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중소형 병원의 클라우드 병원정보시스템 서비스 체계에 관한 연구

A Study on the Architecture of Cloud Hospital Information System for Small and Medium Sized Hospitals

  • 투고 : 2015.06.30
  • 심사 : 2015.08.10
  • 발행 : 2015.08.31

초록

본 연구는 모바일 시대의 진입, 글로벌 경쟁격화, 및 의료서비스 요구사항의 확대 등, 의료경영환경의 급격한 변화에 부응하기 위해 새로운 IT 기반 의료서비스가 필수적임에도 불구하고 이를 실현하고 있지 못한 중소형 규모 병원에 클라우드 기반 의료서비스를 제공할 수 있는 '중소형 병원의 클라우드 병원정보시스템(CHISSMH, Cloud Hospital Information System for Small Medium Hospitals)'의 아키텍처와 서비스 모델을 제시하였다. 스마트폰 시대에 진입하면서 개인단위의 클라우드 서비스는 일반화되었지만 비즈니스 단위의 서비스, 특히 병원정보시스템에 대한 클라우드 서비스의 도입은 초기단계이기에 이를 활성화하고자하는 차원에서 CHISSMH의 아키텍처를 개발하여 제시하였다. 특히 본 연구는 병원산업계에 클라우딩 서비스 도입 활성화를 위해 사용자관점이 아닌 서비스 제공자 관점에서 이에 대한 해결책을 제시하였다. 즉, 서비스 제공자가 고품질 및 합리적 가격의 클라우드 의료 서비스를 제공한다면 비록 일부 저해요인이 존재하더라도 도입이 활성화될 것으로 기대한다. 이를 위해 CHISSMH는 하드웨어뿐만 아니라 애플리케이션까지 가상화를 시도하여 자원공용화(Resource Pooling)를 추구함으로써 운영비용의 최소화를 통해 합리적 가격의 서비스를 제공할 수 있는 기술 기반 아키텍처와 서비스 모델을 제시하였다. 또한 CHISSMH이 15개 중소병원을 대상으로 서비스한 자료를 분석하여 CHISSMH의 합리성과 유용성을 제시하였으며, 전통적 소유형 HIS와 비교하여 44.5%의 IT 서비스 비용이 절감되는 것으로 나타났다.

Recently, the business environment of healthcare has changed rapidly due to the entering the mobile era, the intensifying global competition, and the explosion of healthcare needs. Despite of necessity in expanding new IT-based medical services and investing IT resources to respond environmental changes, the small and medium sized hospitals could not realize these requirements due to the limited management resources. CHISSMH is designed and presented in this research to provide high valued clouding medical services with reasonable price. CHISMH is designed and presented in this research to provide high valued medical services with reasonable price through cloud computing. CHISME is designed to maximize resource pooling and sharing through the visualization. By doing so, Cloud Service provider could minimize maintenance cost of cloud data center, provide high level services with reasonable pay-per-use price. By doing so, Cloud Service provider could minimize maintenance cost of cloud data center, and could provide high level services with reasonable pay-per-use price. CHISME is expected to be base framework of cloud HIS services and be diffusion factor of cloud HIS services Operational experience in CHISSMH with 15 hospitals is analyzed and presented as well.

