Towards an Integrated Approach to Monitor and Analyse Health Care Data using Relational Databases

Data in the cloud is leading to the more interest for cyber attackers. These days’ attackers are concentrating more on Health care data. Through data mining performed on health care data Industries are making Business out of it. These changes are affecting the treatment process for many people so careful data processing is required. Breaking these data security leads to many consequences for health care organizations. After braking security computation of private data can be performed. By data storing and running of computation on a sensitive data can be possible by decentralization through peer to peer network. Instead of using the centralized architecture by decentralization the attacks can be reduced. Different security algorithms have been considered. For decentralization we are using block chain technology. Privacy, security and integrity can be achieved by this block chain technology. Many solutions have been discussed to assure the privacy and security for Health care organizations somehow failed to address this problem. Many cryptographic functions can be used for attaining privacy of data. Pseudonymity is the main concept we can use to preserve the health care means preserving data by disclosing true identity legally.

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The value of an integrated approach to assessing the availability of primary health care, taking into account public opinion and EMIAS data

Health Care of the Russian Federation ◽

10.47470/0044-197x-2021-65-5-411-417 ◽

2021 ◽

Vol 65 (5) ◽

pp. 411-417

Author(s):

Sergei S. Budarin ◽

Andrei V. Starshinin ◽

Andrei A. Tyazhelnikov ◽

Elena V. Kostenko ◽

Yulia V. Elbek

Keyword(s):

Health Care ◽

Public Opinion ◽

Primary Health Care ◽

Medical Care ◽

Medical Information ◽

Integrated Approach ◽

Sociological Study ◽

Primary Health ◽

Level 1 ◽

Index Value

Introduction. The study of public opinion as the basis for strategic planning of the activities of medical institutions is more relevant than ever, as it allows finding ways to solve the problems of ensuring the availability and satisfaction of citizens with medical care. Purpose. Comparative assessment of the availability of primary health care based on the results of a sociological study of public opinion and data from the Unified Medical Information and Analytical System of the City of Moscow (UMIAS). Material and methods. To study public opinion, the practice of population survey was used, which was conducted through direct interviewing with filling out questionnaires of visitors to Moscow polyclinics and the method of questioning doctors based on a questionnaire developed by researchers. To analyze the data, the authors used general scientific methods of cognition, including the dialectical method, a systematic approach, logical correspondence and harmonization, detailing and generalization. As part of the study, the index value of the patient loyalty to the medical institution (MI) was calculated according to Net Promoter Score (NPS) method as the difference between the share of the “Promoters” group and the share of the “Critics” group in the total number of responses. Results and discussion. The established correlations indicate the opinions of doctors and citizens to coincide and the UMIAS data on the issue of assessing the accessibility of admission of level 1 doctors for citizens. Based on the results of a sociological survey, the number of dissatisfied patients is mainly affected by managing medical care and its availability. The study confirmed that the higher the availability of an appointment with a level 1 doctor, the lower the number of visits the doctor on duty. Conclusion. The conducted research has shown the practicality of an integrated approach to evaluating the activities of medical organizations based on the results of public opinion research and UMIAS data.

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