scholarly journals The Current State of Research, Challenges, and Future Research Directions of Blockchain Technology in Patient Care: Systematic Review (Preprint)

2020 ◽  
Author(s):  
Polina Durneva ◽  
Karlene Cousins ◽  
Min Chen

BACKGROUND Blockchain offers a promising new distributed technology to address the challenges of data standardization, system interoperability, security, privacy, and accessibility of medical records. OBJECTIVE The purpose of this review is to assess the research on the use of blockchain technology for patient care and the associated challenges and to provide a research agenda for future research. METHODS This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. We queried the Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed, Excerpta Medica dataBASE (EMBASE), and Web of Science databases for peer-reviewed research articles published up to December 2019 that examined the implementation of blockchain technology in health care settings. We identified 800 articles from which we selected 70 empirical research articles for a detailed review. RESULTS Blockchain-based patient care applications include medical information systems, personal health records, mobile health and telemedicine, data preservation systems and social networks, health information exchanges and remote monitoring systems, and medical research systems. These blockchain-based health care applications may improve patient engagement and empowerment, improve health care provider access to information, and enhance the use of health care information for medical research. CONCLUSIONS Blockchain health information technology (HIT) provides benefits such as ensuring data privacy and security of health data, facilitating interoperability of heterogeneous HIT systems, and improving the quality of health care outcomes. However, barriers to using blockchain technology to build HIT include security and privacy vulnerabilities, user resistance, high computing power requirements and implementation costs, inefficient consensus algorithms, and challenges of integrating blockchain with existing HIT. With 51% of the research focused on medical information systems such as electronic health record and electronic medical record, and 53% of the research focused on data security and privacy issues, this review shows that HIT research is primarily focused on the use of blockchain technologies to address the current challenges HIT faces. Although Blockchain presents significant potential for disrupting health care, most ideas are in their infancy.

10.2196/18619 ◽  
2020 ◽  
Vol 22 (7) ◽  
pp. e18619 ◽  
Author(s):  
Polina Durneva ◽  
Karlene Cousins ◽  
Min Chen

Background Blockchain offers a promising new distributed technology to address the challenges of data standardization, system interoperability, security, privacy, and accessibility of medical records. Objective The purpose of this review is to assess the research on the use of blockchain technology for patient care and the associated challenges and to provide a research agenda for future research. Methods This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. We queried the Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed, Excerpta Medica dataBASE (EMBASE), and Web of Science databases for peer-reviewed research articles published up to December 2019 that examined the implementation of blockchain technology in health care settings. We identified 800 articles from which we selected 70 empirical research articles for a detailed review. Results Blockchain-based patient care applications include medical information systems, personal health records, mobile health and telemedicine, data preservation systems and social networks, health information exchanges and remote monitoring systems, and medical research systems. These blockchain-based health care applications may improve patient engagement and empowerment, improve health care provider access to information, and enhance the use of health care information for medical research. Conclusions Blockchain health information technology (HIT) provides benefits such as ensuring data privacy and security of health data, facilitating interoperability of heterogeneous HIT systems, and improving the quality of health care outcomes. However, barriers to using blockchain technology to build HIT include security and privacy vulnerabilities, user resistance, high computing power requirements and implementation costs, inefficient consensus algorithms, and challenges of integrating blockchain with existing HIT. With 51% of the research focused on medical information systems such as electronic health record and electronic medical record, and 53% of the research focused on data security and privacy issues, this review shows that HIT research is primarily focused on the use of blockchain technologies to address the current challenges HIT faces. Although Blockchain presents significant potential for disrupting health care, most ideas are in their infancy.


2021 ◽  
Vol 58 (1) ◽  
pp. 5315-5324
Author(s):  
Nidhi Raghav, Anoop Bhola

Healthcare is changing fast with better and efficient services for patient care. Electronic health records are electronic saved information related to health in digitally format. With EHR the healthcare data can be easily shared across the different healthcare settings.EHR enhances the Patient care by providing the accuracy and precision of medical records where security and privacy preservation are challenging in the system. In recent years, Blockchain has become viable technology which has invaded different domains. Blockchain has enormous potentialin healthcare because of demand of patient centric system and to connect different systems together. Blockchain is a promising solution for security and preservation of privacy in a healthcare sector. In this paper we have provide a comprehensive review of healthcare systems which are based on blockchain. The main objective of this paper is to reveal about blockchain technology in privacy preservation, security of healthcare and its future research directions. We have recognized and analyze latest research papers and literature to present a challenges and comparison between various published work in the domain of blockchain for healthcare.


Author(s):  
Gajala Praveen ◽  

Bitcoin was the first electronic payment system to truly exploit the power of blockchain technology. There is currently the problem of health information inequality and health information leakage. Physicians should conduct essential routine work that wastes human and financial resources and delays treatment processes. Blockchain provides a trust-free and cost-reducing solution to manage and secure valuable health information. The aim of this study is to discuss research into blockchain healthcare applications. It addresses the management of medical data, as well as the sharing of medical information, the sharing of images, and the management of logs. We also discuss papers that overlap with other fields, such as the Internet of Things, information management, drug monitoring along their supply chain, and aspects of security and privacy. Finally, we analyze and compare the research papers in the medical area and also summarize the strategies used in healthcare with their pros and cons.


