Battula, S.K.Y. 2026. Distributed Stream Processing for Real-Time Healthcare-Motivated Analytics in Multi-Cloud: A Semantics-Aligned Benchmark of Kafka-Centric Pipelines with Flink and Spark Structured Streaming. International Journal of Emerging Trends in Computer Science and Information Technology. 7, 1 (Mar. 2026), 254–266. DOI:https://doi.org/10.63282/3050-9246.IJETCSIT-V7I1P138.