The Impact of Technology Trends on Healthcare Systems A Study on Opportunities and Threats

1. International Journal of Trend in International Open International Open Access Journal | www.ijtsrd.com International Journal of Trend in Scientific Research and Development (IJTSRD) Research and Development (IJTSRD) www.ijtsrd.com ISSN No: 2456 ISSN No: 2456 - 6470 | Volume - 2 | Issue – 6 | Sep 6 | Sep – Oct 2018 The Impact of Technology Trends A Study o f Technology Trends on Healthcare Systems: on Opportunities and Threats Erdal Erdal Assistant Professor, Department of Computer Engineering, n Healthcare Systems: Assistant Professor, Department Kırıkkale University, Kırıkkale, Turkey Kırıkkale University, Kırıkkale, Turkey ABSTRACT The importance of health in human life is enormous. The technologies developed and the studies in this field have caused differences in the field of health as in all areas. The aim of this study is to examine the needs in the field of health and to set the criteria for determining the most appropriate technology. study, three new technology trends in literature are examined. The concepts of edge computing, fog computing and cloud computing were evaluated within the scope of the study. The literature of these three concepts has been examined and the areas where they can be preferred in the field of health services are presented. In addition, at the end of the study, the necessity of Futurist Healthcare systems, which will cover all health services, is stated. Keyword: Healthcare, communication technologies, Infrastructure, Cloud computing, Fog computing, Edge computing I. INTRODUCTION The importance of health in people's lives is undisputed. With the development of technology, great changes and developments have started in the field of health. Together with these changes, technology has taken indispensable elements Applications and systems which are revolutionary in health have been developed. In this way, changes that have touched the lives of people have occurred. However, it is inevitable for the health sector to adapt to these developments with the advancing technolog In the technological field, classical and traditional data centers have been used decades ago. phenomenon is still working and serving the technology infrastructure. deficiencies and technological developments, the deficiencies and technological developments, the traditional data centers have been replaced by different technological infrastructures. data centers nowadays appear to have been replaced by cloud computing, fog computing and edge computing. The main reasons underlying this need for change are listed below. ?Increased amount of data to be stored ?The need to share and transmit stored data ?The requirement to analyze stored data The aim of this study is to examine the technologies that can be used in health systems and health infrastructure. As a result of suggesting the most suitable infrastructure for the target will provide great improvements in health services. However, prior to the determination of the infrastructure that is most suitable for the needs, it is necessary to identify the substructures that come with technological developments and to identify their advantages and disadvantages. II. LITERATURE REVIEW Before the detailed study of the studies to be carried out, it should be mentioned in the studies conducted in the past period in the literature. In order to reveal the effects of technological developments on the health field clearly, the studies have been examined by giving a date range to technological concepts. At this stage, the surveys on the adaptation of Information and Com Technologies (ICT) to the field of health services were evaluated in order to list more systematic and clear studies. The importance of health in human life is enormous. The technologies developed and the studies in this field have caused differences in the field of health as aim of this study is to examine the needs in the field of health and to set the criteria for determining the most appropriate technology. In the study, three new technology trends in literature are examined. The concepts of edge computing, fog nd cloud computing were evaluated ata centers have been replaced by different technological infrastructures. Traditional data centers nowadays appear to have been replaced by cloud computing, fog computing and edge The main reasons underlying this need for Increased amount of data to be stored The need to share and transmit stored data The requirement to analyze stored data The literature of these three concepts has been examined and the areas where they can be preferred in the field of health services are presented. In addition, at the end of the study, the essity of Futurist Healthcare systems, which will The aim of this study is to examine the technologies that can be used in health systems and health infrastructure. As a result of the examination, suggesting the most suitable infrastructure for the target will provide great improvements in health Healthcare, Information Information and and However, prior to the determination of the infrastructure that is most suitable for the needs, it is substructures that come with technological developments and to identify their advantages and disadvantages. communication technologies, Infrastructure, Cloud computing, Fog computing, Edge computing in people's lives is With the development of technology, great changes and developments have started in the Together with these changes, technology has taken indispensable elements cations and systems which are revolutionary in health have been developed. In this way, changes that have touched the lives of people have occurred. However, it is inevitable for the health sector to adapt to these developments with the advancing technology. In the technological field, classical and traditional data centers have been used decades ago. This phenomenon is still working and serving the LITERATURE REVIEW Before the detailed study of the studies to be carried out, it should be mentioned in the studies conducted in the literature. its of of its place the the place among health health among the the field. field. In order to reveal the effects of technological developments on the health field clearly, the studies have been examined by giving a date range to At this stage, the surveys on the adaptation of Information and Communication Technologies (ICT) to the field of health services were evaluated in order to list more systematic and However, However, with with the the @ IJTSRD | Available Online @ www.ijtsrd.com www.ijtsrd.com | Volume – 2 | Issue – 6 | Sep-Oct 2018 Oct 2018 Page: 1574

