Cloud services face new scrutiny as industry matures

2020 ◽  
Keyword(s):  
Distance Learning ◽  
Health Services ◽  
Digital Health ◽  
Cloud Services ◽  
Content Type ◽  
Data Centre ◽  
Market Dominance ◽  
Cloud Providers

Significance Its two key attributes -- flexible scale and access from anywhere -- make it a perfect fit for governments, non-profits and commercial firms needing to launch new services, and they accommodate remote working and distance learning. Impacts The pandemic will strain the traditional data-centre economy as uses for self-hosted computing diminish. Cloud services will be central to the expansion of digital health services. Large cloud providers will maintain their market dominance partly due to their stronger cybersecurity capabilities.

scholarly journals Addressing health literacy in the digital domain: insights from a literature review

Kybernetes ◽  
2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Rocco Palumbo ◽  
Capolupo Nicola ◽  
Paola Adinolfi
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Health Services ◽  
Literature Review ◽  
Scientific Knowledge ◽  
Health Care Organizations ◽  
Digital Health ◽  
Organizational Level ◽  
Digital Environment ◽  
Content Type

PurposePromoting health literacy, i.e. the ability to access, collect, understand and use health-related information, is high on the health policy agenda across the world. The digitization of health-care calls for a reframing of health literacy in the cyber-physical environment. The article systematizes current scientific knowledge about digital health literacy and investigates the role of health-care organizations in delivering health literate health-care services in a digital environment.Design/methodology/approachA literature review was accomplished. A targeted query to collect relevant scientific contributions was run on PubMed, Scopus and Web of Science. A narrative approach was undertaken to summarize the study findings and to envision avenues for further development in the field of digital health literacy.FindingsDigital health literacy has peculiar attributes as compared with health literacy. Patients may suffer from a lack of human touch when they access health services in the digital environment. This may impair their ability to collect health information and to appropriately use it to co-create value and to co-produce health promotion and risk prevention services. Health-care organizations should strive for increasing the patients’ ability to navigate the digital health-care environment and boosting the latter’s value co-creation capability.Practical implicationsTailored solutions should be designed to promote digital health literacy at the individual and organizational level. On the one hand, attention should be paid to the patients’ special digital information needs and to avoid flaws in their ability to contribute to health services’ co-production. On the other hand, health-care organizations should be involved in the design of user-friendly e-health solutions, which aim at engaging patients in value co-creation.Originality/valueThis contribution is a first attempt to systematize extant scientific knowledge in the field of digital health literacy specifically focused on the strategies and initiatives that health-care organizations may take to address the limited digital health literacy pandemic.

COVID-19 boosts prospects for health IoT

2020 ◽  
Keyword(s):  
Health Services ◽  
Data Protection ◽  
Digital Health ◽  
Public Private Partnerships ◽  
Contact Tracing ◽  
Iot Security ◽  
Content Type ◽  
Cyber Insurance ◽  
Medical Researchers ◽  
Iot Devices

Significance Health IoT devices are also useful for collecting patient data, which, at scale, could help medical researchers better understand the virus. However, cybersecurity risks are high and rising. Impacts Public-private partnerships will rise as governments contract private firms for digital health services. If contact-tracing apps become ubiquitous, users are likely to take an increased interest in data protection more generally. IoT security will become a regular part of cyber insurance.

A method for trust evaluation in the cloud environments using a behavior graph and services grouping

Kybernetes ◽  
2017 ◽  
Vol 46 (7) ◽  
pp. 1245-1261 ◽  
Author(s):  
Roghiyeh Hajizadeh ◽  
Nima Jafari Navimipour
Keyword(s):  
Evaluation Method ◽  
Cloud Services ◽  
Trust Evaluation ◽  
Content Type ◽  
Trust Value ◽  
Cloud Providers ◽  
Cloud Environments ◽  
Recall Error ◽  
Trust Metric ◽  
Reliability And Availability