키워드

참고문헌

  1. Adibi, S., "Link technologies and Black Berry mobile health(mHealth) solutions: a review," Information Technology in Biomedicine, IEEE Transactions on, Vol. 16, No. 4, pp. 586-597, 2012. https://doi.org/10.1109/TITB.2012.2191295
  2. Buyya, R., Yeo, C. S., Venugopal, S., Broberg, J., and Brandic, I., "Cloud computing and emerging IT platforms: Vision, hype, and reality for delivering computing as the 5th utility," Future Generation computer systems, Vol. 25, No. 6, pp. 599-616, 2009. https://doi.org/10.1016/j.future.2008.12.001
  3. Chang, V., Walters, R. J., and Wills, G., "The development that leads to the Cloud Computing Business Framework," International Journal of Information Management, Vol. 33, No. 3, pp. 524-538, 2013. https://doi.org/10.1016/j.ijinfomgt.2013.01.005
  4. Elamir, A. M., Jailani, N., and Bakar, M. A., "Framework and Architecture for Programming Education Environment as a Cloud Computing Service," Procedia Technology, Vol. 11, pp. 1299-1308, 2013. https://doi.org/10.1016/j.protcy.2013.12.328
  5. Erl, Thomas, "SOA Principles of Service Design," Upper Saddle River: Prentice Hall, pp. 111-115, 2008.
  6. Garrison, G., Kim, S., and Wakefield, R. L., "Success factors for deploying cloud computing," Communications of the ACM, Vol. 55, No. 9, pp. 62-68, 2012. https://doi.org/10.1145/2330667.2330685
  7. Gavrilov, G. and Trajkovik, V., "Security and Privacy Issues and Requirements for Healthcare Cloud Computing," ICT Innovations 2012, Web Proceedings ISSN 1857-7288, pp. 143-152, 2012.
  8. Gupta, P., Seetharaman, A., and Raj, J. R., "The usage and adoption of cloud computing by small and medium businesses," International Journal of Information Management, Vol. 33, No. 5, pp. 861-874, 2013. https://doi.org/10.1016/j.ijinfomgt.2013.07.001
  9. Hommersom, A., Lucas, P. J., Velikova, M., Dal, G., Bastos, J., Rodriguez, J., and Schwietert, H., "MoSHCA-My Mobile and Smart Health Care Assistant," 2013 IEEE 15th International Confernce on e-Health Networking, Applications and Services(Healthcom 2013), pp. 188-192, 2013.
  10. Hruby, W., Partan, G., Mosser, H., Krampla, W., and Malcher, J., "The digital hospital information technology in radiology," RBM-News, Vol. 18, No. 5, pp. 153-158, 1996. https://doi.org/10.1016/0222-0776(96)82710-6
  11. Hsu, P. F., Ray, S., and Li-Hsieh, Y. Y., "Examining cloud computing adoption intention, pricing mechanism, and deployment model," International Journal of Information Management, Vol. 34, No. 4, pp. 474-488, 2014. https://doi.org/10.1016/j.ijinfomgt.2014.04.006
  12. Huang, A., Chen, C., Bian, K., Duan, X., Chen, M., Gao, H., and Xie, L., "WE-CARE: An Intelligent Mobile Telecardiology System to Enable mHealth Applications," IEEE Journal of Biomedical and Health Informatics, Vol. 18, No. 2, pp. 693-702, 2014. https://doi.org/10.1109/JBHI.2013.2279136
  13. Hwang, B. D., "The Attitude of Medical Practitioners to the Chronic Disease Care System," The Korean Journal of Health Service Management, Vol. 6, No. 2, pp. 193-200, 2012. https://doi.org/10.12811/kshsm.2012.6.2.193
  14. Ifijeh, G., "Adoption of Digital Preservation Methods for Theses in Nigerian Academic Libraries: Applications and Implications," The Journal of Academic Librarianship, Vol. 40, No. 3, pp. 399-404, 2014. https://doi.org/10.1016/j.acalib.2014.06.008
  15. Jung, Y. S., "Implementation Plan of Integrated Medical Information System for Ubiquitous Healthcare Service," Journal of the Korea Society Industrial Information System, Vol. 15, No. 2, pp. 115-126, 2010.
  16. Kanagaraj, G. and Sumathi, A. C., "Proposal of an open-source Cloud computing system for exchanging medical images of a Hospital Information System," In Trendz in Information Sciences and Computing(TISC), 2011 3rd International Conference on(pp. 144-149), IEEE, 2011.
