title: Analysis of cloud-based solutions on EHRs systems in different scenarios.
abstract: Nowadays with the growing of the wireless connections people can access all the resources hosted in the Cloud almost everywhere. In this context, organisms can take advantage of this fact, in terms of e-Health, deploying Cloud-based solutions on e-Health services. In this paper two Cloud-based solutions for different scenarios of Electronic Health Records (EHRs) management system are proposed. We have researched articles published between the years 2005 and 2011 about the implementation of e-Health services based on the Cloud in Medline. In order to analyze the best scenario for the deployment of Cloud Computing two solutions for a large Hospital and a network of Primary Care Health centers have been studied. Economic estimation of the cost of the implementation for both scenarios has been done via the Amazon calculator tool. As a result of this analysis two solutions are suggested depending on the scenario: To deploy a Cloud solution for a large Hospital a typical Cloud solution in which are hired just the needed services has been assumed. On the other hand to work with several Primary Care Centers it's suggested the implementation of a network, which interconnects these centers with just one Cloud environment. Finally it's considered the fact of deploying a hybrid solution: in which EHRs with images will be hosted in the Hospital or Primary Care Centers and the rest of them will be migrated to the Cloud.
authors.affiliation: Department of Signal Theory and Communications, University of Valladolid, Spain. gfercar@ribera.tel.uva.es
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Fernández-Cardeñosa
authors.forename: Isabel
authors.initials: I
authors.lastname: de la Torre-Díez
authors.forename: Miguel
authors.initials: M
authors.lastname: López-Coronado
authors.forename: Joel J P C
authors.initials: JJ
authors.lastname: Rodrigues
mesh_terms: D003151:Community Health Centers; D057286:Electronic Health Records / Q000458:organization & administration*; D006761:Hospitals; D006801:Humans; D016247:Information Storage and Retrieval / Q000379:methods*; D020407:Internet; D009096:Multi-Institutional Systems