Purpose Cloud services have become very popular among researchers and people recently. In such a scenario, identifying reliable cloud services has become very important. The trust value plays a significant role in recognizing reliable providers. The purpose of this paper is to propose a new method to evaluate the trust metric among the cloud providers. The main goal is to increase the precision and accuracy of the trust evaluation method in the cloud environments. Design/methodology/approach This paper evaluates the trust metric among the cloud providers and entities by grouping the services and using a behavioral graph. Four parameters, availability, reliability, interaction evolution and identity, are used for evaluating the trust value. The performance of the proposed method is assessed using a simulator which is programmed in the cloud Azure 2013 based on C# codes. Findings The method is evaluated through various experiments in terms of precision, recall, error-hit, reliability and availability. The obtained results show that the proposed method has better reliability and availability than the FIFO and QoS models. Also, the results show that increasing the number of groups leads to increasing values of trust, precision and availability, and decreasing values of error-hit. Originality/value This paper proposes a trust evaluation method in the cloud environment by grouping the services and using a behavioral graph for improving the amount of availability, error-hit, precision and reliability values.

Personalized cloud service review analysis based on modularized ontology

2020 ◽  
Vol 44 (5) ◽  
pp. 953-975
Author(s):  
Emna Ben-Abdallah ◽  
Khouloud Boukadi ◽  
Mohamed Hammami ◽  
Mohamed Hedi Karray
Keyword(s):  
Knowledge Base ◽  
Positive Impact ◽  
Cloud Service ◽  
Service Evaluation ◽  
End Users ◽  
Cloud Services ◽  
Limited Information ◽  
Content Type ◽  
Ontology Language ◽  
Modular Ontology

PurposeThe purpose of this paper is to analyze cloud reviews according to the end-user context and requirements.Design/methodology/approachpropose a comprehensive knowledge base composed of interconnected Web Ontology Language, namely, modular ontology for cloud service opinion analysis (SOPA). The SOPA knowledge base will be the basis of context-aware cloud service analysis using consumers' reviews. Moreover, the authors provide a framework to evaluate cloud services based on consumers' reviews opinions.FindingsThe findings show that there is a positive impact of personalizing the cloud service analysis by considering the reviewers' contexts in the performance of the framework. The authors also proved that the SOPA-based framework outperforms the available cloud review sites in term of precision, recall and F-measure.Research limitations/implicationsLimited information has been provided in the semantic web literature about the relationships between the different domains and the details on how that can be used to evaluate cloud service through consumer reviews and latent opinions. Furthermore, existing approaches are lacking lightweight and modular mechanisms which can be utilized to effectively exploit information existing in social media.Practical implicationsThe SOPA-based framework facilitates the opinion based service evaluation through a large number of consumer's reviews and assists the end-users in analyzing services as per their requirements and their own context.Originality/valueThe SOPA ontology is capable of representing the content of a product/service as well as its related opinions, which are extracted from the customer's reviews written in a specific context. Furthermore, the SOPA-based framework facilitates the opinion based service evaluation through a large number of consumer's reviews and assists the end-users in analyzing services as per their requirements and their own context.

scholarly journals Self-healing trans-cloud applications

Computing ◽  
2021 ◽  
Author(s):  
Antonio Brogi ◽  
Jose Carrasco ◽  
Francisco Durán ◽  
Ernesto Pimentel ◽  
Jacopo Soldani
Keyword(s):  
Open Source ◽  
Cloud Services ◽  
Self Healing ◽  
Controlled Experiments ◽  
Fault Handling ◽  
Extensive Evaluation ◽  
Cloud Providers ◽  
Heterogeneous Cloud ◽  
Cloud Applications ◽  
Unstable States

AbstractTrans-cloud applications consist of multiple interacting components deployed across different cloud providers and at different service layers (IaaS and PaaS). In such complex deployment scenarios, fault handling and recovery need to deal with heterogeneous cloud offerings and to take into account inter-component dependencies. We propose a methodology for self-healing trans-cloud applications from failures occurring in application components or in the cloud services hosting them, both during deployment and while they are being operated. The proposed methodology enables reducing the time application components rely on faulted services, hence residing in “unstable” states where they can suddenly fail in cascade or exhibit erroneous behaviour. We also present an open-source prototype illustrating the feasibility of our proposal, which we have exploited to carry out an extensive evaluation based on controlled experiments and monkey testing.