  17. Khajeh-H. A., Greenwood, D., Smith, J. W., and Sommerville, I., "The cloud adoption toolkit: supporting cloud adoption decisions in the enterprise," Software: Practice and Experience, Vol. 42, No. 4, pp. 447-465, 2012. https://doi.org/10.1002/spe.1072
  18. Kim, J. H., "The management performance and development plan for small and medium sized hospitals," Korean Institute Of Hospital Management Research Report, 2005.
  19. Kim, D. H. and Song, H. J., "Effect of Acute Hospital and Nursing Home Supplies on Inpatient Expenditure of Longterm Care Hospitals: Implications for the Role of Long-term Care Hospital," Korean Journal of Research in Gerontology, Vol. 33, No. 3, pp. 647-659, 2013.
  20. Kim, D. J. and Lee, J. H., "u-Health: Meet the medical device and information technology," Korea Information Processing Society Review, Vol. 17, No. 5, pp. 67-77, 2010.
  21. Kim, Y., "A Study on the Factors Affecting the Performance of Hospital Information Systems," Korean Business Association, 경영교육저널 Vol. 20, pp. 107-131, 2011.
  22. Klasnja, P. and Pratt, W., "Healthcare in the pocket: Mapping the space of mobile-phone health interventions," Journal of biomedical informatics, Vol. 45, No. 1, pp. 184-198, 2012. https://doi.org/10.1016/j.jbi.2011.08.017
  23. Klasnja, P., Consolvo, S., McDonald, D. W., Landay, J. A., and Pratt, W., "Using mobile & personal sensing technologies to support health behavior change in everyday life: lessons learned," In AMIA Annual Symposium Proceedings(Vol. 2009, p. 338). American Medical Informatics Association, 2009.
  24. Korea Health Industry Development Institute, "The final report on the management support and policy development project for small and medium sized hospitals," Korea Health Industry Development Institute, 2014.
  25. Korea Health Industry Development Institute, "The final report on the management support project for small and medium sized hospitals," Korea Health Industry Development Institute, 2011.
  26. Korea Ministry of Government Legislation, 2015, "medical Law," http://www.law.go.kr/lsInfoP.do?lsiSeq=167740&efYd=20150128#0000, Retrieved Internet on May 3rd, 2015.
  27. Korean Hospital Association, https://www.kha.or.kr/knowledge?siteGb=HOME&siteCd=HOME&rMnuGb=KNO&menuIdx=372, Retrieved Internet on Mar. 2nd, 2015.
  28. Lai, J. Y. and Wang, J., "Switching attitudes of Taiwanese middle-aged and elderly patients toward cloud healthcare services: An exploratory study," Technological Forecasting and Social Change, 2014.
  29. Lee, N. K. and Lee, J. O., "A Study on the Architecture of Mobile Bio Lifestyle Medical Information Monitoring System," The e-business studies, Vol. 15, No. 3, pp. 97-123, 2014. https://doi.org/10.15719/geba.15.3.201406.97
  30. Lee, N. K., Lee, J. O., and Hwang, K. T., "A Study on Research Framework and Research Trends in the Healthcare Information Technology Area," Informatization Policy, Vol. 21, No. 3, pp. 3-32, 2014. https://doi.org/10.22693/NIAIP.2014.21.3.003
  31. Lin, A. and Chen, N. C., "Cloud computing as an innovation: Percepetion, attitude, and adoption," International Journal of Information Management, Vol. 32, No. 6, pp. 533-540, 2012. https://doi.org/10.1016/j.ijinfomgt.2012.04.001
  32. Lombardi, F. and Di Pietro, R., "Secure virtualization for cloud computing," Journal of Network and Computer Applications, Vol. 34, No. 4, pp. 1113-1122, 2011. https://doi.org/10.1016/j.jnca.2010.06.008
  33. Lomotey, R. K. and Deters, R., "Supporting N-Screen Medical Data Access in mHealth," In Healthcare Informatics(ICHI), 2013 IEEE International Conference on(pp. 229-238), IEEE, 2013.
