Giordanengo Alain
Department of Computer Science, UiT The Arctic University of Norway, Norway.
Norwegian Centre for E-health Research, University Hospital of North Norway (UNN), Tromsø, Norway.
Stud Health Technol Inform. 2019 Aug 21;264:596-600. doi: 10.3233/SHTI190292.
Security, privacy, transparency, consent, and data sharing are major challenges that healthcare institutions must address today. The explosion of the Internet of Things (IoT), the enactment of the General Data Protection Regulation (GDPR), the growing trend of patients self-managing their diseases, and the eagerness of patients to share their self-collected health data with primary and secondary health organisations further increase the complexity of these challenges. Smart contracts, based on blockchain technology, can be a legitimate approach for addressing these challenges. Smart contracts define rules and penalties in an agreement, enforce those rules, and render them irrevocable. This paper presents a state-of-the-art review (as of May 2018) of the possible usages of smart contracts in healthcare and focuses on data sharing between patients, doctors, and institutions.
安全、隐私、透明度、同意和数据共享是当今医疗机构必须应对的主要挑战。物联网（IoT）的爆炸式发展、《通用数据保护条例》（GDPR）的颁布、患者自我管理疾病的趋势不断增加，以及患者渴望与初级和二级卫生组织共享他们自行收集的健康数据，进一步加剧了这些挑战的复杂性。基于区块链技术的智能合约可以成为应对这些挑战的合理方法。智能合约在协议中定义规则和处罚措施，执行这些规则，并使其不可撤销。本文对智能合约在医疗保健中的可能用途进行了最新综述（截至2018年5月），并重点关注患者、医生和机构之间的数据共享。
