Storing and using health data in a virtual private cloud.

Abstract:

:Electronic health records are being adopted at a rapid rate due to increased funding from the US federal government. Health data provide the opportunity to identify possible improvements in health care delivery by applying data mining and statistical methods to the data and will also enable a wide variety of new applications that will be meaningful to patients and medical professionals. Researchers are often granted access to health care data to assist in the data mining process, but HIPAA regulations mandate comprehensive safeguards to protect the data. Often universities (and presumably other research organizations) have an enterprise information technology infrastructure and a research infrastructure. Unfortunately, both of these infrastructures are generally not appropriate for sensitive research data such as HIPAA, as they require special accommodations on the part of the enterprise information technology (or increased security on the part of the research computing environment). Cloud computing, which is a concept that allows organizations to build complex infrastructures on leased resources, is rapidly evolving to the point that it is possible to build sophisticated network architectures with advanced security capabilities. We present a prototype infrastructure in Amazon's Virtual Private Cloud to allow researchers and practitioners to utilize the data in a HIPAA-compliant environment.

journal_name

J Med Internet Res

authors

Regola N,Chawla NV

doi

10.2196/jmir.2076

subject

Has Abstract

pub_date

2013-03-13 00:00:00

pages

e63

issue

3

eissn

1439-4456

issn

1438-8871

pii

v15i3e63

journal_volume

15

pub_type

杂志文章
  • Translating the Burden of Pollen Allergy Into Numbers Using Electronically Generated Symptom Data From the Patient's Hayfever Diary in Austria and Germany: 10-Year Observational Study.

    abstract:BACKGROUND:Pollen allergies affect a significant proportion of the population globally. At present, Web-based tools such as pollen diaries and mobile apps allow for easy and fast documentation of allergic symptoms via the internet. OBJECTIVE:This study aimed to characterize the users of the Patient's Hayfever Diary (P...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/16767

    authors: Bastl K,Bastl M,Bergmann KC,Berger M,Berger U

    更新日期:2020-02-21 00:00:00

  • Using the internet to understand smokers' treatment preferences: informing strategies to increase demand.

    abstract:BACKGROUND:Most smokers attempt to quit on their own even though cessation aids can substantially increase their chances of success. Millions of smokers seek cessation advice on the Internet, so using it to promote cessation products and services is one strategy for increasing demand for treatments. Little is known, ho...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.1666

    authors: Westmaas JL,Abroms L,Bontemps-Jones J,Bauer JE,Bade J

    更新日期:2011-08-26 00:00:00

  • Remote Monitoring of Patients With Heart Failure: An Overview of Systematic Reviews.

    abstract:BACKGROUND:Many systematic reviews exist on the use of remote patient monitoring (RPM) interventions to improve clinical outcomes and psychological well-being of patients with heart failure. However, research is broadly distributed from simple telephone-based to complex technology-based interventions. The scope and foc...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章,评审

    doi:10.2196/jmir.6571

    authors: Bashi N,Karunanithi M,Fatehi F,Ding H,Walters D

    更新日期:2017-01-20 00:00:00

  • Online Outreach Services Among Men Who Use the Internet to Seek Sex With Other Men (MISM) in Ontario, Canada: An Online Survey.

    abstract:BACKGROUND:Men who use the Internet to seek sex with other men (MISM) are increasingly using the Internet to find sexual health information and to seek sexual partners, with some research suggesting HIV transmission is associated with sexual partnering online. Aiming to "meet men where they are at," some AIDS service o...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.4503

    authors: Brennan DJ,Lachowsky NJ,Georgievski G,Rosser BR,MacLachlan D,Murray J,Cruising Counts Research Team.

    更新日期:2015-12-09 00:00:00

  • Early Perceptions of COVID-19 Contact Tracing Apps in German-speaking Countries: A Comparative Mixed Methods Study.

    abstract:BACKGROUND:The main German-speaking countries (Germany, Austria, Switzerland) have implemented digital contact tracing apps to assist the authorities' COVID-19 containment strategies. Low user rates can impact contact tracing and thus the ability to control the spread of the novel coronavirus. OBJECTIVE:This study aim...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/25525

    authors: Zimmermann BM,Fiske A,Prainsack B,Hangel N,McLennan S,Buyx A

    更新日期:2021-01-09 00:00:00

  • Ethical Concerns of and Risk Mitigation Strategies for Crowdsourcing Contests and Innovation Challenges: Scoping Review.

    abstract:BACKGROUND:Crowdsourcing contests (also called innovation challenges, innovation contests, and inducement prize contests) can be used to solicit multisectoral feedback on health programs and design public health campaigns. They consist of organizing a steering committee, soliciting contributions, engaging the community...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章,评审

    doi:10.2196/jmir.8226

    authors: Tucker JD,Pan SW,Mathews A,Stein G,Bayus B,Rennie S

    更新日期:2018-03-09 00:00:00

  • Can examination of WWW usage statistics and other indirect quality indicators distinguish the relative quality of medical web sites?