scholarly journals Implementing a digital health model of care in Australian youth mental health services: protocol for impact evaluation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sarah Piper ◽  
Tracey A. Davenport ◽  
Haley LaMonica ◽  
Antonia Ottavio ◽  
Frank Iorfino ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Impact Evaluation ◽  
Digital Health ◽  
Youth Mental Health ◽  
Model Of Care ◽  
Health Service Provision ◽  
Industrial Grade ◽  
The Impact

Abstract Background The World Economic Forum has recently highlighted substantial problems in mental health service provision and called for the rapid deployment of smarter, digitally-enhanced health services as a means to facilitate effective care coordination and address issues of demand. In mental health, the biggest enabler of digital solutions is the implementation of an effective model of care that is facilitated by integrated health information technologies (HITs); the latter ensuring the solution is easily accessible, scalable and sustainable. The University of Sydney’s Brain and Mind Centre (BMC) has developed an innovative digital health solution – delivered through the Youth Mental Health and Technology Program – which incorporates two components: 1) a highly personalised and measurement-based (data-driven) model of youth mental health care; and 2) an industrial grade HIT registered on the Australian Register of Therapeutic Goods. This paper describes a research protocol to evaluate the impact of implementing the BMC’s digital health solution into youth mental health services (i.e. headspace - a highly accessible, youth-friendly integrated service that responds to the mental health, physical health, alcohol or other substance use, and vocational concerns of young people aged 12 to 25 years) within urban and regional areas of Australia. Methods The digital health solution will be implemented into participating headspace centres using a naturalistic research design. Quantitative and qualitative data will be collected from headspace health professionals, service managers and administrators, as well as from lead agency and local Primary Health Network (PHN) staff, via service audits, Implementation Officer logs, online surveys, and semi-structured interviews, at baseline and then three-monthly intervals over the course of 12 months. Discussion At the time of publication, six headspace centres had been recruited to this study and had commenced implementation and impact evaluation. The first results are expected to be submitted for publication in 2021. This study will focus on the impact of implementing a digital health solution at both a service and staff level, and will evaluate digital readiness of service and staff adoption; quality, usability and acceptability of the solution by staff; staff self-reported clinical competency; overall impact on headspace centres as well as their lead agencies and local PHNs; and social return on investment.

scholarly journals Driving digital transformation of comprehensive primary health services at scale in India: an enterprise architecture framework

2021 ◽  
Vol 6 (Suppl 5) ◽  
pp. e005242
Author(s):  
Sunita Nadhamuni ◽  
Oommen John ◽  
Mallari Kulkarni ◽  
Eshan Nanda ◽  
Sethuraman Venkatraman ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Services ◽  
Primary Healthcare ◽  
Enterprise Architecture ◽  
Digital Health ◽  
Security And Privacy ◽  
Primary Health ◽  
Architecture Framework ◽  
Primary Health Services ◽  
Enterprise Architecture Framework

In its commitment towards Sustainable Development Goals, India envisages comprehensive primary health services as a key pillar in achieving universal health coverage. Embedded in siloed vertical programmes, their lack of interoperability and standardisation limits sustainability and hence their benefits have not been realised yet. We propose an enterprise architecture framework that overcomes these challenges and outline a robust futuristic digital health infrastructure for delivery of efficient and effective comprehensive primary healthcare. Core principles of an enterprise platform architecture covering four platform levers to facilitate seamless service delivery, monitor programmatic performance and facilitate research in the context of primary healthcare are listed. A federated architecture supports the custom needs of states and health programmes through standardisation and decentralisation techniques. Interoperability design principles enable integration between disparate information technology systems to ensure continuum of care across referral pathways. A responsive data architecture meets high volume and quality requirements of data accessibility in compliance with regulatory requirements. Security and privacy by design underscore the importance of building trust through role-based access, strong user authentication mechanisms, robust data management practices and consent. The proposed framework will empower programme managers with a ready reference toolkit for designing, implementing and evaluating primary care platforms for large-scale deployment. In the context of health and wellness centres, building a responsive, resilient and reliable enterprise architecture would be a fundamental path towards strengthening health systems leveraging digital health interventions. An enterprise architecture for primary care is the foundational building block for an efficient national digital health ecosystem. As citizens take ownership of their health, futuristic digital infrastructure at the primary care level will determine the health-seeking behaviour and utilisation trajectory of the nation.

