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Performance Evaluation of an Internet of Healthcare Things for Medical Monitoring Using M/M/c/K Queuing Models

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Due to the non-stop and rapid spreading of virus pandemics all over the world, traditional healthcare monitoring capabilities of hospitals and/or medical centers are under a severe over-load. Modern computing… Click to show full abstract

Due to the non-stop and rapid spreading of virus pandemics all over the world, traditional healthcare monitoring capabilities of hospitals and/or medical centers are under a severe over-load. Modern computing infrastructures with the harmony of various layers of computing paradigms (e.g., cloud/fog/edge computing) for healthcare monitoring are apparently the essential computing backbone that help access and process instantly the medical data of every single patient at the very edge of the healthcare system to combat with global or regional virus contagion. Previous studies proposed different computing system architectures for healthcare monitoring but few works considered the evaluation of pure performance of medical data transmission in a comprehensive manner. In this paper, we proposed an M/M/c/K queuing network model for the performance evaluation of an Internet of Healthcare Things (IoHT) infrastructure in association with a three layer cloud/fog/edge computing continuum. The model considers a life cycle of medical data from body-attached IoT sensors in edge layer all the way to local clients (e.g., local medical doctors, physicians) through fog layer and to remote clients (e.g., medical professionals, patient’s family members) through cloud layer. Furthermore, we also explore the impact of the alteration in system configuration and computing capability of computing layers in two scenarios on various performance metrics. Critical performance metrics related to quality of service are evaluated in a comprehensive manner, such as (i) mean response time of medical data transmission to fog (local) clients and to cloud (remote) clients, (ii) utilization of cloud/fog/edge computing layers, (iii) service throughput, (iv) number of medical messages in a period of time, and (v) drop rate. The simulation results pinpoint bottle-neck parameters and configurations of the IoHT infrastructure’s system architecture in relation to the frequency of medical data collection for health check of patients. Thus, the findings of this study can help improve medical administration in hospitals and healthcare centers and help design computing infrastructures in accordance for medical monitoring in the severe circumstances of virus pandemics.

Keywords: internet healthcare; performance; performance evaluation; healthcare; evaluation internet; medical data

Journal Title: IEEE Access
Year Published: 2021

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