    abstract:BACKGROUND:The Internet offers a great amount of health related websites, but concern has been raised about their reliability. Several subjective evaluation criteria and websites rating systems have been proposed as a help for the Internet users to distinguish among web resources with different quality, but their effic...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.1.1.e1

    authors: Hernández-Borges AA,Macías-Cervi P,Gaspar-Guardado MA,Torres-Alvarez de Arcaya ML,Ruiz-Rabaza A,Jiménez-Sosa A

    更新日期:1999-07-01 00:00:00

  • Web-Based Medical Information Searching by Chinese Patients With Breast Cancer and its Influence on Survival: Observational Study.

    abstract:BACKGROUND:The internet allows patients to easily look for health information. However, how Chinese patients with breast cancer use the internet has rarely been investigated, and there is a scarcity of information about the influence of internet use on survival. OBJECTIVE:This observational study aimed to investigate ...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/16768

    authors: Li Y,Ye S,Zhou Y,Mao F,Guo H,Lin Y,Zhang X,Shen S,Shi N,Wang X,Sun Q

    更新日期:2020-04-17 00:00:00

  • Can an Internet-based health risk assessment highlight problems of heart disease risk factor awareness? A cross-sectional analysis.

    abstract:BACKGROUND:Health risk assessments are becoming more popular as a tool to conveniently and effectively reach community-dwelling adults who may be at risk for serious chronic conditions such as coronary heart disease (CHD). The use of such instruments to improve adults' risk factor awareness and concordance with clinica...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.2369

    authors: Dickerson JB,McNeal CJ,Tsai G,Rivera CM,Smith ML,Ohsfeldt RL,Ory MG

    更新日期:2014-04-18 00:00:00

  • Efficacy of a Community-Based Technology-Enabled Physical Activity Counseling Program for People With Knee Osteoarthritis: Proof-of-Concept Study.

    abstract:BACKGROUND:Current practice guidelines emphasize the use of physical activity as the first-line treatment of knee osteoarthritis; however, up to 90% of people with osteoarthritis are inactive. OBJECTIVE:We aimed to assess the efficacy of a technology-enabled counseling intervention for improving physical activity in p...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章,随机对照试验

    doi:10.2196/jmir.8514

    authors: Li LC,Sayre EC,Xie H,Falck RS,Best JR,Liu-Ambrose T,Grewal N,Hoens AM,Noonan G,Feehan LM

    更新日期:2018-04-30 00:00:00

  • Web-Based Digital Health Interventions for Weight Loss and Lifestyle Habit Changes in Overweight and Obese Adults: Systematic Review and Meta-Analysis.

    abstract:BACKGROUND:Obesity is a highly prevalent condition with important health implications. Face-to-face interventions to treat obesity demand a large number of human resources and time, generating a great burden to individuals and health system. In this context, the internet is an attractive tool for delivering weight loss...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章,meta分析

    doi:10.2196/jmir.9609

    authors: Beleigoli AM,Andrade AQ,Cançado AG,Paulo MN,Diniz MFH,Ribeiro AL

    更新日期:2019-01-08 00:00:00

  • Rates and determinants of repeated participation in a web-based behavior change program for healthy body weight and healthy lifestyle.

    abstract:BACKGROUND:In recent years, many tailored lifestyle counseling programs have become available through the Internet. Previous research into such programs has shown selective enrollment of relatively healthy people. However, because of the known dose-response relationship between the intensity and frequency of counseling...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.9.1.e1

    authors: Verheijden MW,Jans MP,Hildebrandt VH,Hopman-Rock M

    更新日期:2007-01-22 00:00:00

  • Internet search patterns of human immunodeficiency virus and the digital divide in the Russian Federation: infoveillance study.

    abstract:BACKGROUND:Human immunodeficiency virus (HIV) is a serious health problem in the Russian Federation. However, the true scale of HIV in Russia has long been the subject of considerable debate. Using digital surveillance to monitor diseases has become increasingly popular in high income countries. But Internet users may ...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.2936

    authors: Zheluk A,Quinn C,Hercz D,Gillespie JA

    更新日期:2013-11-12 00:00:00

  • Adapting the eHealth Literacy Scale for Carers of People With Chronic Diseases (eHeals-Carer) in a Sample of Greek and Cypriot Carers of People With Dementia: Reliability and Validation Study.

