Analyse the use of IoT in health care medical centre.
The technological advancement and digitization brings tremendous changes in the working of medical centre in providing health care services to patient. The automation in the medical centre helps in resolving inefficiencies of the tradition working culture of hospitals and other health care nursing home. The inclusion of Internet of thing (IOT) in the health care centre helps in managing remote monitoring of the patient. The use of IOT in health care focuses on providing Instant medical facilities in their home care centre. It helps in saving life of the patient who is in critical condition. The IOT health care is the accumulative unit of video sensors, video cameras, biometric sensors, heart beat measuring device, glucose monitoring system, smart beds, and others. The accumulation of these devices makes the doctors to analyse the patient from the remote locations [1]. The multiple doctors can analyse the patient for providing instant treatment in emergency situation. The suggestions from the expert doctors can be taken to provide quality of medical service to the patient at risks. The IOT is most rapidly used by the health care industry to provide remedial services to the elderly and emergency patients. The Radio Frequency Identification (RFID) readers are used for analysing the critical condition of the patient by tracking the health through the remote monitoring system. The digitization of the health care services helps in initiating real time health monitoring system and creation of electronic health record system of the patients. The electronic health record system is the database which carries the confidential information of the patients related to their check-up reports and previous prescriptions provided by the doctors. The doctors located at remote places analyse the critical situation of the patient by analysing the reports of the patients fetched from electronic health record system of the patients [2]. The purpose of using IOT in health care system is to resolve the complexity faced by the emergency patient due to the increasing traffic on the road. It helps in saving the life of the patients to a high extent by providing instant medical facilities in their home centre. It makes use of smart devices for providing medical treatment to the patient in chronic condition. It facilitates the patients by providing them medical treatment in their own home surroundings. In this paper, we are looking forward to analyse the use of IoT in health care medical centre.
The traditional health care centres are facing problems in handling task of managing health records of the patients. It is a problematic scenario to fetch required information of the patient from the paper documents of the health records. It is time consuming process to take appointment from the doctors, checking availability of the doctors, confirmation of the Operation theatre for providing immediate medical treatment to the emergency patients, and others. It can result into death cases due to inefficient in providing instant treatment to the emergency patients. The complexity is faced by the emergency patient due to the increasing traffic on the road to their destination hospitals [3]. The inclusion of intelligent system helps in increasing the reachability of the doctors to the emergency patients to provide instant treatment in their home care centre.
The aim of the research is to analyse the efficiency of IoT in making use in health care centre. The focus should be given on the pros and cons associated with the intelligent health care centre.
The literature review was conducted on the Internet of thing use in health care organization to transform the traditional working of medical centre to an intelligent health care organization which is efficient in providing instant medical facilities to the patient in their own home care. The electronic health records are developed for providing information about the patient to the multiple doctors at a moment. The problem faced by the traditional working of the health care centre in managing the health records of the patients and inefficiency in providing instant treatment to the patient in critical stage due to the non-availability of expert doctor and operation theatre rooms [4]. The innovation of the internet of things helps in developing smart health care centre which is capable of providing instant treatment to the patient at their home because the expert doctors can analyse the critical situation of the patient from remote locations and prescribed the effective first aid which can be provided in emergency situation. The tracking of the IOT devices such as video sensors, video cameras, biometric sensors, heart beat measuring device, glucose monitoring system, smart beds, RFID reader, and others helps in providing accurate information of the patient in real time situation. The previous health information of the patient for reference can be retrieved from the patient health records. It is required to update the information of the electronic health records of the patients to provide adequate and accurate information to the expert doctors and medical officers. The development of the IOT helps in saving life of the patients in critical situation by eliminating the time spend on selecting the nearby hospital, checking availability of room, doctor, and operation theatre, time consumed in overcoming road traffic, and others. The use of IOT devices helps in keeping records of daily activities and movements performed by the patients in their home care, rate of heart beat, perspiration, sleeping hours, sugar level, blood pressure, and temperature [5]. The real time information of the patients helps in analysing the sign of health improvement by getting remote treatment. The suggestions from the expert doctors from national and international doctors focused on providing effective treatment to the patients. The IOT system is the intelligent health care centre which generates alerts to the expert doctors on the occurrence of the critical patients. It helps in optimizing the work flow of the house keeping staff to provide home care facilities to the patients. The patients feel much more comfortable in getting medical treatment through the IoT infrastructure than the traditional health care centre because the patients are provided with love and care of their family member, good and hygienic place of living, and others. The priority is given to the patients who are in critical stages and required emergency medical facilities. The patients are looking forward to get quality of medical services in improving their health condition at minimum costs. The behavioural characteristics of the patients are predicted from the inclusion of video sensor in the home care centre. The movements in the patients help in analysing the progress in them. The progress of the patients signifies that they are provided with the right treatment. It develops a level of satisfaction in the patients to get treatment from the IOT health care centre [5].
