Skip to main content

Advertisement

Log in

Towards an e-Health Cloud Solution for Remote Regions at Bahia-Brazil

  • Transactional Processing Systems
  • Published:
Journal of Medical Systems Aims and scope Submit manuscript

Abstract

This paper presents CloudMedic, an e-Health Cloud solution that manages health care services in remote regions of Bahia-Brazil. For that, six main modules: Clinic, Hospital, Supply, Administrative, Billing and Health Business Intelligence, were developed to control the health flow among health actors at health institutions. They provided database model and procedures for health business rules, a standard gateway for data maintenance between web views and database layer, and a multi-front-end framework based on web views and web commands configurations. These resources were used by 2042 health actors in 261 health posts covering health demands from 118 municipalities at Bahia state. They also managed approximately 2.4 million health service ‘orders and approximately 13.5 million health exams for more than 1.3 million registered patients. As a result, a collection of health functionalities available in a cloud infrastructure was successfully developed, deployed and validated in more than 28% of Bahia municipalities. A viable e-Health Cloud solution that, despite municipality limitations in remote regions, decentralized and improved the access to health care services at Bahia state.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12

Similar content being viewed by others

References

  1. Paim, J., Travassos, C., Almeida, C., Bahia, L., and Macinko, J., The Brazilian health system: History, advances, and challenges. Lancet 377(9779):1778–1797, 2011.

    Article  PubMed  Google Scholar 

  2. A Bahia em Números. SDE - Secretaria de Desenvolvimento Econômico. Available via http://www.sde.ba.gov.br/Pagina.aspx?pagina=abahiaemnumeros. Accessed November 2016.

  3. CFM – Conselho Federal de Medicina. Portal Médico. Available via http://portal.cfm.org.br/?radioTipoBusca=estado&estatisticaUF=BA&estatisticaRegiao=&estatisticaSituacao=&estatisticaSexo=&buscaEfetuada=true&option=com_estatistica. Accessed November 2016.

  4. Revista Baiana de Saúde Pública. Órgão Oficial da Secretaria da Saúde do Estado da Bahia. Available via http://inseer.ibict.br/rbsp/index.php/rbsp/article/viewFile/642/pdf_190. Accessed November 2016.

  5. Relatório Anual de Gestão 2014. Secretaria da Saúde - Bahia. Available via http://www.saude.ba.gov.br/pdf/RAG_2014.pdf. Accessed November 2016.

  6. AbuKhousa, E., Mohamed, N., and Al-Jaroodi, J., e-Health cloud: opportunities and challenges. Future Internet. 4(3):621–645, 2012.

    Article  Google Scholar 

  7. Haux, R., Health information systems — Past, present, future. Int. J. Med. Inform. 75:268–281, 2006.

    Article  PubMed  Google Scholar 

  8. Kuo, M.H., Opportunities and challenges of cloud computing to improve health care services. J. Med. Internet Res. 13(3):e67, 2011.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Mell, P., and Grance, T., The NIST definition of cloud computing. Commun. ACM. 53(6):50, 2010.

    Google Scholar 

  10. Hu, Y., Lu, F., Khan, I., and Bai, G., A cloud computing solution for sharing healthcare information. In: IEEE International Conference for Internet Technology and Secured Transactions. Vol. 2012, pp. 465–470, 2012.

    Google Scholar 

  11. Gibbons, P., Arzt, N. et al. Coming to terms: Scoping interoperability for Health Care. Research Report, Health Level Seven EHR Interoperability Work Group, 2007.

  12. Flodgren, G., Rachas, A., Farmer, A. J., Inzitari, M., and Shepperd, S. Interactive telemedicine: effects on professional practice and health care outcomes. Cochrane Lib, 2015.

  13. Solanas, A., Patsakis, C., Conti, M., Vlachos, I.S., Ramos, V., Falcone, F., Postolache, O., Pérez-Martínez, P.A., Di Pietro, R., Perrea, D.N., and Martinez-Balleste, A., Smart health: A context-aware health paradigm within smart cities. IEEE Commun. Mag. 52(8):74–81, 2014.

    Article  Google Scholar 

  14. Rede Cegonha. Secretaria da Saúde - Bahia. Available via http://www.saude.ba.gov.br/novoportal/index.php?option=com_content&view=article&id=8047&catid=24&Itemid=16. Accessed November 2016.

  15. Centro Médico Remédios 12 Anos. Centro Médico Remédios. Available via http://www.cmremedios.com.br/. Accessed November 2016.

  16. VitaLab Medicina Diagnóstica. VitaLab. Available via http://www.labvitalab.com.br/. Accessed November 2016.

  17. Chaudhry, B., Wang, J., Wu, S., Maglione, M., Mojica, W., Roth, E., and Shekelle, P.G., Systematic review: Impact of health information technology on quality, efficiency, and costs of medical care. Ann. Intern. Med. 144(10):742–752, 2006.

    Article  PubMed  Google Scholar 

  18. Shekelle, P., Morton, S. C., and Keeler, E. B. Costs and benefits of health information technology. 2006. http://www.ncbi.nlm.nih.gov/books/NBK37988/. Accessed November 2016.

  19. Jha, A.K., Doolan, D., Grandt, D., Scott, T., and Bates, D.W., The use of health information technology in seven nations. Int. J. Med. Inform. 77(12):848–854, 2008.

    Article  PubMed  Google Scholar 

  20. Moura, L.A., Leão, B.F., Lira, A.C.O., and Gestão da Tecnologia, d., Informação. In: Vecina Neto, G., and Malik, A.M. (Eds.), Gestão em saúde. Guanabara Koogan, pp. 281–288, 2012.

    Google Scholar 

  21. Sommerville, I., Software engineering. Pearson. Education:9780133001495, 2011. ISBN.

  22. SmartGWT. Isomorphic SOFTWARE. Available via http://www.smartclient.com/smartgwt/index.jsp. Accessed November 2016.

  23. GWT-Bootstrap. Using Twitter's interface library with Google Web Toolkit. GWTBootstrap. https://gwtbootstrap.github.io/. Accessed November 2016.

  24. OpenVPN. Your private path to access network resources and services securely. https://openvpn.net/. Accessed November 2017.

  25. DICOM Standards committee. The DICOM standard. National Electrical Manufacturers Association. Available via http://dicom.nema.org/standard.html. Accessed November 2016.

  26. Huang, H.K., Enterprise PACS and image distribution. Comput. Med. Imaging Graph. 27:241–253, 2003. https://doi.org/10.1016/S0895-6111(02)00078-2.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

The authors acknowledge CMR and VitaLab for computational and financial support during the stages of this work, and FAPESB (Fundação de Amparo à Pesquisa do Estado da Bahia) for financial support to this project.

Funding

This work was supported by the Brazilian health care software company Kamikan.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to V. T. Sarinho.

Ethics declarations

Conflict of Interest

Authors A. O. Mota and E. P. Silva have received research grants from Company Kamikan. Author V. T. Sarinho declares that he has no conflict of interest in any product or concept discussed in this article.

Ethical Approval

This article does not contain any studies with human participants performed by any of the authors.

Additional information

This article is part of the Topical Collection on Transactional Processing Systems

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sarinho, V.T., Mota, A.O. & Silva, E.P. Towards an e-Health Cloud Solution for Remote Regions at Bahia-Brazil. J Med Syst 42, 23 (2018). https://doi.org/10.1007/s10916-017-0869-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s10916-017-0869-2

Keywords

Navigation