Vol. 6, No. 8, August 2015 ISSN 2079-8407
Journal of Emerging Trends in Computing and Information Sciences
©2009-2015 CIS Journal. All rights reserved.
http://www.cisjournal.org
421
Cloud Computing Information Sharing Capability Influence on Quality
of Healthcare Management of Chronic Diseases
1
Munene David,
2
Macharia Jimmy
1
Systems Administrator, Kenya Methodist University, Nairobi, Kenya
2
Assoc. Prof. of Information Systems & Technology, United States International University, Nairobi, Kenya
ABSTRACT
Over the decades the management of healthcare has been an increasing burden on individuals as well as governments
across the globe. Prior research has shown that chronic diseases account for 60 percent of all deaths worldwide. Besides
the health consequences, long term costs associated with the treatment of chronic ailments and their negative effects on
productivity are taking devastating tolls on the economic situations of individuals, families and countries. Consequently,
research on improving the management of chronic diseases has been a top priority agenda for governments, researchers,
and practitioners. This paper aims to contribute to this agenda by proposing that cloud computing can play a significant
role in improving the management of chronic diseases.
The study used a descriptive approach with a questionnaire-based survey which was used to collect data from 10 hospitals
in Nairobi and its environments. The target population was doctors and management staff of the hospitals. Purposeful
sampling plan was deployed where a sample of 10 doctors and 10 management staff from each hospital were selected.
Within each hospital random sampling of 10 participants from the doctor’s strata and 10 management staff was conducted.
Relevant hypotheses were derived and tested by linear regression analysis.
The findings revealed that sharing of information using cloud computing has a significant effect on the access to healthcare
in the management of chronic diseases. The research was conducted in 10 hospitals of Nairobi which may limit the
generalizability of the findings. Practical implications– The findings offer healthcare providers, medics and healthcare
professionals with a better understanding of what contribution information sharing using cloud computing brings to the
improvement of access to healthcare and particularly the management of chronic diseases. The research contributes to the
application of new technology cloud computing in the healthcare industry through the use of information sharing to
improve access and quality of the management of chronic diseases. The findings also help Healthcare facilities consider
their cloud computing technologies usage when aiming to improve access and quality of their disease management using
cloud computing.
Keywords: Cloud computing, healthcare, Chronic Diseases, Management, Disease, Nairobi
1. INTRODUCTION
1.1 The Enigma of Chronic Diseases
Health is a state of complete physical, mental
and social well-being hence not merely the absence of
disease or infirmity [1]. The health of a people is
fundamental to the attainment of peace and security and is
dependent upon the fullest co-operation of individuals
and states hence the enjoyment of the highest attainable
standards of health is one of the fundamental rights of
every human being. Chronic disease is a long-lasting
condition that can be controlled but not cured
[2]. Chronic diseases are on the rise in the country and are
a leading cause of morbidity and disability. In 2005, an
estimated 35 million people worldwide died from chronic
diseases; this is double the number of deaths from all
infectious diseases. A while back, road accidents, malaria
and hygiene related illnesses topped the charts but now
the likes of HIV/AIDS, diabetes, hypertension, chronic
breathing conditions and cancer have taken over. Chronic
diseases are responsible for up to 50% of disease burden
in many developing countries [2].
The global status report by [2] on non-
communicable diseases indicates that chronic diseases are
the leading cause of death globally, killing more people
each year than all other causes combined. Statistical
information shows that nearly 80% of NCD deaths occur
in low- and middle-income countries and much of the
human and social impacts caused each year by these
diseases could be averted through well-understood, cost-
effective and feasible interventions [3].
Chronic conditions like cancer, diabetes, mental
disorders, cardiovascular and respiratory diseases account
for 36 out of the 57 million deaths annually. These
diseases are mainly caused by four behavioral risk factors
that are pervasive aspects of economic transition, rapid
urbanization and 21st-century lifestyles: tobacco misuse,
unhealthy diet, insufficient physical activity and the
harmful use of alcohol. A sad fact is that they are the
most significant causes of illness and death of the
working age populations in developing countries and
worse still, financing the prevention and treatment of
NCDs accounts for less than 1% of official development
assistance (ODA) for health [3]
According to Stuart [4], the enormous burden
currently posed by chronic diseases is in low-resource
countries and the realistic prospect that this burden will
continue to increase, provides compelling reasons to
rapidly address chronic illnesses from both a public
health perspective and the impact on individual lives. The
prevalence of chronic disease has significant implications
1
nesh8279@gmail.com ,
2
kmacharia@usiu.ac.ke