Department of Women's and Children's Health, Karolinska Institutet, CMM, L8:01, 17176, Stockholm, Sweden.
Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.
Nat Commun. 2024 Mar 11;15(1):2186. doi: 10.1038/s41467-024-46503-5.
Cloud-based personal health records increase globally. The GPOC series introduces the concept of a Global Patient co-Owned Cloud (GPOC) of personal health records. Here, we present the GPOC series' Prospective Register of Systematic Reviews (PROSPERO) registered and Preferred Reporting Items Systematic and Meta-Analyses (PRISMA)-guided systematic review and meta-analysis. It examines cloud-based personal health records and factors such as data security, efficiency, privacy and cost-based measures. It is a meta-analysis of twelve relevant axes encompassing performance, cryptography and parameters based on efficiency (runtimes, key generation times), security (access policies, encryption, decryption) and cost (gas). This aims to generate a basis for further research, a GPOC sandbox model, and a possible construction of a global platform. This area lacks standard and shows marked heterogeneity. A consensus within this field would be beneficial to the development of a GPOC. A GPOC could spark the development and global dissemination of artificial intelligence in healthcare.
基于云的个人健康记录在全球范围内不断增加。GPOC 系列介绍了全球患者共同拥有的云 (GPOC) 个人健康记录的概念。在这里，我们呈现了 GPOC 系列经过 PROSPERO（国际前瞻性系统评价注册平台）注册和 PRISMA（系统评价和荟萃分析报告的首选条目）指导的系统评价和荟萃分析。该研究考察了基于云的个人健康记录以及数据安全性、效率、隐私和基于成本的措施等因素。这是对涵盖效率（运行时间、密钥生成时间）、安全性（访问策略、加密、解密）和成本（气体）的十二个相关轴的性能、密码学和参数的荟萃分析。目的是为进一步的研究、GPOC 沙盒模型和可能的全球平台构建提供基础。该领域缺乏标准，表现出明显的异质性。该领域的共识将有利于 GPOC 的发展。GPOC 可以激发医疗保健中人工智能的发展和全球传播。
