Vazirani Anuraag A, O'Donoghue Odhran, Brindley David, Meinert Edward
1Medical Sciences Division, University of Oxford, Oxford, UK.
2Department of Paediatrics, University of Oxford, Oxford, OX3 9DU UK.
NPJ Digit Med. 2020 Jan 6;3:1. doi: 10.1038/s41746-019-0211-0. eCollection 2020.
The lack of interoperability in Britain's medical records systems precludes the realisation of benefits generated by increased spending elsewhere in healthcare. Growing concerns regarding the security of online medical data following breaches, and regarding regulations governing data ownership, mandate strict parameters in the development of efficient methods to administrate medical records. Furthermore, consideration must be placed on the rise of connected devices, which vastly increase the amount of data that can be collected in order to improve a patient's long-term health outcomes. Increasing numbers of healthcare systems are developing Blockchain-based systems to manage medical data. A Blockchain is a decentralised, continuously growing online ledger of records, validated by members of the network. Traditionally used to manage cryptocurrency records, distributed ledger technology can be applied to various aspects of healthcare. In this manuscript, we focus on how Electronic Medical Records in particular can be managed by Blockchain, and how the introduction of this novel technology can create a more efficient and interoperable infrastructure to manage records that leads to improved healthcare outcomes, while maintaining patient data ownership and without compromising privacy or security of sensitive data.
英国医疗记录系统缺乏互操作性，这妨碍了医疗保健其他领域增加支出所带来的效益的实现。在数据泄露后，人们对在线医疗数据安全以及数据所有权相关法规的担忧与日俱增，这就要求在开发高效的医疗记录管理方法时设定严格的参数。此外，还必须考虑联网设备的兴起，这些设备极大地增加了为改善患者长期健康状况而可收集的数据量。越来越多的医疗系统正在开发基于区块链的系统来管理医疗数据。区块链是一种去中心化、不断增长的在线记录账本，由网络成员进行验证。分布式账本技术传统上用于管理加密货币记录，现在可应用于医疗保健的各个方面。在本手稿中，我们重点关注电子病历如何具体由区块链进行管理，以及引入这项新技术如何能够创建一个更高效、互操作性更强的记录管理基础设施，从而改善医疗保健结果，同时保持患者对数据的所有权，且不损害敏感数据的隐私或安全性。