The technological framework of the IOT health care make use of wireless sensor network for collecting effective data for the monitoring of the real time situation of the patients. The development of the user interface helps in keeping track of the behavioural characteristics of the patients. The visual displays helps in analysing the condition of the patient from remote monitoring system. The network connectivity helps in gaining robust information about the heart beat rate, blood pressure report, sugar level, glucose level, and others to the expert doctors [6]. The accuracy of the information is the backbone of effective IOT in health care because the analysis of the patient condition depends on the accuracy of the information. The real time data should be collected from the home care centre to provide prescriptions. The regular updating of the patient health records helps in providing adequate information to the Experts for references. The development of the wireless sensor network connects the patients and the doctors to the single platform for communication. It is based on request and response model for sending the adequate information to the recipient system. The experts are provided with patient health records and the patients are provided with expert assistance and prescription [7]. The supply and demand of real system information in IOT system is managed by using Ubiquitous sensor network. This network develops sensor hub for collecting sensor data of the patients. The physical parameters of the patients can be measured with the inclusion of gateways for collecting sensor data. The accuracy of the sensor and the IOT devices should be measured for providing effective treatment to the patients. The wireless sensor network focuses on developing for collecting accurate information through the single gateway developed for the internet connectivity [8].
The parameters which are used for developing effective IOT health care system are described in the table below:
Parameters |
Description |
Interoperability |
Interoperability among the sensor devices helps in facilitating the flow of information between different working units. The gateways are used for identifying the source and destination of the information available on the internet [9]. |
Reliable |
The IOT system are reliable in providing treatment to the patient in critical situation The remote monitoring of the patients helps in providing instant treatment to them without missing a single moment. The alert messages are generated to the doctors in case of emergency. |
Flexible |
The multiple doctors can analysed the physical condition of the patients. The pooling of doctors helps in providing effective services to the patients. It is flexible in providing effective services to the patients. |
Extensibility |
The IOT health care centres are extensible to the constant availability of the information. It helps in resolving the issues of traffic management on the road side. |
Accuracy of the information |
The accurate information about the patient health should be provided to the doctors so that they can provide instant remedial solution to the patients at the occurrence of emergency situation [10]. |
Confidentiality of the information |
The patient health records available on the internet should be kept confidential for preserving the accuracy and integrity of the information. |
Scalability |
The IOT health care organization is scalable because the multiple patients and multiple doctors can retrieve data simultaneously from the system. It increases the efficiency of the data retrieval and decision making capabilities of the doctor for curing the critical situation of the patients. The ECG health reports of the patients helps in measuring the cardiac activity of them. The analysis of the ECG reports helps in analysing the critical condition of the patients. The messages for the critical patients are send to the doctors to provide clinical treatment to them. |
The application of the IOT in the health care centre helps in providing automation in managing IOT resources and devices on the home care centre of the patient. The network connectivity through wireless sensor network helps in transferring real time information of the patients. The check-up reports of the patients in terms of heart beat, glucose level, blood sugar level, blood pressures, and others can be effectively managed with the Inclusion of IOT devices in the home care centre which is comprised of video sensors, video cameras, biometric sensors, heart beat measuring device, glucose monitoring system, smart beds, and others [11]. The intelligent system helps in keeping track of information about the patients to measure the health progress reports. The aged people can be provided home care treatment because it is hard for them to go to the hospitals for check-ups. The patient in critical condition can be provided with effective first aid to resolve the complex situation of the patient. The online monitoring of the patient progress report through the medical officers and experts helps in prescribing effective treatment and medicine [12]. The video sensor keep tracks of daily activity schedule of the patients. The online monitoring helps the doctors to take effective decision by seeing the progress in the movement and activity schedule of the patients.