2. International Journal of Trend in Scientific Research and Development (IJTSRD) ISSN: 2456 International Journal of Trend in Scientific Research and Development (IJTSRD) ISSN: 2456 International Journal of Trend in Scientific Research and Development (IJTSRD) ISSN: 2456-6470 It will not be wrong to start with cloud computing, which is the most commonly heard technology concept in this field. As seen in the literature studies, cloud computing is of great importance in the field of health services. In addition, cloud computing is still the preferred and used infrastructure [1-5] Another popular technology developed in paral with technological developments is the Internet of Things (IoT)[6].On the basis of IoT there is the creation of a global network structure with data from physical devices. In this way, it is aimed to connect the physical devices to each other via this network. Although it was initially restricted by radio frequency recognition (RFID) technology, the currently spoken IoT has reached different stages. Nowadays, when the concept of IoT is talked about, not only RFID technology, but also global positioning devices (GPS), mobile devices and all devices connected to the network actually come to mind[6].As mentioned before, no progress can be left unresponsive to technological developments, and the healthcare field has not been indifferent to this development. in the field of healthcare services and studies on IoT are available in the literature [2, 7-11]. Another subject in the literature is big data. the importance of large data has increased. One of the main reasons for this importance is the described IoT technology. Considering data from patients, doctors, diagnoses, treatments and hospitals in the field of health, the big data issue in this area is undisputed. Therefore, studies on the management of big data in the field of health have been conducted in the literature [2, 12-15]. In addition, there are a lot of concepts used in th of healthcare with technological developments. Wireless body area networks(WBAN)[16] Sensor Network (WSN)[17], Machine communication (M2M)[8], Network technologies 3D printing[18], robotics[19], social networks artificial intelligence[21] issues are out of scope. In addition to cloud computing, there are solutions which are an alternative to cloud computing and the deficiencies in cloud computing are eliminated. The concepts of edge computing and fog computing will be studied in this study. There are also investigations and investigations on these issues in the health care literature [2, 22-24]. It will not be wrong to start with cloud computing, which is the most commonly heard technology The concepts of cloud computing, which has become a phenomenon in this field with the fog computing and edge computing in the field of health services, have been determined as the scope of this study. The concepts of cloud computing, which has become a phenomenon in this field with and edge computing in the field of health services, have been determined as the scope of this study. III. TECHNOLOGY TRENDS Cloud computing, fog computing and edge computing topics will be examined in this heading. The architectures, advantages and disadvantages of these three concepts will be described. most appropriate service type in the field of health, these concepts need to be detailed. A.Cloud Computing Cloud computing is the general name of Internet based IT services for computers and other devices, providing computer resources that can be used at any time and shared between users there are studies related to cloud computing applications and services in the field of he services[3, 4, 25-27]. The studies in the literature have been examined and the highlights are listed are below ?Using cloud computing can develop and improve healthcare sector, opportunities. ?The transmission of all data over the internet causes concerns about confidentiality of the patient data and data management. Studies are still continuing in this area. ?Cloud computing power can be used in decision support mechanisms in healthcare. ?Cloud computing makes it easier to process big data analyzes in the health field. ?High bandwidth requirements due to data transfers required. ?Another hot topic in the literature is IoT and cloud computing is insufficient on this technology is a big problem [28]. ?Cloud computing is a disadvantageous in terms of integrating with the types of services it provides such as Software as a Service (SaaS), as a Service (PaaS) and Infrastructure as a Service (IaaS)[29]. ?Storing files in the cloud in a distributed storage systems[30]. ?Difficulties in analyzing large data due to distributed file or data structure in the literature studies, cloud computing is of great importance in the field of health services. In addition, cloud computing is still TECHNOLOGY TRENDS Cloud computing, fog computing and edge computing topics will be examined in this heading. The advantages and disadvantages of these three concepts will be described. In order to select the most appropriate service type in the field of health, these concepts need to be detailed. 