0th Review.....
0th Review.....
❑ The Internet of Things and smart medical devices are widely used to provide remote patient monitoring.
Current systems are based on centralized communication with cloud servers. However, this architecture
increases several security and privacy risks.
❑ The adoption of a distributed architecture is required to overcome these issues. In this article, we describe a
Blockchain-based system for securing Internet-of-Things (IoT) healthcare devices. In addition to data
encryption, we propose to use Blockchain technology to enhance security and privacy in healthcare
systems. The system is intended to allow remote patient monitoring, particularly for chronic diseases that
necessitate regular monitoring.
❑ Three important characteristics were taken into account: security, scalability, and processing time. The
security concerns are ensured by using the re-encryption proxy in conjunction with Blockchain to encrypt
data and control access to it.
❑ To ensure Blockchain scalability, data are stored in an InterPlanetary file system (IPFS) off-chain database.
We use an Ethereum Blockchain based on proof of authority (PoA) to speed up the data storage.
INTRODUCTION
o The coronavirus disease 2019 (COVID-19) pandemic has proved that alternative and innovative
ways of health service delivery are needed more. These services include telehealth and home care
services.
o Home health-care workers continue to play an important role in supporting patients with chronic
health conditions, in addition to providing care for patients who need to be taken care at home .
o Since health-care resources are stretched very tightly during public health emergencies, e.g., the
COVID-19 pandemic, nurses and other personnel providing health-care services at home play a
very critical role in reducing overcrowding in hospitals and optimizing the resource utilization.
o Recently, it has been reported that health service preferences have changed with the pandemic,
and in-hospital care spending has turned into more home health care spending Falvey et al.
emphasize that any home-based interventions that would reduce the volume of hospitalizations,
can contribute meaningfully to public health goals.
o In this, we focus on the optimization of the patient visit schedule and the daily routes of a home
health-care service provider over a multiday planning horizon in a public health emergency case,
i.e., a pandemic.
LITERATURE REVIEW
Paper Author Year
Blockchain-based medical
data sharing and privacy-
preserving eHealth system
Objectives
• The main objective of this study is to address the dynamic nature of the prioritized single
nurse multiday scheduling and routing problem, where new patients arrive unexpectedly,
causing the current schedule to be modified.
• Under a dynamic setting with real-time urgent patient visit requests, one needs to
determine how to resolve the rescheduling problem during the day. One may prefer
instantaneous updates, where for each immediate new arrival, the schedule is
reoptimized.
• However, it is also possible and arguably more effective for the longer term to determine
several reoptimization time points and regenerate the visit plans only at these
reoptimization times.
• Thus, the need for modifying visit times frequently and having myopically updated
schedules can be avoided. Therefore, we prefer the latter approach.
• The static problem is to determine which patients to visit on each day of a multiperiod
planning horizon and in which order to visit them to maximize the total priority of the
Process Flow
Software
Requirements
⮚ IDE :ECLIPSE
Methodology
We present the MIP-based reoptimization approach, the two alternative heuristic approaches, and
a simulation procedure for solving the dynamic problem.
A. MIP-Based Reoptimization Approach (RA)
Initially, a plan is generated for the entire planning horizon by solving the static problem PHHP.
While any algorithm developed to optimize the static problem can be employed, in our case
study we prefer to use the ALNS algorithm developed by [6] both initially and later on at the
beginning of each day with the updated list of patients, considering its computational efficiency
and effectiveness.
B. MIP Model Formulation
The three objectives in our problem are to: 1) maximize the total prize obtained through visits; 2)
minimize the length/cost of the routes; 3) minimize the overtime duration/cost .
The planner may give different weights indicating the priority of these objectives specified by
the management policies. Thus, the MIP model combines the three objectives into a weighted
single objective. In a health emergency such as a pandemic, the utmost priority among the three
objectives would be to provide service to the most number of patients with highest urgency as
early as possible.
REFERENCES
1). M. R. Sterling et al., “Experiences of home health care workers in New York city during the
coronavirus disease 2019 pandemic,” JAMA Intern. Med., vol. 180, pp. 1453–1459, 2020
2). E. Y. Y. Chen et al., “Informal home care providers: The forgotten health-care workers during the
COVID-19 pandemic,” Lancet, vol. 395, no. 10242, pp. 1957–1959, 2020.
3). A. Cinar, F. S. Salman, and B. Bozkaya, “Prioritized single nurse routing and scheduling for home
healthcare services,” Eur. J. Oper. Res., vol. 289, no. 3, pp. 867–878, 2021
4). P. Toth and D. Vigo, The Vehicle Routing: Problems, Methods and Appli- cations, 2nd ed.
Philadelphia, PA, USA: SIAM, 2014.
5). D. J. Bertsimas and D. Simchi-Levi, “A new generation of vehicle routing research: Robust
algorithms, addressing uncertainty,” Oper. Res., vol. 44, no. 2, pp. 286–304, 1996.
THANK
YOU