  34. Low, C., Chen, Y., and Wu, M., "Understanding the determinants of cloud computing adoption," Industrial management & data systems, Vol. 11, No. 7, pp. 1006-1023, 2011.
  35. Marston, S., Li, Z., Bandyopadhyay, S., Zhang, J., and Ghalsasi, A., "Cloud computing: The business perspective," Decision Support Systems, Vol. 51, No. 1, pp. 176-189, 2011. https://doi.org/10.1016/j.dss.2010.12.006
  36. Mathew, A., "Security And Privacy Issues Of Cloud Computing; Solutions And Secure Framework," International Journal of Multidisciplinary Research, Vol. 2, No. 4, 2012.
  37. Messerschmidt, C. M. and Hinz, O., "Explaining the adaptation of grid computing: An integrated institutional theory and organizational capability approach," Journal of Information Systems, Vol. 22, pp. 137-156, 2013.
  38. Mezgar, I. and Rauschecker, U., "The challenge of networked enterprises for cloud computing interoperability," Computers in Industry, Vol. 65, No. 4, pp. 657-674, 2014. https://doi.org/10.1016/j.compind.2014.01.017
  39. Ministry of Health and Welfare, "The third Health Plan 2020," 2011.
  40. Mohammadzadeh, N. and Safdari, R., "Patient Monitoring in Mobile Health: Opportunities and Challenges," Med Arh, Vol. 68, No. 1, pp. 57-60, 2014. https://doi.org/10.5455/medarh.2014.68.57-60
  41. Oliveira, T., Thomas, M., and Espadanal, M., "Assessing the determinants of cloud computing adoption: An analysis of the manufacturing and services sectors," Information & Management, Vol. 51, No. 5, pp. 497-510, 2014. https://doi.org/10.1016/j.im.2014.03.006
  42. Patel, R. P., "Cloud computing and virtualization technology in radiology," Clinical radiology, Vol. 67, No. 11, pp. 1095-1100, 2012. https://doi.org/10.1016/j.crad.2012.03.010
  43. Prasad, A., Green, P., and Heales, J., "On governance structures for the cloud computing services and assessing their effectiveness," International Journal of Accounting Information Systems, Vol. 15, No. 4, pp. 335-356, 2014. https://doi.org/10.1016/j.accinf.2014.05.005
  44. Predic, B., Yan, Z., Eberle, J., Stojanovic, D., and Aberer, K., "Exposuresense: Integrating daily activities with air quality using mobile participatory sensing," In Pervasive Computing and Communications Workshops(PERCOM Workshops), 2013 IEEE International Conference on(pp. 303-305), IEEE, 2013, March, 2013.
  45. Pressman, R. S., "Software Engineering: a practitioner's approach," Pressman and Associates, pp. 632-633, 2005.
  46. Rezaei, R., Chiew, T. K., Lee, S. P., and Shams Aliee, Z., "A semantic interoperability framework for software as a service systems in cloud computing environments," Expert Systems with Applications, Vol. 41, No. 13, pp. 5751-5770, 2014. https://doi.org/10.1016/j.eswa.2014.03.020
  47. Rim, B. M. and Yoo, K. S., "An Empirical Study on Effectiveness of Hospital Information System and Its Influncing Factors (With Emphasis on the Order Commumication System)," Korean Journal of Hospital Management, Vol. 6, No. 2, pp. 115-137, 2001.
  48. Rimal, B. P., Choi, E., and Lumb, I., "A taxonomy and survey of cloud computing systems," In INC, IMS and IDC, 2009. NCM'09. Fifth International Joint Conference on(pp. 44-51), IEEE, 2009.
  49. Robinson, J. W., Zuviria, N. M., and Vinita, P. E., "Automated analysis of workflow cloud-based business process using map reduce algorithm," In Computing Communication & Networking Technologies (ICCCNT), 2012 Third International Conference on(pp. 1-7), IEEE, 2012.
  50. Shimba, F., "Cloud computing: Strategies for cloud computing adoption," Dublin Institute of Technology, 2010.
