School of Medicine, University of Zagreb, Zagreb, Croatia.
Unit of Clinical Pharmacology, Department of Internal Medicine, University Hospital Centre Zagreb, Kispaticeva 12, 10000, Zagreb, Croatia.
Appl Health Econ Health Policy. 2018 Oct;16(5):583-590. doi: 10.1007/s40258-018-0412-8.
Blockchain technology is a decentralized database that stores a registry of assets and transactions across a peer-to-peer computer network, which is secured through cryptography, and over time, its history gets locked in blocks of data that are cryptographically linked together and secured. So far, there have been use cases of this technology for cryptocurrencies, digital contracts, financial and public records, and property ownership. It is expected that future uses will expand into medicine, science, education, intellectual property, and supply chain management. Likely applications in the field of medicine could include electronic health records, health insurance, biomedical research, drug supply and procurement processes, and medical education. Utilization of blockchain is not without its weaknesses and currently, this technology is extremely immature and lacks public or even expert knowledge, making it hard to have a clear strategic vision of its true future potential. Presently, there are issues with scalability, security of smart contracts, and user adoption. Nevertheless, with capital investments into blockchain technology projected to reach US$400 million in 2019, health professionals and decision makers should be aware of the transformative potential that blockchain technology offers for healthcare organizations and medical practice.
区块链技术是一种去中心化的数据库,它在点对点计算机网络上存储资产和交易记录,通过加密技术进行安全保护,随着时间的推移,其历史记录被锁定在数据块中,这些数据块通过加密链接在一起并得到保护。到目前为止,这项技术已经在加密货币、数字合同、金融和公共记录以及财产所有权等领域得到了应用。预计未来的应用将扩展到医学、科学、教育、知识产权和供应链管理领域。在医学领域的可能应用包括电子健康记录、医疗保险、生物医学研究、药品供应和采购流程以及医学教育。区块链的应用并非没有弱点,目前,这项技术极不成熟,缺乏公众甚至专家的了解,因此很难对其真正的未来潜力有一个清晰的战略愿景。目前,存在可扩展性、智能合约安全性和用户采用率等问题。然而,随着对区块链技术的投资预计在 2019 年达到 4 亿美元,医疗保健专业人员和决策者应该意识到区块链技术为医疗保健组织和医疗实践带来的变革潜力。