title: Effective solutions in introducing Server-Based Computing into a hospital information system.
abstract: Server-Based Computing (SBC) is a technology for terminal administration that achieves higher security at lower expense. Use of SBC in large hospitals, however, is not widespread because methods to effectively implement the technology have not been fully established. We present a system design that uses SBC in a large-scale hospital and then discuss the implementation problems and their solutions. With the exception of network traffic estimates, the server size estimates were validated. Three results from an evaluation of an SBC implementation were: 1) security was re-enforced by applying multiple-policy adaptation to a single client terminal, 2) cost reduction was realized by having fewer PC failures and a lower power consumption, and 3) user-roaming was found to be effective in reducing the number of iterative operations performed by users.
authors.affiliation: Division of Medical Informatics, Tottori University Hospital, Tottori, Japan. shig@med.tottori-u.ac.jp
authors.forename: Shigeki
authors.initials: S
authors.lastname: Kuwata
authors.forename: Kei
authors.initials: K
authors.lastname: Teramoto
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Matsumura
authors.forename: Andre W
authors.initials: AW
authors.lastname: Kushniruk
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Borycki
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kondoh
mesh_terms: D016494:Computer Security; D003199:Computer Systems; D006751:Hospital Information Systems / Q000458:organization & administration*; D009936:Organizational Innovation; D014584:User-Computer Interface