5]. Another popular technology developed in parallel with technological developments is the Internet of .On the basis of IoT there is the creation of a global network structure with data from physical devices. In this way, it is aimed to connect the physical devices to each other via this network. ed by radio frequency recognition (RFID) technology, the currently spoken IoT has reached different stages. Nowadays, when the concept of IoT is talked about, not only RFID technology, but also global positioning devices (GPS), Cloud computing is the general name of Internet- IT services for computers and other devices, providing computer resources that can be used at any time and shared between users[25].In the literature, there are studies related to cloud computing-based applications and services in the field of health es connected to the .As mentioned before, no progress can be left unresponsive to technological developments, and the healthcare field has not been indifferent to this development. Studies in the field of healthcare services and studies on IoT The studies in the literature have been examined and the highlights are listed are below [3, 4, 25-27]. Using cloud computing can develop and improve healthcare sector, also also bring bring important important Another subject in the literature is big data. Today, large data has increased. One of the main reasons for this importance is the described IoT Considering data from patients, doctors, diagnoses, treatments and hospitals in the field of health, the big data issue in this area is undisputed. efore, studies on the management of big data in the field of health have been conducted in the The transmission of all data over the internet causes concerns about confidentiality of the patient data and data Studies are still continuing in this the the safety safety and and Cloud computing power can be used in decision healthcare. Cloud computing makes it easier to process big data analyzes in the health field. High bandwidth requirements due to data transfers In addition, there are a lot of concepts used in the field of healthcare with technological developments. [16], Wireless Another hot topic in the literature is IoT and cloud computing is insufficient on this technology which , Machine-to-Machine , Network technologies[2], , social networks[20] and ut of scope. Cloud computing is a disadvantageous in terms of integrating with the types of services it provides such as Software as a Service (SaaS), as a Service (PaaS) and Infrastructure as a Service Platform In addition to cloud computing, there are solutions which are an alternative to cloud computing and the deficiencies in cloud computing are eliminated. The concepts of edge computing and fog computing will Storing files in the cloud in a distributed storage also investigations Difficulties in analyzing large data due to distributed file or data structure[31]. and investigations on these issues in the health care @ IJTSRD | Available Online @ www.ijtsrd.com www.ijtsrd.com | Volume – 2 | Issue – 6 | Sep-Oct 2018 Oct 2018 Page: 1575

3. International Journal of Trend in Scientific Research and Development (IJTSRD) ISSN: 2456 International Journal of Trend in Scientific Research and Development (IJTSRD) ISSN: 2456 International Journal of Trend in Scientific Research and Development (IJTSRD) ISSN: 2456-6470 ?More powerful distributed processing thanks to local processing power. ?Safer and fault tolerant architecture thanks to local operations. C.Edge Computing Edge computing and fog computing have similarities because they provide closer data processing and data collection. However, although there are similarities between these two concepts, they have very important differences. The main difference between these two new technology trends is where the calculation and processing power are located. processing on the local area network (LAN).In contrast; edge computing is based on the placement of computing and processing power into devices. fog computing uses edge devices over LAN. The need for the development of edge computing is IoT technology, just as in the case of fog computing. In the literature, the studies related to edge calculation are examined and the important points are listed below [22, 38, 39]. ?In e-healthcare or telemedicine applications and services, intensive patient data is received through wireless sensors. In such cases, edge computing can respond to this need. ?It is fully compatible and suitable for IoT technology. ?Cost is higher than cloud computing. ?It is suitable to be preferred in applications with low latency period. ?It is required to have the processing capacity of the devices it contains. IV. SUGGESTIONS The impact of technology trends on healthcare systems has been examined. Cloud computing, fog computing and edge computing fields, which are one of the newest trends in tech included in the study. Apparently it is not possible to talk about a single technology trend for every health system. Therefore, health areas are categorized according to their needs. As a result of this study, the following suggestions have been presented. A.Traditional Health Systems Cloud computing systems meet the needs of today's traditional health systems. Cloud computing systems are inherently more cost effective than traditional data centers. Intensive data flow is available in the systems Intensive data flow is available in the systems B.Fog Computing Fog computing is the architecture that suggests smart devices should be analyzed first at a local point and sent to central servers, as opposed to the architecture that allows the data to be sent and processed to a central server[32, 33].T based on fog computing is filtering, processing and storage operations by establishing an intermediate layer just before all data is kept on the cloud. As of 2020, the number of IoT devices in the world is estimated to be 5.63K[34].As can be seen in the estimates, it is certain that IoT will remain a hot topic for a long time. Developments in IoT technology will make this technology preferred in health sector as well. Therefore, it is imperative that the technological trend, which will be the subject of choice in the field of health, be in line with the IoT technology. response to IoT problems in cloud computing, the proposed system provides solutions to IT problems. For a clearer understanding of the concept of fog computing, an exemplary architecture from a study is shown in Figure 1[35]. Figure 1: Sample fog computing architecture Figure 1: Sample fog computing architecture[35] More powerful distributed processing thanks to Fog computing is the architecture that suggests that smart devices should be analyzed first at a local point and sent to central servers, as opposed to the architecture that allows the data to be sent and Safer and fault tolerant