Secure cloud-based solutions for different eHealth services in Spanish rural health centers

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dc.contributor.authorTorre Díez, Isabel de la
dc.contributor.authorLópez-Coronado, Miguel
dc.contributor.authorGarcía-Zapirain, Begoña
dc.contributor.authorMéndez Zorrilla, Amaia
dc.date.accessioned2026-03-23T15:40:00Z
dc.date.available2026-03-23T15:40:00Z
dc.date.issued2015-07
dc.date.updated2026-03-23T15:40:00Z
dc.description.abstractBackground: The combination of eHealth applications and/or services with cloud technology provides health care staff - with sufficient mobility and accessibility for them - to be able to transparently check any data they may need without having to worry about its physical location. Objective: The main aim of this paper is to put forward secure cloud-based solutions for a range of eHealth services such as electronic health records (EHRs), telecardiology, teleconsultation, and telediagnosis. Methods: The scenario chosen for introducing the services is a set of four rural health centers located within the same Spanish region. iCanCloud software was used to perform simulations in the proposed scenario. We chose online traffic and the cost per unit in terms of time as the parameters for choosing the secure solution on the most optimum cloud for each service. Results: We suggest that load balancers always be fitted for all solutions in communication together with several Internet service providers and that smartcards be used to maintain identity to an appropriate extent. The solutions offered via private cloud for EHRs, teleconsultation, and telediagnosis services require a volume of online traffic calculated at being able to reach 2 Gbps per consultation. This may entail an average cost of €500/month. Conclusions: The security solutions put forward for each eHealth service constitute an attempt to centralize all information on the cloud, thus offering greater accessibility to medical information in the case of EHRs alongside more reliable diagnoses and treatment for telecardiology, telediagnosis, and teleconsultation services. Therefore, better health care for the rural patient can be obtained at a reasonable cost.en
dc.description.sponsorshipThis research has been partially supported by Ministerio de Economía y Competitividad, Spainen
dc.identifier.citationDe La Torre-Díez, I., Lopez-Coronado, M., Garcia-Zapirain Soto, B., & Mendez-Zorrilla, A. (2015). Secure cloud-based solutions for different eHealth services in Spanish rural health centers. Journal of Medical Internet Research, 17(7). https://doi.org/10.2196/JMIR.4422
dc.identifier.doi10.2196/JMIR.4422
dc.identifier.eissn1438-8871
dc.identifier.urihttps://hdl.handle.net/20.500.14454/5540
dc.language.isoeng
dc.publisherJMIR Publications Inc.
dc.rights©Isabel de la Torre- Díez, Miguel Lopez-Coronado, Begonya Garcia-Zapirain Soto, Amaia Mendez-Zorrilla
dc.subject.otherCloud
dc.subject.othereHealth services
dc.subject.otherRural
dc.subject.otherSecurity
dc.titleSecure cloud-based solutions for different eHealth services in Spanish rural health centersen
dc.typejournal article
dcterms.accessRightsopen access
oaire.citation.issue7
oaire.citation.titleJournal of Medical Internet Research
oaire.citation.volume17
oaire.licenseConditionhttps://creativecommons.org/licenses/by/2.0/
oaire.versionVoR
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