Healthy Living Wellness It: Comparison Cloud Computing As Well As Desktop Applications (Part 3)

This debate most the pros together with cons of Cloud versus Desktop computing, which I posted at this link, has continued on another forum. Following are excerpts.

One commenter wrote:

Cloud computing is going to last revolutionary inwards coming era. Earlier nosotros own got trouble most bandwidth together with surgical physical care for of the application inwards terms of speed, traffic restrict etc etc... equally development of the technology together with communication scheme similar HSDPA together with HSUPA alongside high-end bandwidth for information packet transfer nosotros wont last feeling the divergence betwixt a cloud computing together with desktop computing. The other paw inwards U.K. the authorities together with NHS collaboration going to convey upward a revolutionary "CENTRALIZED HEALTHCARE SYSTEM" accross the country. NHS is spending nigh most 1.2 B$ for the NHS information technology together with Care For Health. Now USA President also declare a stimulus packet for Health Reform which enhancing using the electronic media inwards Healthcare together with making a centralized scheme of Patient Health Record together with Electronic Medical Record. I silent experience nosotros tin come across the advantages of the cloud computing together with how best nosotros optimized this, inwards terms of developing spider web based apps. Microsoft Silverlight is i of the success pillar of the cloud computing together with spider web 2.0 is the optimized technology for enhancing the Speed, Performance, User Interface etc. I promise our side past times side generation technology volition last to a greater extent than focus together with drive towards Cloud Computing. In terms of the safety what you lot mentioned most inwards your weblog is going to last no to a greater extent than a threat inwards spider web based app. Although nosotros together with our psychology silent retain us inwards the concept that nosotros tin own got ameliorate safety inwards desktop computing. But think an incident of calculator crash or natural calamities or disasters tin interruption all the boundary of the desktop together with intranet environment.

To which I replied:

Thank you lot for your thoughtful reply. I also come across value inwards cloud computing together with centralization inwards sure healthcare exercise cases. For example, storing deidentified patient information inwards a primal database inwards the cloud for interrogation purposes makes skillful sense to me because the main purpose is on aggregate information analyses of massive numbers of records (and privacy & safety issues are much less). Influenza A virus subtype H5N1 skillful illustration tin also last made for primal databases behind an organization's firewall. Another is off-premises storage of encrypted files. But inwards many other situations, a mesh node network (telephone system-like) cyberarchitecture makes to a greater extent than sense inwards terms of cost, complexity, safety together with privacy, equally good equally supporting information substitution together with collaboration inwards loosely coupled wellness information networks. For illustration a P2P publish/subscribe node network (see this link) would offering a convenient, secure, lower-cost together with simpler way for:

• Primary assist physicians to substitution patient information alongside the specialists to whom they refer.

• Patients who desire to input, call upward together with part portions of a locally stored PHR alongside their providers without logging onto the Web.

• Individual practitioners together with clinicians from a modest arrangement (clinic, grouping practice, etc.) who desire to access patient information offline.

• The substitution of patient information betwixt disparate HIEs/RHIOs.

• Situations where bandwidth is low, network access is intermittent, networks are congested, or servers are strained causing unacceptable latency.

• Money is tight together with expensive infrastructural build-out is unwanted.

Note that the benefits of the desktop node-to-node network are expanded past times deploying an exceptionally efficient new information construction together with using e-mail to transmit information files inwards an innovative (see this link).

Concerning an incident of calculator crash, natural calamities together with disasters, the scheme we're proposing includes information file backups (on- together with off-premises), UPSs, together with an "auto-failover" physical care for past times which the best available choice methods of information transmission would last used—such equally using dial-up, radio, or satellite communication.

Another comment responded:

I think advances inwards software architectures together with increasing information transmission capacity volition select precedence over traditional issues on adjusting the house of functionality together with computational capacity. So the borders betwixt desktop computing together with the cloud is disappearing together with each desktop is going to last a portion of the cloud ( Influenza A virus subtype H5N1 slice of cloud volition last the cloud itself.).

I studied the links together with I think that although your approach is a genuine idea, but its fourth dimension is passed. Maybe the best surviving method last to develop proper conceptual model for finding the correct attachment betoken together with taking a costless ride of the Cloud Computing wave, instead of competing.

To which I replied:

I give thank you lot you for your thoughts together with would similar to own got a ameliorate agreement of your points.

When you lot tell the desktop volition last a slice of the cloud or the cloud itself, the key divergence betwixt the cloud together with the form of node-to-node (n2n) network I'm presenting appears to last that the cloud approach: (a) MUST rely on a primal server to enable information substitution together with (as to the lowest degree some) computation, (b) rejects SMTP (email attachments) equally a feasible carry protocol, together with (c) doesn't consider the value of using preplanned information containers together with grid templates equally a way of structuring together with presenting data.

Nevertheless, I am VERY OPEN to whatever ideas most how to merge the cloud together with n2n architectures, so that the best of each tin last applied to dissimilar exercise cases. It seems that you're alluding to such a hybrid approach when you lot tell "finding the correct attachment betoken together with taking a costless ride of the Cloud Computing wave, instead of competing." Please do elaborate.

Note that I'm working on a diagram to clarify the n2n model inwards which pub/sub nodes, disparate information stores, together with APIs enable fluid connectivity betwixt all terminate users together with third-party applications (EHRs, PHRs, CDSs, BI tools, etc.).

Another commenter together with so wrote:

I think cloud computing is the future, however, because of the sensitivity of the information nosotros bargain alongside (clinical interrogation information inwards my case), nosotros must think inwards terms of individual clouds, populace clouds together with hybrid clouds. With the greater availability together with affordability of disk storage together with virtualization, individual clouds are alongside inwards the realm of possibility for most interrogation institutions.

And I responded:

Don't larn me wrong, at that topographic point are for sure skillful exercise cases for the clouds, together with using them degree aggregating together with analyzing de-identified patient information is a fine example. Influenza A virus subtype H5N1 individual cloud could also last useful for storing identified patient information behind an organization's firewall. However, I fence that it is a pitiable selection for storing identified patient information that it is accessible past times parties exterior an organization's the firewall. Like many others, therefore, I'm reluctant to shop sure of my personal wellness information alongside MS or Google, but I realize a infirmary powerfulness exercise a individual cloud to shop my information behind their firewall together with that's OK. Likewise, I would non desire my information to last stored inwards identified degree inwards an HIE, RHIO, or NHIN cloud where they tin accessed past times others because at that topographic point are to a greater extent than secure, lower terms alternatives.

Related posts:

• Health IT: Comparing Cloud Computing together with Desktop Applications (Part 1)
• Health IT: Comparing Cloud Computing together with Desktop Applications (Part 2)
• The force for ‘push’ technology for the NHIN
• Combining Cloud Computing, Client-Server together with Novel P2P Pub/Sub Mesh Node Network Architectures (Part 1 of 2)
• Combining Cloud Computing, Client-Server together with Novel P2P Pub/Sub Mesh Node Network Architectures (Part 2 of 2)
• A Novel Way for Everyone inwards the Nation to Exchange Health Data Simply, Inexpensively together with Securely
• Simple, Low-Cost, Secure Health Data Exchange
• Who should Own a Patient’s Health Data, Where should they last Stored, together with How should they last Exchanged (Part 1 of 2)
• Who should Own a Patient’s Health Data, Where should they last Stored, together with How should they last Exchanged (Part 2 of 2)
• Dueling Data Formats
• Knowledge, Standards together with the Healthcare Crisis: Part 6  
• Introducing our disruptive CP Split technology

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