    abstract:BACKGROUND:As the population ages, many more people will be in need of long-term care. According to a recent report by Alzheimer's Disease International and the Karolinska Institute, 84% of people with dementia are cared for at home and 16% in nursing homes. Several Web-based interventions have been developed to assist...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/12504

    authors: Efthymiou A,Middleton N,Charalambous A,Papastavrou E

    更新日期:2019-11-28 00:00:00

  • Impact of Illness on Electronic Health Use (The Seventh Tromsø Study - Part 2): Population-Based Questionnaire Study.

    abstract:BACKGROUND:Patients who suffer from different diseases may use different electronic health (eHealth) resources. Thus, those who plan eHealth interventions should take into account which eHealth resources are used most frequently by patients that suffer from different diseases. OBJECTIVE:The aim of this study was to un...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/13116

    authors: Marco-Ruiz L,Wynn R,Oyeyemi SO,Budrionis A,Yigzaw KY,Bellika JG

    更新日期:2020-03-05 00:00:00

  • Cardiac Patients' Walking Activity Determined by a Step Counter in Cardiac Telerehabilitation: Data From the Intervention Arm of a Randomized Controlled Trial.

    abstract:BACKGROUND:Walking represents a large part of daily physical activity. It reduces both overall and cardiovascular diseases and mortality and is suitable for cardiac patients. A step counter measures walking activity and might be a motivational tool to increase and maintain physical activity. There is a lack of knowledg...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.5191

    authors: Thorup C,Hansen J,Grønkjær M,Andreasen JJ,Nielsen G,Sørensen EE,Dinesen BI

    更新日期:2016-04-04 00:00:00

  • Implementing a Digital Tool to Support Shared Care Planning in Community-Based Mental Health Services: Qualitative Evaluation.

    abstract:BACKGROUND:Mental health services aim to provide recovery-focused care and facilitate coproduced care planning. In practice, mental health providers can find supporting individualized coproduced care with service users difficult while balancing administrative and performance demands. To help meet this aim and using pri...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/14868

    authors: Pithara C,Farr M,Sullivan SA,Edwards HB,Hall W,Gadd C,Walker J,Hebden N,Horwood J

    更新日期:2020-03-19 00:00:00

  • Does Usage of an eHealth Intervention Reduce the Risk of Excessive Gestational Weight Gain? Secondary Analysis From a Randomized Controlled Trial.

    abstract:BACKGROUND:Excessive gestational weight gain (GWG) contributes to the development of obesity in mother and child. Internet-based interventions have the potential for delivering innovative and interactive options for prevention of excessive GWG to large numbers of people. OBJECTIVE:The objective of this study was to cr...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章,随机对照试验

    doi:10.2196/jmir.6644

    authors: Graham ML,Strawderman MS,Demment M,Olson CM

    更新日期:2017-01-09 00:00:00

  • Searching PubMed to Retrieve Publications on the COVID-19 Pandemic: Comparative Analysis of Search Strings.

    abstract:BACKGROUND:Since it was declared a pandemic on March 11, 2020, COVID-19 has dominated headlines around the world and researchers have generated thousands of scientific articles about the disease. The fast speed of publication has challenged researchers and other stakeholders to keep up with the volume of published arti...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/23449

    authors: Lazarus JV,Palayew A,Rasmussen LN,Andersen TH,Nicholson J,Norgaard O

    更新日期:2020-11-26 00:00:00

  • Patient Care During the COVID-19 Pandemic: Use of Virtual Care.

    abstract::Virtual care, the use of videoconferencing technology to connect with patients, has become critical in providing continuing care for patients during the current COVID-19 pandemic. Virtual care has now been adopted by health care providers across the spectrum, including physicians, residents, nurse practitioners, nurse...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/20621

    authors: Wong A,Bhyat R,Srivastava S,Boissé Lomax L,Appireddy R

    更新日期:2021-01-21 00:00:00

  • Mapping Power Law Distributions in Digital Health Social Networks: Methods, Interpretations, and Practical Implications.

    abstract:BACKGROUND:Social networks are common in digital health. A new stream of research is beginning to investigate the mechanisms of digital health social networks (DHSNs), how they are structured, how they function, and how their growth can be nurtured and managed. DHSNs increase in value when additional content is added, ...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.4297

    authors: van Mierlo T,Hyatt D,Ching AT

    更新日期:2015-06-25 00:00:00

  • Cross-Country Comparison of Public Awareness, Rumors, and Behavioral Responses to the COVID-19 Epidemic: Infodemiology Study.

    abstract:BACKGROUND:Understanding public behavioral responses to the coronavirus disease (COVID-19) epidemic and the accompanying infodemic is crucial to controlling the epidemic. OBJECTIVE:The aim of this study was to assess real-time public awareness and behavioral responses to the COVID-19 epidemic across 12 selected countr...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/21143

    authors: Hou Z,Du F,Zhou X,Jiang H,Martin S,Larson H,Lin L

    更新日期:2020-08-03 00:00:00

  • The Reviews Are in: A Qualitative Content Analysis of Consumer Perspectives on Apps for Bipolar Disorder.