  51. Shin, H. H., "The development of road map to promote and support small and medium sized hospitals," Hostpial Management and Policy, Vol. 3, No. 2, pp. 57-73, 2014.
  52. Smith, J. E. and Nair, R., "The architecture of virtual machines," Computer, Vol. 38, No. 5, pp. 32-38, 2005. https://doi.org/10.1109/MC.2005.173
  53. Son, J., Park, G. H., Cha, J. and Park, K., "Requirements for the Security of Medical Information for U-healthcare Medical Devices," Regulatory Research on Food, Durg and Cosmetic, Vol. 6, No. 1-2, pp. 59-78, 2011.
  54. Subashini, S. and Kavitha, V., "A survey on security issues in service delivery models of cloud computing," Journal of network and computer applications, Vol. 34, No. 1, pp. 1-11, 2011. https://doi.org/10.1016/j.jnca.2010.07.006
  55. Sultan, N. A., "Reaching for the "cloud": How SMEs can manage," International journal of information management, Vol. 31, No. 3, pp. 272-278, 2011. https://doi.org/10.1016/j.ijinfomgt.2010.08.001
  56. Tsai, W. T., Sun, X., and Balasooriya, J., "Service-oriented cloud computing architecture," In Information Technology: New Generations(ITNG), 2010 Seventh International Conference on(pp. 684-689), IEEE, 2010.
  57. VMware, "Visualization Overview," VMware white paper.
  58. Wang, F. K. and He, W., "Service strategies of small cloud service providers: A case study of a small cloud service provider and its clients in Taiwan," International Journal of Information Management, Vol. 34, No. 3, pp. 406-415, 2014. https://doi.org/10.1016/j.ijinfomgt.2014.01.007
  59. Woo, H. J., Shim, J. H., & Lee, J. H., "A Study on Project Performance in Cloud Computing: Focus on User Experience of GoogleDocs," The Journal of Society for e-Business Studies, Vol. 16, No. 1, pp. 71-100, 2011.
  60. Wu, Y., Cegielski, C. G., Hazen, B. T., and Hall, D. J., "Cloud computing in support of supply chain information system infrastructure: understanding when to go to the cloud," Journal of Supply Chain Management, Vol. 49, No. 3, pp. 25-41, 2013. https://doi.org/10.1111/j.1745-493x.2012.03287.x
  61. Yeom, T. J., Park, J. H., Lizi, Kim, K. B., and Jin, S. I., "A Repository for Workflow Management on Distributed Object Environment," The Journal of Society for e-Business Studies, Vol. 16, No. 1, pp. 71-100, 2011. https://doi.org/10.7838/jsebs.2011.16.1.071
  62. Zhang, M., Raghunathan, A., and Jha, N. K., "Trustworthiness of Medical Devices and Body Area Networks," Proceedings of the IEEE, Vol. 102, No. 8, pp. 1174-1188, 2014. https://doi.org/10.1109/JPROC.2014.2322103
  63. Zhang, Q., Cheng, L., and Boutaba, R., "Cloud computing: state-of-the-art and research challenges," Journal of internet services and applications, Vol. 1, No. 1, pp. 7-18, 2010. https://doi.org/10.1007/s13174-010-0007-6
  64. Zhang, R. and Liu, L., "Security models and requirements for healthcare application clouds," In Cloud Computing(CLOUD), 2010 IEEE 3rd International Conference on(pp. 268-275), IEEE, 2010.
  65. Zhiyuan, F. and Li, W., "Cloud Service Platform: Hospital Information eXchange (HIX)," International Journal of Information Systems in the Service Sector (IJISSS), Vol. 5, No. 3, pp. 54-62, 2013. https://doi.org/10.4018/jisss.2013070104
  66. Zissis, D. and Lekkas, D., "Addressing cloud computing security issues," Future Generation Computer Systems, Vol. 28, No. 3, pp. 583-592, 2012. https://doi.org/10.1016/j.future.2010.12.006
  67. Zou, C., Deng, H., and Qiu, Q., "Design and Implementation of Hybrid Cloud Computing Architecture Based on Cloud Bus," In Mobile Ad-hoc and Sensor Networks(MSN), 2013 IEEE Ninth International Conference on(pp. 289-293), IEEE, 2013.

피인용 문헌

  1. 중소형 의료기관의 개인정보 보안실태 및 개선방안 vol.19, pp.4, 2015, https://doi.org/10.33778/kcsa.2019.19.4.123