Developing organizations: a system of enquiry, action and learning

2017 ◽  
Vol 31 (1) ◽  
pp. 12-14
Author(s):  
Wayne Graham
Keyword(s):  
Health Services ◽  
Small Business ◽  
Organizational Development ◽  
Design Methodology ◽  
Action Learning ◽  
Organizational Outcomes ◽  
Business Owners ◽  
Content Type ◽  
Business Practitioners ◽  
Practical Implications

Purpose This paper aims to demonstrate the applicability of an action learning model to improve organizational outcomes. Design/methodology/approach This paper extends previous work by applying the system of enquiry, action and learning (SEAL) model using an action research methodology to a small business operating in the health services industry. Findings The SEAL model is a useful approach to introduce small business practitioners to the principles of organizational development (OD). Research limitations/implications The application is limited to one small business, and subsequent studies could apply the model to more organizations that operate in industries other than health services. Practical implications Business owners from this study and previous studies have found the model to be useful in the improvement of organizational outcomes. Originality/value The SEAL model is a simplified model that introduces principles of OD and has provided value to the business owners of this study.

Development, implementation and evaluation of nurse-led integrated, person-centred care with long-term conditions

2017 ◽  
Vol 25 (3) ◽  
pp. 186-195 ◽  
Author(s):  
Clare Lynette Harvey ◽  
Jonathan Sibley ◽  
Janine Palmer ◽  
Andrew Phillips ◽  
Eileen Willis ◽  
...  
Keyword(s):  
Health Services ◽  
Chronic Conditions ◽  
Well Being ◽  
Multiple Chronic Conditions ◽  
Long Term Conditions ◽  
Content Type ◽  
Care Services ◽  
Health Strategy ◽  
Global Increase

Purpose The purpose of this paper is to outline a conceptual plan for innovative, integrated care designed for people living with long-term conditions (LTCs). Design/methodology/approach The conceptual plan delivers a partnership between the health system, the person with LTCs (chronic), their family, and the community. The partnership aims to support people at home with access to effective treatment, consistent with the New Zealand Government Health Strategy. This concept of people-owned care is provided by nurses with advanced practice skills, who coordinate care across services, locations and multiple LTCs. Findings With the global increase in numbers of people with multiple chronic conditions, health services are challenged to deliver good outcomes and experience. This model aims to demonstrate the effective use of healthcare resources by supporting people living with a chronic condition, to increase their self-efficacy and resilience in accordance with personal, cultural and social circumstance. The aim is to have a model of care that is replicable and transferable across a range of health services. Social implications People living with chronic conditions can be empowered to manage their health and well-being, whilst having access to nurse-led care appropriate to individual needs. Originality/value Although there are examples of case management and nurse-led coordination, this model is novel in that it combines a liaison nursing role that works in partnership with patients, whilst ensuring that care across a number of primary and secondary care services is truly integrated and not simply interfaced.

scholarly journals The dogs bark and the circus moves on

2015 ◽  
Vol 28 (1/2) ◽  
pp. 7-18
Author(s):  
John D Robinson
Keyword(s):  
Digital Library ◽  
Capital Investment ◽  
Service Providers ◽  
Cloud Services ◽  
Bottom Line ◽  
Content Type ◽  
Full Responsibility ◽  
Managed Services ◽  
Library Function ◽  
The Uk

Purpose – The paper aims to set out challenges that libraries face while developing their Digital Library capabilities and capacity and propose an approach to estimating the costs for these functions. There is a skills challenge as well as an organisational challenge. The opportunities to build new teams or re-train existing staff are discussed. Design/methodology/approach – The approach builds on a 2008 paper about Digital Library economics and discusses the changes in the environment since then. A model is described in which a library takes on the full responsibility for building and operating a Digital Library function in-house. This is used to benchmark other options such as managed services, outsourced infrastructure and “cloud” services. Findings – The Open Access Publication and Research Data Management mandates present challenges to all libraries based in academic institutions in the UK. New working methods and new costs are unavoidable. There are a number of ways to deal with this depending upon the institutional circumstance. The bottom line can be increases in revenue budgets of around 10 per cent with variable requirements for capital investment. Originality/value – Libraries and librarians have different experiences in closely working with colleagues in information technology (IT). A number of propositions are presented about the value of cooperation and collaboration between library and IT and also with external partners and service providers.

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