Blockchain Personal Health Records: A Systematic Review (Preprint)

BACKGROUND Blockchain technology has the potential to enable more secure, transparent and equitable data management. In the healthcare domain, it has been most frequently applied to electronic health records (EHRs). Apart from securely managing data, blockchain also has a significant advantage of distributing data access, control and ownership to the end-users. This attribute, among others, makes it especially appealing when used to power personal health records (PHRs). OBJECTIVE In this review, we aim to examine the current landscape, design choices and limitations of blockchain-based PHRs. METHODS Adopting the PRISMA guidelines, a cross-discipline systematic review was performed in July 2020 on all eligible articles, including grey literature, from the following eight databases: ACM, IEEE Xplore, MEDLINE, ScienceDirect, Scopus, SpringerLink, Web of Science and Google Scholar. Three reviewers independently performed a full-text review and data abstraction using a standardized data collection form. RESULTS 58 articles fulfilled the inclusion criteria. The review found that the blockchain PHR space has been maturing over the past five years, from purely conceptual ideas initially to an increasing trend of publications describing prototypes and even implementations. Although the eventual PHR application is purposed for the healthcare industry, majority of the articles came from Engineering or Computer Science publications. Among the blockchain PHRs described, permissioned blockchains and off-chain storage were the more common design choices. While eighteen articles described a tethered blockchain PHR, all of these were at the conceptual stage. CONCLUSIONS This review revealed that research interest in using blockchain for PHRs is increasing and that the space is maturing. With further experimentation, this trend will very likely lead to breakthroughs to address existing limitations which could ultimately accelerate the adoption of blockchain PHRs.

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Securing Personal Health Records in Cloud Computing: Patient-Centric and Fine-Grained Data Access Control in Multi-owner Settings

Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering - Security and Privacy in Communication Networks ◽

10.1007/978-3-642-16161-2_6 ◽

2010 ◽

pp. 89-106 ◽

Cited By ~ 130

Author(s):

Ming Li ◽

Shucheng Yu ◽

Kui Ren ◽

Wenjing Lou

Keyword(s):

Cloud Computing ◽

Access Control ◽

Data Access ◽

Personal Health Records ◽

Personal Health ◽

Health Records ◽

Fine Grained ◽

Data Access Control ◽

Patient Centric

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Work system barriers to patient, provider, and caregiver use of personal health records: A systematic review

Applied Ergonomics ◽

10.1016/j.apergo.2015.10.010 ◽

2016 ◽

Vol 54 ◽

pp. 218-242 ◽

Cited By ~ 22

Author(s):

Morgan J. Thompson ◽

Jeremiah D. Reilly ◽

Rupa S. Valdez

Keyword(s):

Systematic Review ◽

Personal Health Records ◽

Personal Health ◽

Health Records ◽

Work System

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Blockchain and mortgage lending process: A study of people, process, and technology involved

Online Journal of Applied Knowledge Management ◽

10.36965/ojakm.2019.7(1)53-66 ◽

2019 ◽

Vol 7 (1) ◽

pp. 53-66

Author(s):

Azad Ali ◽

David Smith

Keyword(s):

Customer Relationship Management ◽

Relationship Management ◽

Mortgage Lending ◽

Personal Health Records ◽

Global Supply Chain ◽

Customer Relationship ◽

Personal Health ◽

Health Records ◽

Blockchain Technology ◽

Mortgage Origination

Blockchain technology is on the rise and considered to be a revolutionary technology. It has been applied to many domains including personal health records, regulatory investigation, and global supply chain. Applications that may potentially benefit from blockchain technology are those, which involve multiple parties across the different organization, each performing a subset of many steps needed to complete a given transaction and involve different technologies. In addition, security and trust is a major concern. Given this, a good candidate for blockchain technology is mortgage lending. The purpose of this paper is to prepare a model that identifies different elements that are needed when applying blockchain technology in the mortgage origination process. This paper uses a popular framework used in customer relationship management (CRM) that combines three constructs: People, Process and Technology to develop the intended model.

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Potential Use of Personal Health Records in Managing Hypertension: A Systematic Review

Indian Journal of Public Health Research & Development ◽

10.37506/ijphrd.v11i7.10307 ◽

2020 ◽

Keyword(s):

Systematic Review ◽

Personal Health Records ◽

Personal Health ◽

Health Records ◽

Potential Use

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Securing Personal Health Records using Advanced Multi-Factor Authentication in Cloud Computing

International Journal of Recent Technology and Engineering - 2 ◽

10.35940/ijrte.f9724.038620 ◽

2020 ◽

Vol 8 (6) ◽

pp. 5133-5140

Keyword(s):

Cloud Computing ◽

Data Security ◽

Data Access ◽

Data Encryption ◽

Personal Health Records ◽

Security And Privacy ◽

Healthcare Sector ◽

Personal Health ◽

Health Records ◽

Wrong Decision

Cloud computing is a novel prototype to provide services via the internet. Most of the fields like banking, industries, educational institutions, and healthcare are storing their applications, data and accessing it through cloud because of its versatility and affordable price. Even though cloud has a many special feature, data security and privacy are the most important issues in a cloud background. Especially in healthcare sector, according to recent report numerous amount of healthcare data breached by unknown websites and hackers, and much healthcare information breaches are occurring around the world for different purposes and still it is vulnerable on account of storing and accessing data through third party cloud servers. Due to many attacks on personal health records data security and privacy in cloud environment, it is a primary task to concentrate on solving this issue because such health information are really sensitive, and playing vital role in decision-making of patients health which wrong decision may spoil patient’s health, life along with health institution’s reputation. To ensure security and privacy, data encryption and authentication are the key technologies which are a technique to secure data and create proof identities to obtain access of data in the system. Conventional password authentication does not provide sufficient security for information to the new means of attacks. So, this paper introduces a framework for data encryption using standard RSA and Hash function and advanced multi factor authentication technique to cloud data access which authenticates the user based on different factors such as contextual, signcryption and iris bio-metric features. This prototype to cloud computing is implemented using open source technology. The proposed advanced system minimizes intermediate data access due to the complexity of key access and strong authentication. The performance of the system has been evaluated using experimental results such as encryption and decryption time, authentication accuracy, execution time.

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