A scoping review of cloud computing in healthcare.
A scoping review of cloud computing in healthcare.
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DOI：
10.1186/s12911-015-0145-7
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发表时间：
2015-03-19
影响因子：
3.5
通讯作者：
Sedlmayr M
中科院分区：
文献类型：
--
作者：
Griebel L;Prokosch HU;Köpcke F;Toddenroth D;Christoph J;Leb I;Engel I;Sedlmayr M
云计算是医疗保健领域最近快速发展的领域。无处不在的、按需访问几乎无穷无尽的资源，再加上按使用付费的模式，为开发、交付和使用服务提供了新的方式。云计算通常用于“OMICS背景”，例如用于基因组学、蛋白质组学和分子医学的计算，而其他应用领域似乎仍然代表性不足。因此，本次范围界定审查的目的是确定医疗保健领域云计算研究的现状和热点。在2013年7月和2014年12月检索了MEDLINE中包含术语“云计算”和“基于云”的出版物。每一篇期刊和会议文章都由两名研究人员独立分类和总结，他们整合了他们的研究结果。对102篇出版物进行了分析，发现了6个主要主题：远程医疗/远程会诊、医学成像、公共卫生和患者自我管理、医院管理和信息系统、治疗和数据的二次使用。通常使用的特性是用于共享和访问数据的广泛网络访问以及动态适应计算需求的快速弹性。八篇文章支持基于云的服务的按使用付费的特性，避免了前期投资。尽管如此，尽管22篇文章展示了云计算在医疗领域的普遍潜力，66篇文章描述了概念性或原型项目，但只有14篇文章报告了成功的实施。此外，在许多文章中，云计算被视为基于互联网/Web的数据共享的类比，不幸的是，特定云计算方法的特征并没有真正说明。尽管医疗保健领域的云计算越来越受到关注，但只有少数成功的实现，许多论文只是将“云”一词同义地用于“使用虚拟机”或“基于Web”，而没有描述云模式的好处。医疗保健领域采用的最大威胁是由外部云合作伙伴引起的：许多数据安全性和安全性问题仍有待解决。在此之前，云计算更倾向于单一的、个性化的功能，如弹性、按使用付费和广泛的网络访问，而不是作为云计算本身的范例。本文的在线版本（doi：10.1186/s12911-015-0145-7）包含补充材料，可供授权用户使用。
Cloud computing is a recent and fast growing area of development in healthcare. Ubiquitous, on-demand access to virtually endless resources in combination with a pay-per-use model allow for new ways of developing, delivering and using services. Cloud computing is often used in an “OMICS-context”, e.g. for computing in genomics, proteomics and molecular medicine, while other field of application still seem to be underrepresented. Thus, the objective of this scoping review was to identify the current state and hot topics in research on cloud computing in healthcare beyond this traditional domain. MEDLINE was searched in July 2013 and in December 2014 for publications containing the terms “cloud computing” and “cloud-based”. Each journal and conference article was categorized and summarized independently by two researchers who consolidated their findings. 102 publications have been analyzed and 6 main topics have been found: telemedicine/teleconsultation, medical imaging, public health and patient self-management, hospital management and information systems, therapy, and secondary use of data. Commonly used features are broad network access for sharing and accessing data and rapid elasticity to dynamically adapt to computing demands. Eight articles favor the pay-for-use characteristics of cloud-based services avoiding upfront investments. Nevertheless, while 22 articles present very general potentials of cloud computing in the medical domain and 66 articles describe conceptual or prototypic projects, only 14 articles report from successful implementations. Further, in many articles cloud computing is seen as an analogy to internet-/web-based data sharing and the characteristics of the particular cloud computing approach are unfortunately not really illustrated. Even though cloud computing in healthcare is of growing interest only few successful implementations yet exist and many papers just use the term “cloud” synonymously for “using virtual machines” or “web-based” with no described benefit of the cloud paradigm. The biggest threat to the adoption in the healthcare domain is caused by involving external cloud partners: many issues of data safety and security are still to be solved. Until then, cloud computing is favored more for singular, individual features such as elasticity, pay-per-use and broad network access, rather than as cloud paradigm on its own. The online version of this article (doi:10.1186/s12911-015-0145-7) contains supplementary material, which is available to authorized users.
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影响因子：
2.7
作者：
Ferenchick GS;Solomon D
通讯作者：
Solomon D
影响因子：
5.3
作者：
Fernandez-Cardenosa, Gonzalo;de la Torre-Diez, Isabel;Rodrigues, Joel J. P. C.
通讯作者：
Rodrigues, Joel J. P. C.
影响因子：
--
作者：
Tseng KC;Wu CC
通讯作者：
Wu CC
DOI：
10.3390/s131216451
发表时间：
2013-12-02
期刊：
Sensors (Basel, Switzerland)
影响因子：
--
作者：
Fong EM;Chung WY
通讯作者：
Chung WY
DOI：
10.1109/jbhi.2014.2300846
发表时间：
2014-07-01
影响因子：
7.7
作者：
Abbas, Assad;Khan, Samee U.
通讯作者：
Khan, Samee U.