scholarly journals Geometric Data Perturbation-Based Personal Health Record Transactions in Cloud Computing

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
S. Balasubramaniam ◽  
V. Kavitha
Keyword(s):  
Cloud Computing ◽  
Key Management ◽  
Information Exchange ◽  
Service Providers ◽  
Health Information Exchange ◽  
Personal Health Record ◽  
Personal Health ◽  
Health Record ◽  
Data Perturbation ◽  
Geometric Data

Cloud computing is a new delivery model for information technology services and it typically involves the provision of dynamically scalable and often virtualized resources over the Internet. However, cloud computing raises concerns on how cloud service providers, user organizations, and governments should handle such information and interactions. Personal health records represent an emerging patient-centric model for health information exchange, and they are outsourced for storage by third parties, such as cloud providers. With these records, it is necessary for each patient to encrypt their own personal health data before uploading them to cloud servers. Current techniques for encryption primarily rely on conventional cryptographic approaches. However, key management issues remain largely unsolved with these cryptographic-based encryption techniques. We propose that personal health record transactions be managed using geometric data perturbation in cloud computing. In our proposed scheme, the personal health record database is perturbed using geometric data perturbation and outsourced to the Amazon EC2 cloud.

PHR in Cloud Environment Using Enhanced Attribute Based Encryption and Advanced Encryption Standard

2014 ◽  
Vol 573 ◽  
pp. 588-592
Author(s):  
T.B. Sivakumar ◽  
S. Geetha
Keyword(s):  
Public Health ◽  
Key Management ◽  
Personal Health Record ◽  
Personal Health ◽  
Health Record ◽  
Multiple Forms ◽  
Health Records ◽  
Attribute Based Encryption ◽  
And Performance ◽  
High Degree

Personal Health Record is internet based application that enables individuals to access and coordinates their womb-to-tomb health data. The patients have management over access to their own PHR. To attain security of non-public health records, we have a tendency to use the attribute based secret writing to write in code to inform before outsourcing it. Here we have a tendency to specialize in multiple forms of PHR owner situation and division of non-public health records users into multiple security domains that cut back key management complex for house owners and users. A high degree of patient’s privacy is secured. Our theme offer a personal health record owner full management of his/her information. In depth security and performance analysis shows that the projected theme is very economical.

scholarly journals Impact of electronic personal health record use on engagement and intermediate health outcomes among cardiac patients: a quasi-experimental study

2016 ◽  
Vol 23 (1) ◽  
pp. 119-128 ◽  
Author(s):  
Tammy Toscos ◽  
Carly Daley ◽  
Lisa Heral ◽  
Riddhi Doshi ◽  
Yu-Chieh Chen ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Health Outcomes ◽  
Body Mass ◽  
Patient Engagement ◽  
Information Exchange ◽  
Personal Health Record ◽  
Personal Health ◽  
Health Record ◽  
Quasi Experimental ◽  
The Impact

Abstract Objectives To determine the impact of tethered personal health record (PHR) use on patient engagement and intermediate health outcomes among patients with coronary artery disease (CAD). Methods Adult CAD patients ( N = 200) were enrolled in this prospective, quasi-experimental observational study. Each patient received a PHR account and training on its use. PHRs were populated with information from patient electronic medical records, hosted by a Health Information Exchange. Intermediate health outcomes including blood pressure, body mass index, and hemoglobin A1c (HbA1c) were evaluated through electronic medical record review or laboratory tests. Trends in patient activation measure® (PAM) were determined through three surveys conducted at baseline, 6 and 12 months. Frequency of PHR use data was collected and used to classify participants into groups for analysis: Low , Active , and Super users. Results There was no statistically significant improvement in patient engagement as measured by PAM scores during the study period. HbA1c levels improved significantly in the Active and Super user groups at 6 months; however, no other health outcome measures improved significantly. Higher PAM scores were associated with lower body mass index and lower HbA1c, but there was no association between changes in PAM scores and changes in health outcomes. Use of the PHR health diary increased significantly following PHR education offered at the 6-month study visit and an elective group refresher course. Conclusions The study findings show that PHR use had minimal impact on intermediate health outcomes and no significant impact on patient engagement among CAD patients.

scholarly journals Development of a Mobile Personal Health Record Application Designed for Emergency Care in Korea; Integrated Information from Multicenter Electronic Medical Records

2020 ◽  
Vol 10 (19) ◽  
pp. 6711 ◽  
Author(s):  
Yuri Choi ◽  
June-sung Kim ◽  
In Ho Kwon ◽  
Taerim Kim ◽  
Su Min Kim ◽  
...  
Keyword(s):  
Emergency Care ◽  
Medical Records ◽  
Information Exchange ◽  
Health Information Exchange ◽  
System Development ◽  
Personal Health Record ◽  
Health Data ◽  
Mobile App ◽  
Personal Health ◽  
Tertiary Hospitals

Collecting patient’s medical data is essential for emergency care. Although hospital-tethered personal health records (PHRs) can provide accurate data, they are not available as electronic information when the hospital does not develop and supply PHRs. The objective of this research was to evaluate whether a mobile app can assemble health data from different hospitals and enable interoperability. Moreover, we identified numerous barriers to overcome for putting health data into one place. The new mobile PHR (mPHR) application was developed and evaluated according to the four phases of the system development life cycle: defining input data and functions, developing a prototype, developing a mobile application, and implementation testing. We successfully introduced the FirstER (First for Emergency Room) platform on 23 September 2019. Additionally, validation in three tertiary hospitals has been carried out since the launch date. From 14 October to 29 November 2019, 1051 cases registered with the FirstER, and the total download count was 15,951 records. We developed and successfully implemented the mPHR service, which can be used as a health information exchange tool in emergency care, by integrating medical records from three different tertiary hospitals. By recognizing the significance and limitations of this service, it is necessary to study the development and implementation of mPHR services that are more suitable for emergency care.

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