Service and Cloud Computing Research Lab, Auckland University of Technology, Auckland 1010, New Zealand.
Sensors (Basel). 2021 Jul 25;21(15):5035. doi: 10.3390/s21155035.
The study presents a blockchain-based incentive mechanism intended to encourage those in underserved communities to engage with healthcare services. The smart healthcare system, which is the result of the amalgamation of advanced technologies, has emerged recently and is increasingly seen as essential to meet the needs of modern society. An important part of the healthcare system is the prescription management system, but studies show that prescription affordability and accessibility play a part in creating unequal access for underserved communities. This is a form of unequal access that results in those living in underserved communities to become disengaged from accessing healthcare services. In New Zealand, the prescription management system plays a crucial role and this study seeks to address the issue by presenting the BlockPres framework, which uses a novel incentive mechanism to encourage patients to participate and engage with services in order to be rewarded. The blockchain attribute of immutability in BlockPres enhances equality and participation by providing sophisticated authorisation and authentication capabilities for healthcare providers and patients. BlockPres empowers the patient by assigning ownership or control of some patient information to the patient. A simulation is carried out using the Ethereum blockchain and the evaluation of successful transaction completion and superficial performance assessment demonstrates that the blockchain would be sufficient to cope with the needs of a prescription management system. Furthermore, for the simulation, a BlockPres Smart Contract is developed using solidity and implemented in Remix. The Ropsten network is used as the simulation environment and the initial results show that the proposed incentive mechanism mitigates unequal access.
这项研究提出了一种基于区块链的激励机制，旨在鼓励服务不足社区的人们参与医疗保健服务。最近出现了一种将先进技术融合在一起的智能医疗保健系统，它被认为是满足现代社会需求的关键。医疗保健系统的一个重要部分是处方管理系统，但研究表明，处方的可负担性和可及性在为服务不足的社区创造不平等的获取途径方面发挥了作用。这是一种不平等的获取途径，导致生活在服务不足社区的人们不再参与获取医疗保健服务。在新西兰，处方管理系统起着至关重要的作用，本研究旨在通过提出 BlockPres 框架来解决这个问题，该框架使用一种新颖的激励机制来鼓励患者参与并使用服务，以获得奖励。BlockPres 通过为医疗保健提供者和患者提供复杂的授权和身份验证功能，利用区块链的不可变属性增强了平等性和参与度。BlockPres 通过将一些患者信息的所有权或控制权分配给患者，赋予了患者权力。使用以太坊区块链进行了模拟，成功完成交易的评估和表面性能评估表明，区块链足以满足处方管理系统的需求。此外，针对该模拟，使用 Solidity 开发了一个 BlockPres 智能合约，并在 Remix 中实现。Ropsten 网络被用作模拟环境，初步结果表明，所提出的激励机制缓解了不平等获取的问题。