2012 ◽  
Vol 3 (2) ◽  
pp. 125-134 ◽  
Author(s):  
Mirza B. Murtaza

The challenge of securing large amounts of electronic medical records stored in a variety of forms and in many locations, while still making it available to authorized users, is huge. Pressure to maintain privacy and protection of personal information is a strong motivating force in the development of security policies. It is essential for health care organizations to analyze, assess and ensure security policies to meet these challenges and to develop the necessary policies to ensure the security of medical information.


2017 ◽  
Author(s):  
Leming Zhou ◽  
Bambang Parmanto ◽  
James Joshi

BACKGROUND The widespread application of technologies such as electronic health record systems, mobile health apps, and telemedicine platforms, has made it easy for health care providers to collect relevant data and deliver health care regimens. While efficacious, these new technologies also pose serious security and privacy challenges. OBJECTIVE The training program described here aims at preparing well-informed health information security and privacy professionals with enhanced course materials and various approaches. METHODS A new educational track has been built within a health informatics graduate program. Several existing graduate courses have been enhanced with new security and privacy modules. New labs and seminars have been created, and students are being encouraged to participate in research projects and obtain real-world experience from industry partners. Students in this track receive both theoretical education and hands-on practice. Evaluations have been performed on this new track by conducting multiple surveys on a sample of students. RESULTS We have succeeded in creating a new security track and developing a pertinent curriculum. The newly created security materials have been implemented in multiple courses. Our evaluation indicated that students (N=72) believed that receiving security and privacy training was important for health professionals, the provided security contents were interesting, and having the enhanced security and privacy training in this program was beneficial for their future career. CONCLUSIONS The security and privacy education for health information professionals in this new security track has been significantly enhanced.


2017 ◽  
pp. 694-714
Author(s):  
Kijpokin Kasemsap

This chapter explains the perspectives on global health, the overview of health information technology (health IT), the applications of electronic health record (EHR), and the importance of health IT in global health care. Health IT is the area of IT involving the design, development, creation, utilization, and maintenance of information systems for the health care industry. Health IT makes it possible for health care providers to better manage patient care through the secure use and sharing of health information. Effective health IT can lower costs, improve efficiency, and reduce medical error, while providing better patient care and service. The chapter argues that utilizing health IT has the potential to enhance health care performance and reach strategic goals in global health care.


Author(s):  
Kijpokin Kasemsap

This chapter explains the perspectives on global health, the overview of health information technology (health IT), the applications of electronic health record (EHR), and the importance of health IT in global health care. Health IT is the area of IT involving the design, development, creation, utilization, and maintenance of information systems for the health care industry. Health IT makes it possible for health care providers to better manage patient care through the secure use and sharing of health information. Effective health IT can lower costs, improve efficiency, and reduce medical error, while providing better patient care and service. The chapter argues that utilizing health IT has the potential to enhance health care performance and reach strategic goals in global health care.


2019 ◽  
Vol 26 (1) ◽  
pp. 107327481984144 ◽  
Author(s):  
Jinhai Huo ◽  
Raj Desai ◽  
Young-Rock Hong ◽  
Kea Turner ◽  
Arch G. Mainous ◽  
...  

The number of social media users has increased substantially in the past decade, creating an opportunity for health-care professionals and patients to leverage social media for health communication. This study examines the recent use and predictors of social media for health communication in a nationally representative sample of US adults over time. We used 2013, 2014, and 2017 National Cancer Institute’s Health Information National Trends Survey to identify respondents’ use of social media for sharing health information or exchanging medical information with a health-care professional. We conducted bivariate analysis using the Pearson χ2 test to assess the association of respondents’ basic demographic characteristics as well as health status and the use of social media for health communication. We performed multivariable logistic regression models to examine factors associated with the use of social media for health communication. We identified 4242 respondents (weighted sample size: 343 465 241 [2-year pooled sample]) who used social media for sharing health information and 4834 respondents (weighted sample size: 354 419 489 [2-year pooled sample]) who used social media for exchanging medical information. Multivariable analyses indicated the proportion of respondents who used social media for sharing health information has decreased (odds ratio [OR], 0.65; 95% confidence interval [CI], 0.49-0.85, P = .002), while the use of social media for exchanging medical information with a health-care professional has increased (OR, 1.88; 95% CI, 1.09-3.26, P = .025). The younger population had significantly higher odds of using social media for health communication. The study found no racial/ethnic disparities in the use of social media for health communication. Use of social media for sharing health information has declined, while exchanging medical information with health-care professionals has increased. Future research is needed to determine how to engage the population in social media–based health interventions, particularly for older adults.


2016 ◽  
Vol 04 (02) ◽  
pp. 102-107
Author(s):  
Neera Gupta ◽  
Tushar Dixit ◽  
Vikram K.

AbstractMake in India is a flagship campaign from the Government of India which is aimed at various sectors. Indian health-care system can take advantages by introducing digital technologies to health care. The possible uses of health information technology as a method to engage with people involving communicable and noncommunicable diseases (NCDs) are wide-ranging. Health information technology can support interventions for prevention, diagnosis, managing surveillance, disease monitoring, and treatment compliance of many conditions. Digital health can offer various technologies such as wearables that are tracked by various mobile or smartphone applications to facilitates patient engagement, self-monitoring, and implementing behavior changes in NCDs such as diabetes. By incorporating the interactive audiovisual items, the digital health tools can create greater interest and engage people from different geographies, age, gender, and culture. Currently, the common digital heath tech issues include hesitancy from doctors to adopt any new product or technology, difficulty in reaching and accessing the needy patients, cultural diversity in population, and inadequate infrastructure. The ethical issues of consent, data security, and privacy of patients need to be addressed as they are highly sensitive in nature.


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