    abstract:BACKGROUND:The delivery of mobile health (mHealth) services is acceptable to mental health consumers. However, despite the benefits of accessibility, cost-effectiveness, anonymity, and ability to tailor content to individual needs, consumer engagement remains a hurdle for uptake and continued use. This may be unsurpris...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.7273

    authors: Nicholas J,Fogarty AS,Boydell K,Christensen H

    更新日期:2017-04-07 00:00:00

  • Rates, Delays, and Completeness of General Practitioners' Responses to a Postal Versus Web-Based Survey: A Randomized Trial.

    abstract:BACKGROUND:Web-based surveys have become a new and popular method for collecting data, but only a few studies have directly compared postal and Web-based surveys among physicians, and none to our knowledge among general practitioners (GPs). OBJECTIVE:Our aim is to compare two modes of survey delivery (postal and Web-b...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章,随机对照试验

    doi:10.2196/jmir.6308

    authors: Sebo P,Maisonneuve H,Cerutti B,Fournier JP,Senn N,Haller DM

    更新日期:2017-03-22 00:00:00

  • The Korean eHealth Literacy Scale (K-eHEALS): Reliability and Validity Testing in Younger Adults Recruited Online.

    abstract:BACKGROUND:In this digital era, eHealth literacy is an essential skill set to leverage health information available online to promote health outcomes. South Korea has an advanced health information technology infrastructure, including widespread use of the internet and mobile phones. A few studies have explored eHealth...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.8759

    authors: Chung S,Park BK,Nahm ES

    更新日期:2018-04-20 00:00:00

  • Electronic Health Program to Empower Patients in Returning to Normal Activities After General Surgical and Gynecological Procedures: Intervention Mapping as a Useful Method for Further Development.

    abstract:BACKGROUND:Support for guiding and monitoring postoperative recovery and resumption of activities is usually not provided to patients after discharge from the hospital. Therefore, a perioperative electronic health (eHealth) intervention ("ikherstel" intervention or "I recover" intervention) was developed to empower gyn...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.9938

    authors: den Bakker CM,Schaafsma FG,van der Meij E,Meijerink WJ,van den Heuvel B,Baan AH,Davids PH,Scholten PC,van der Meij S,van Baal WM,van Dalsen AD,Lips DJ,van der Steeg JW,Leclercq WK,Geomini PM,Consten EC,Schraffordt Koops S

    更新日期:2019-02-06 00:00:00

  • Association of Socioeconomic Changes due to the COVID-19 Pandemic With Health Outcomes in Patients With Skin Diseases: Cross-Sectional Survey Study.

    abstract:BACKGROUND:The outbreak of COVID-19 has profoundly influenced people's lifestyles; these impacts have varied across subgroups of people. The pandemic-related impacts on the health outcomes of people with dermatological conditions are unknown. OBJECTIVE:The aim of this paper was to study the association of COVID-19 pan...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/22288

    authors: Guo Y,Shen M,Zhang X,Xiao Y,Zhao S,Yin M,Bu W,Wang Y,Chen X,Su J

    更新日期:2020-09-11 00:00:00

  • Evaluating Digital Maturity and Patient Acceptability of Real-Time Patient Experience Feedback Systems: Systematic Review.

    abstract:BACKGROUND:One of the essential elements of a strategic approach to improving patients' experience is to measure and report on patients' experiences in real time. Real-time feedback (RTF) is increasingly being collected using digital technology; however, there are several factors that may influence the success of the d...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.9076

    authors: Khanbhai M,Flott K,Darzi A,Mayer E

    更新日期:2019-01-14 00:00:00

  • Health-Specific Information and Communication Technology Use and Its Relationship to Obesity in High-Poverty, Urban Communities: Analysis of a Population-Based Biosocial Survey.

    abstract:BACKGROUND:More than 35% of American adults are obese. For African American and Hispanic adults, as well as individuals residing in poorer or more racially segregated urban neighborhoods, the likelihood of obesity is even higher. Information and communication technologies (ICTs) may substitute for or complement communi...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.5741

    authors: Gopalan A,Makelarski JA,Garibay LB,Escamilla V,Merchant RM,Wolfe MB Sr,Holbrook R,Lindau ST

    更新日期:2016-06-28 00:00:00

  • Social Medical Capital: How Patients and Caregivers Can Benefit From Online Social Interactions.

    abstract::The rapid growth of online health communities and the increasing availability of relational data from social media provide invaluable opportunities for using network science and big data analytics to better understand how patients and caregivers can benefit from online conversations. Here, we outline a new network-bas...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/16337

    authors: Panzarasa P,Griffiths CJ,Sastry N,De Simoni A

    更新日期:2020-07-28 00:00:00