{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T18:17:19Z","timestamp":1773771439039,"version":"3.50.1"},"reference-count":51,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T00:00:00Z","timestamp":1673568000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"School of Telematics-Universidad de Colima and Facultad de Ingenier\u00eda, Arquitectura y Dise\u00f1o-Universidad Aut\u00f3noma de Baja California"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Real-life implementation of the Internet of Things (IoT) in healthcare requires sufficient quality of service (QoS) to transmit the collected data successfully. However, unsolved challenges in prioritization and congestion issues limit the functionality of IoT networks by increasing the likelihood of packet loss, latency, and high-power consumption in healthcare systems. This study proposes a priority-based cross-layer congestion control protocol called QCCP, which is managed by communication devices\u2019 transport and medium access control (MAC) layers. Unlike existing methods, the novelty of QCCP is how it estimates and resolves wireless channel congestion because it does not generate control packets, operates in a distributed manner, and only has a one-bit overhead. Furthermore, at the same time, QCCP offers packet scheduling considering each packet\u2019s network load and QoS. The results of the experiments demonstrated that with a 95% confidence level, QCCP achieves sufficient performance to support the QoS requirements for the transmission of health signals. Finally, the comparison study shows that QCCP outperforms other TCP protocols, with 64.31% higher throughput, 18.66% less packet loss, and 47.87% less latency.<\/jats:p>","DOI":"10.3390\/s23020923","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T02:57:33Z","timestamp":1673578653000},"page":"923","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Prioritization-Driven Congestion Control in Networks for the Internet of Medical Things: A Cross-Layer Proposal"],"prefix":"10.3390","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1449-1982","authenticated-orcid":false,"given":"Raymundo","family":"Buenrostro-Mariscal","sequence":"first","affiliation":[{"name":"School of Telematics, Universidad de Colima, Colima 28040, Mexico"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4184-0116","authenticated-orcid":false,"given":"Pedro C.","family":"Santana-Mancilla","sequence":"additional","affiliation":[{"name":"School of Telematics, Universidad de Colima, Colima 28040, Mexico"}]},{"given":"Osval Antonio","family":"Montesinos-L\u00f3pez","sequence":"additional","affiliation":[{"name":"School of Telematics, Universidad de Colima, Colima 28040, Mexico"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2545-2153","authenticated-orcid":false,"given":"Mabel","family":"Vazquez-Briseno","sequence":"additional","affiliation":[{"name":"Facultad de Ingenier\u00eda, Arquitectura y Dise\u00f1o, Universidad Aut\u00f3noma de Baja California, Ensenada 22860, Mexico"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0105-6789","authenticated-orcid":false,"given":"Juan Ivan","family":"Nieto-Hipolito","sequence":"additional","affiliation":[{"name":"Facultad de Ingenier\u00eda, Arquitectura y Dise\u00f1o, Universidad Aut\u00f3noma de Baja California, Ensenada 22860, Mexico"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2787","DOI":"10.1016\/j.comnet.2010.05.010","article-title":"Internet of Things: A Survey","volume":"54","author":"Atzori","year":"2010","journal-title":"Comput. 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