commonly cited one. Consequently this paper proposes Personal Construct Theory to understand the relationship between the IT and clinician groups as well as a means to improve it. The paper argues that such understanding and the knowledge of ways to improve the poor relationship between these groups will help sponsors of the NPfIT to improve the clinicians' involvement in the national programme.

System Interoperability Study for Healthcare Information System with Web Services

This paper describes the use of a new distributed middleware technology ‘Web Services’ in the proposed Healthcare Information System (HIS) to address the issue of system interoperability raised from existing Healthcare Information systems. With the development of HISs, hospitals and healthcare institutes have been building their own HISs for processing massive healthcare data, such as, systems built up for hospitals under the NHS (National Health Service) to manage patients’ records. Nowadays many healthcare providers are willing to integrate their systems’ functions and data for information sharing. This has raised concerns in data transmission, data security and network limitation. Among these issues, system and language interoperability are one of most obvious issues since data and application integration is not an easy task due to differences in programming languages, system platforms, Database Management Systems (DBMS) used within different systems. As a new distributed middleware technology, Web service brings an ideal solution to the issue of system and language interoperability. Web service has been approved to be very successful in many commercial applications (e.g. Amazon.com, Dell computer, etc.), however it is different to healthcare information system. As the result, Web Service-based Integrated Healthcare Information System (WSIHIS) is proposed to address the interoperability issue of existing HISs but also to introduce this new technology into the healthcare environment.

Exploring a model-driven architecture (MDA) approach to health care information systems development

Objective To explore the potential of the model-driven architecture (MDA) in health care information systems development. Methods An MDA is conceptualized and developed for a health clinic system to track patient information. A prototype of the MDA is implemented using an advanced MDA tool. The UML provides the underlying modeling support in the form of the class diagram. The PIM to PSM transformation rules are applied to generate the prototype application from the model. Results The result of the research is a complete MDA methodology to developing health care information systems. Additional insights gained include development of transformation rules and documentation of the challenges in the application of MDA to health care. Design guidelines for future MDA applications are described. The model has the potential for generalizability. The overall approach supports limited interoperability and portability. Conclusion The research demonstrates the applicability of the MDA approach to health care information systems development. When properly implemented, it has the potential to overcome the challenges of platform (vendor) dependency, lack of open standards, interoperability, portability, scalability, and the high cost of implementation.

Implementation of Health Information Systems in Romania

The paper aimed to present and analyze the development of Healthcare Information Systems in Romania during the last decade. The first part was dedicated to the analysis of a large national project, HMIS--Healthcare Management Information System, and the second to the current state of the hospital information systems and primary care systems. The approach of a "case study" was used. The description of the HMIS project comprised the objectives and its structure, implementation, results and lessons learned. This is followed by a classical short presentation of the current state at the hospital and primary care levels. The very modest results of the HMIS project were critically analyzed, listing the "failure factors" at various moments, both weak points of the project as well as the consequences of the structural-organizational changes within the Romanian healthcare system during the implementation. However, mainly positive results were registered in the last years at lower levels, hospitals and primary care, which can also partially be interpreted as "lesson learned". There are several things to be learned from the Romanian experience. Healthcare information system analysis is quite complex. Obtaining better results requires several additional measures including better education and training, adopting standards and appropriate quality assessment tools.