architecture thanks to local .The approach based on fog computing is filtering, processing and storage operations by establishing an intermediate layer just before all data is kept on the cloud. Edge computing and fog computing have similarities provide closer data processing and data However, although there are similarities between these two concepts, they have very important The main difference between these two new technology trends is where the calculation and ing power are located. Sis computing includes processing on the local area network (LAN).In contrast; edge computing is based on the placement of computing and processing power into devices. In fact, fog computing uses edge devices over LAN. As of 2020, the number of IoT devices in the world is .As can be seen in the estimates, it is certain that IoT will remain a hot topic Developments in IoT technology will make this technology preferred in health sector as e technological trend, which will be the subject of choice in the field of health, be in line with the IoT technology. In response to IoT problems in cloud computing, the proposed system provides solutions to IT problems. the development of edge computing is IoT technology, just as in the case of fog computing. In the literature, the studies related to edge calculation are examined and the important points are listed concept of fog computing, an exemplary architecture from a study is healthcare or telemedicine applications and services, intensive patient data is received through sensors. In such cases, edge computing It is fully compatible and suitable for IoT Cost is higher than cloud computing. It is suitable to be preferred in applications with It is required to have the storage capacity and processing capacity of the devices it contains. The impact of technology trends on healthcare systems has been examined. Cloud computing, fog computing and edge computing fields, which are one of the newest trends in technology, have been Apparently it is not possible to talk about a single technology trend for every health Therefore, health areas are categorized The studies about fog computing in the literature have been examined and the highlights are listed are below [23, 36, 37]. ?Fog computing is applications in healthcare service latency and high response time. ?It is suitable for use with IoT technology used in healthcare services and applications. ?It provides big data analysis with its processing power and storage space with its local architecture. ?It offers better scalable architecture than cloud computing. ies about fog computing in the literature have been examined and the highlights are listed are below Fog applications in healthcare services with low computing is suitable suitable for for real real-time As a result of this study, the following suggestions It is suitable for use with IoT technology used in healthcare services and applications. It provides big data analysis with its processing power and storage space with its local Traditional Health Systems Cloud computing systems meet the needs of today's Cloud computing systems are inherently more cost effective than traditional data able architecture than cloud @ IJTSRD | Available Online @ www.ijtsrd.com www.ijtsrd.com | Volume – 2 | Issue – 6 | Sep-Oct 2018 Oct 2018 Page: 1576

4. International Journal of Trend in Scientific Research and Development (IJTSRD) ISSN: 2456 International Journal of Trend in Scientific Research and Development (IJTSRD) ISSN: 2456 International Journal of Trend in Scientific Research and Development (IJTSRD) ISSN: 2456-6470 used in health services. Therefore, the bandwidth requirement of this system is enormous. care system, patient records, that is, confidential information about the patients are available. these data in the cloud brings to mind the safety issue. It is stated that there are studies in the literature on this subject. B.IoT Based Health Systems IoT is one of the new trends of the technology. studies are also carried out in the field of heal services. The IoT technology is inherent in its logic and it receives data from all edge devices. data flowing from these devices, the amount of data reaches enormous dimensions. The use of edge computing in such health applications is conside appropriate. However, at all edge points, data processing and storage needs cost. C.Real-Time Application Based Health Systems Using cloud computing in health systems where real time services are available may not be considered very appropriate as it may cause loss of time and bandwidth compression. Real-time applications are critical systems that are inherently in need of immediate response. In such systems, fog information or edge computing can be preferred according to more detailed needs. In this way, it is possible to transfer data independently from internet and bandwidth. D.Futurist Healthcare Systems The issue mentioned in this category is to provide the most optimal solution covering all health systems. The targeted solution should include both fog computing, edge computing and cloud computing based on the infrastructure needed. Real applications can communicate via cloud computing, traditional health applications through fog and edge computing. However, there is a need for an entire architecture and framework that can meet this need. V. CONCLUSION In this study, new technology trends in health services systems and applications recommendations are technology affects all areas of our lives. every technological trend and concept may not be good or appropriate for every application. fog, edge and cloud computing technologies which can be used in health system are examined and suggestions are presented as a result of examinations. A useful research has been introduced for new systems to be developed and new applications to be developed in the field of health. It was also developed in the field of health. It was also Therefore, the bandwidth determined that there was a need for a framework where all these technologies were brought together. determined that there was a need for a framework where all these technologies were brought together. REFERENCES 1. Abbas, A. and S.U. 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