The accuracy is the backbone of effective programming of IOT in healthcare because the incorrect modification in the patient check-ups and health report will result in providing ineffective treatment to the patients. This can result into adverse effect on the health condition of the consumers. The security for keeping the accuracy of the confidential information is the major issue with the IOT in healthcare. The other concern is the availability of the high speed internet connection for transmission of the required information between patient and doctors [13]. The breakdowns in the network connectivity will results into inefficiency of providing required data to the premises of the IOT health care [14]. Some of the issues and challenges which are faced with the deployment of the IOT program in the health care services and their corresponding countermeasures are listed in the table below:
Issues |
Description |
Solution |
Technical Issues |
The IOT is the amalgamation of video sensors, video cameras, biometric sensors, heart beat measuring device, glucose monitoring system, smart beds, and others. The breakdown and the failure in one device will reflect the functionality of the total working of the IOT system in the healthcare environment. The processing of the IOT system depends on the remote monitoring of the complete system. |
The proactive checking of the IOT devices before connecting it to the wireless sensor network. Keeping alternative IOT devices for replacement in case of failure |
Operational issues |
The inefficiency of the family members and the other housekeeping staff in dealing with the electronic working of the health care centre. The family members are not able to retrieve the information and guidance provided by the remote doctors |
Arranging training and development program for the family members in handling the IOT program for providing effective treatment to the patient in emergency and during unavailability of housekeeping staff |
Legal Issues |
The legal obligations can be imposed on the doctors and family members if the life risks get associated with the patients. |
The Service level agreement should be signed between doctors and patients in case of operation failure. The approval of the patient is required for getting treatment from the IOT system to minimize the legal obligations |
Financial Issues |
The heavy amount is required for including the devices like video sensors, video cameras, biometric sensors, heart beat measuring device, glucose monitoring system, smart beds, and others in the IOT environment |
The rent procedures should be used for minimizing the cost incurred on the IOT devices. |
Skills and Expertise of the Car takers |
Lack of knowledge and skills in the care taken can create a problematic scenario for the IOT environment in providing effective treatment to the patients [15] |
Arranging training and development program for the family members in handling the IOT program for providing effective treatment to the patient in emergency and during unavailability of housekeeping staff |
Network Connectivity Issues |
The failure of the network connection will results in the providing ineffective treatment to the customers. |
The high speed broadband program should be arranged for the IOT health care in managing remote monitoring of the patient in real life scenario [16] |
Privacy of information |
The privacy of the information is the major issues for managing the confidentiality of the information |
Firewall protection mechanism should be used for preserving the unauthorised accessing of the information from the third party |
Confidentiality |
The loss of confidentiality can directly affect the accuracy of the information. The expert doctors should be provided with the confidential information which is the major concern of the IOT environment |
The confidentiality of the information can be kept by providing login credential to the patients for accessing their account to keep updates their health records |
Accuracy of the information |
The modification in the data provided to the experts will reflects the inefficiency in providing medical facilities to the patients |
The accuracy of the information can be managed by deploying the cryptographic procedures, firewall protection system, encryption technologies, hash value algorithm, and others. |
Management of online patient health record system |
The big data generated from the record keeping of the online patient health information is the problematic scenario of deploying IOT system in the health care. The extra cost is required for the database and the file structure for managing the effective health records of the patients |
The installation of the Hadoop file system is required for managing the big data of the health record system. The map reduce process is used for minimizing the space required for storing the data of the patient [17] |
Inclusion of Viruses and malwares |
The adverse effect on the IOT environment can be seen with the inclusion of viruses and malwares. The problems are faced in data connection and retrieval, manipulation of the patient check-up and the health reports, replication of the data file, and others due to the viruses and attacks on the system |
Firewall protection system and deployment of anti-malware and anti-viruses on the IOT architecture. |
Man in the middle attack |
The third party and hackers can retrieve the information of the patient from the IOT architecture |
The data leakages should be eliminated by applying patching system through the inclusion of cryptographic procedures and encryption technologies |
Denial of Service attacks |
It creates network traffic and congestion on the internet by sending large number of data packets |
The routing procedures should be used for managing a single route between patient and doctor for sending and receiving information |
Unauthorised accessing of the patient records |
The use of imitated login credential by the third party to gain access on the information |
The verification and validation process should be included for verifying the login credential of the patient to provide authorised access to the account [18] |
There are some gaps in the deployment of the IOT in health care environment which should be taken under consideration for managing security issues in the health care system. The future research should be performed on analysing the security concern associated with the IOT in health care system. The mitigation plans should be developed which should make use of hash value algorithm for securing the information. The transmission of secure information helps in managing the accuracy of the information which makes the compatibility in handling patient health and critical condition. The secure IOT infrastructure should be proposed for providing effective services to the patients in critical condition.
Advantages of using IOT in health care
The IOT is most rapidly used by the health care industry to provide remedial services to the elderly and emergency patients. The digitization of the health care services helps in initiating real time health monitoring system and creation of electronic health record system of the patients. The use of IOT in health care system helps in developing intelligent system which is capable of providing effective medical services through the remote monitoring program of the patient instantaneously. Some of the advantages are listed below:
Disadvantages:
There are some ill effects of the IOT environment in the health care system. The security and the accuracy of the information are the two major problems which had to be handling effectively in managing IOT environment in the health care services. Some of the disadvantages are listed below:
Conclusion
From the research analysis, we can conclude that the use of IOT in health care is advantageous for the patient in critical condition. The suggestions from the expert doctors can be taken to provide quality of medical service to the patient at risks. The IOT is most rapidly used by the health care industry to provide remedial services to the elderly and emergency patients. The research paper helps in analysing the efficiency of IoT in making use in health care centre and the pros and cons associated with the intelligent health care centre. The development of the user interface helps in keeping track of the behavioural characteristics of the patients. The visual displays helps in analysing the condition of the patient from remote monitoring system. The real time data should be collected from the home care centre to provide prescriptions. The regular updating of the patient health records helps in providing adequate information to the Experts for references. The use of IOT in health care system helps in developing intelligent system which is capable of providing effective medical services through the remote monitoring program of the patient instantaneously. The security and the accuracy of the information are the two major problems which had to be handling effectively in managing IOT environment in the health care services.
References
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