Department of Computer Science and Engineering, Jamia Hamdard, New Delhi, 110062, India.
Instituto Politécnico de Viana do Castelo, Portugal.
Healthc (Amst). 2020 Mar;8(1):100391. doi: 10.1016/j.hjdsi.2019.100391. Epub 2019 Nov 19.
Healthcare domain has emerged as one of the most preferred use cases of IoT and its related technologies. However, its widespread adoption is still a distant dream. The primary reason behind this is the security and privacy of the data and the participating entities. To overcome this, blockchain technology has emerged as a convenient means to improve the security and privacy of the data and its users. With the deluge of medical data generated through electronic medical records and other ICT based mechanisms, blockchain has found innumerable opportunities in the healthcare domain. The traditional healthcare systems are radically adopting modern day technologies for transitioning into the smart healthcare ecosystems. The convenience of the users and ease of use are the primary factors driving this transition. Even with smart healthcare systems (SHS) there exist numerous challenges and issues related to the security, transparency and privacy of the data and users. This paper explores the technological and social barriers in adoption of SHS by analyzing state-of-the-art expert views and user's perception. It further proposes a blockchain based SHS framework to provide intrinsic security and integrity of the system. Finally, the future research directions and use cases of blockchain in healthcare domain are discussed.
医疗保健领域已成为物联网及其相关技术最受欢迎的应用场景之一。然而，其广泛采用仍然是一个遥远的梦想。背后的主要原因是数据和参与实体的安全性和隐私性。为了克服这一点，区块链技术已成为提高数据及其用户安全性和隐私性的便捷手段。随着电子病历和其他基于 ICT 的机制生成的大量医疗数据，区块链在医疗保健领域发现了无数机会。传统的医疗保健系统正在彻底采用现代技术，向智能医疗保健生态系统过渡。用户的便利性和易用性是推动这一转变的主要因素。即使有了智能医疗保健系统 (SHS)，数据和用户的安全性、透明度和隐私性方面仍然存在许多挑战和问题。本文通过分析最先进的专家观点和用户的看法，探讨了采用 SHS 面临的技术和社会障碍。它进一步提出了一个基于区块链的 SHS 框架，为系统提供内在的安全性和完整性。最后，讨论了区块链在医疗保健领域的未来研究方向和用例。
