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医疗 5.0:医疗手术系统信息学的安全分布式网络。

Healthcare 5.0: A secure and distributed network for system informatics in medical surgery.

机构信息

Zhuhai City Polytechnic College of Marxism, Guangdong Province, China.

Department of Industrial and Systems Engineering, The Hong Kong Polytechnic University, Hung Hom, Hong Kong; Faculty of Business, City University of Macau, Macau.

出版信息

Int J Med Inform. 2024 Jun;186:105415. doi: 10.1016/j.ijmedinf.2024.105415. Epub 2024 Mar 20.

Abstract

INTRODUCTION

Health records serve not only as a database of a patient's health history and treatment process but also as a crucial tool for doctors to diagnose and treat patients. However, the storage and sharing of these records are sensitive issues as they involve maintaining patient privacy and ensuring data transparency, security, and interoperability between different parties. Challenges to achieving these goals in the current surgical process can impact the allocation of medical resources and surgical outcomes.

METHODS

This article proposes a healthcare 5.0 framework for medical surgery that deploys a secure and distributed network using Blockchain to demonstrate transactions between different parties in the orthopedic surgery process. The proposed network uses the Hyperledger Composer platform for deployment, and a patient-doctor-supplier orthopedic surgery network is designed and implemented to enable the safe sharing of medical records.

RESULTS

A benchmarking tool was implemented for analyzing different scenarios of applying blockchain technology to orthopedic surgery. The application of blockchain technology to orthopedic surgery presents a promising solution for data sharing and supply chain management in the field. The integration of blockchain with cloud storage and hybrid encryption ensures secure and efficient storage of Electronic Health Record (EHR) and Personal Health Record (PHR) data. By leveraging the tamper-proof nature of blockchain and addressing concerns regarding centralized data storage, this scenario demonstrates enhanced security, improved access efficiency, and privacy protection in medical data sharing.

CONCLUSIONS

The article demonstrates the feasibility of using an IoT-based blockchain network in orthopedic surgery, which can reduce medical errors and improve data interoperability among different parties. This unique application of blockchain enables secure sharing of medical records, ensuring transparency, security, and interoperability. The network design may also be applicable to other surgeries and medical applications in the future.

摘要

简介

健康记录不仅是患者健康史和治疗过程的数据库,也是医生诊断和治疗患者的重要工具。然而,这些记录的存储和共享是敏感问题,因为它们涉及维护患者隐私和确保数据透明度、安全性以及不同方之间的互操作性。在当前的手术过程中,实现这些目标的挑战会影响医疗资源的分配和手术结果。

方法

本文提出了一个医疗保健 5.0 框架,用于医疗手术,该框架使用区块链部署一个安全且分布式的网络,以展示骨科手术过程中不同方之间的交易。所提出的网络使用 Hyperledger Composer 平台进行部署,并设计和实现了一个患者-医生-供应商骨科手术网络,以实现医疗记录的安全共享。

结果

实现了一个基准工具,用于分析将区块链技术应用于骨科手术的不同场景。区块链技术在骨科手术中的应用为该领域的数据共享和供应链管理提供了有前途的解决方案。将区块链与云存储和混合加密相结合,确保了电子健康记录(EHR)和个人健康记录(PHR)数据的安全高效存储。通过利用区块链的防篡改性质,并解决对集中式数据存储的担忧,该方案展示了在医疗数据共享中增强的安全性、改进的访问效率和隐私保护。

结论

本文展示了在骨科手术中使用基于物联网的区块链网络的可行性,这可以减少医疗错误并提高不同方之间的数据互操作性。区块链的这种独特应用能够安全地共享医疗记录,确保透明度、安全性和互操作性。该网络设计将来也可能适用于其他手术和医疗应用。

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