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区块链在健康信息系统中的应用：系统评价

Blockchain in Health Information Systems: A Systematic Review.

机构信息

Laboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal 59010-090, Brazil.

Laboratory of Intervention and Analysis of Movement, Department of Physical Therapy, Federal University of Rio Grande do Norte (UFRN), Natal 59000-000, Brazil.

出版信息

Int J Environ Res Public Health. 2024 Nov 14;21(11):1512. doi: 10.3390/ijerph21111512.

DOI:10.3390/ijerph21111512
PMID:39595779
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11593537/
Abstract

(1) Background: With the increasing digitalization of healthcare systems, data security and privacy have become crucial issues. In parallel, blockchain technology has gradually proven to be an innovative solution to address this challenge, as its ability to provide an immutable and secure record of transactions offers significant promise for healthcare information management. This systematic review aims to explore the applications of blockchain in health information systems, highlighting its advantages and challenges. (2) Methods: The publications chosen to compose this review were collected from six databases, resulting in the initial identification of 4864 studies. Of these, 73 were selected for in-depth analysis. (3) Results: The main results show that blockchain has been used mainly in electronic health records (63%). Furthermore, it was used in the Internet of Medical Things (8.2%) and for data sharing during the COVID-19 pandemic (6.8%). As advantages, greater security, privacy, and data integrity were identified, while the challenges point to the need for standardization and regulatory issues. (4) Conclusions: Despite the difficulties encountered, blockchain has significant potential to improve healthcare data management. However, more research and continued collaboration between those involved are needed to maximize its benefits.

摘要

(1) 背景：随着医疗系统的数字化程度不断提高，数据安全和隐私已成为至关重要的问题。与此同时，区块链技术已逐渐被证明是解决这一挑战的创新方案，因为其提供不可变且安全的交易记录的能力为医疗信息管理带来了巨大的希望。本系统评价旨在探索区块链在健康信息系统中的应用，强调其优势和挑战。(2) 方法：本次评价中选用的出版物是从六个数据库中收集的，最初确定了 4864 项研究。其中，有 73 项被选作深入分析。(3) 结果：主要结果表明，区块链主要应用于电子健康记录（63%）。此外，它还应用于医疗物联网（8.2%）和 COVID-19 大流行期间的数据共享（6.8%）。其优势在于提高了安全性、隐私性和数据完整性，而挑战则指向需要标准化和监管问题。(4) 结论：尽管存在困难，但区块链具有显著改善医疗数据管理的潜力。然而，需要更多的研究和相关方的持续合作，以最大化其效益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b86/11593537/99ddb20bf33c/ijerph-21-01512-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b86/11593537/17bf768b87cd/ijerph-21-01512-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b86/11593537/1a701398eb8d/ijerph-21-01512-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b86/11593537/7f697d31b999/ijerph-21-01512-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b86/11593537/b98d7e76dd70/ijerph-21-01512-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b86/11593537/38f0656ac5e1/ijerph-21-01512-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b86/11593537/2288032b42fb/ijerph-21-01512-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b86/11593537/6f5fc324b873/ijerph-21-01512-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b86/11593537/99ddb20bf33c/ijerph-21-01512-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b86/11593537/17bf768b87cd/ijerph-21-01512-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b86/11593537/1a701398eb8d/ijerph-21-01512-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b86/11593537/7f697d31b999/ijerph-21-01512-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b86/11593537/b98d7e76dd70/ijerph-21-01512-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b86/11593537/38f0656ac5e1/ijerph-21-01512-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b86/11593537/2288032b42fb/ijerph-21-01512-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b86/11593537/6f5fc324b873/ijerph-21-01512-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b86/11593537/99ddb20bf33c/ijerph-21-01512-g008.jpg

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Digital health solution for monitoring and surveillance of Amyotrophic Lateral Sclerosis in Brazil.巴西用于肌萎缩侧索硬化症监测和监控的数字健康解决方案。
Front Public Health. 2023 Aug 25;11:1209633. doi: 10.3389/fpubh.2023.1209633. eCollection 2023.
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Blockchain-enabled healthcare monitoring system for early Monkeypox detection.
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Self-sovereign identity empowered non-fungible patient tokenization for health information exchange using blockchain technology.基于区块链技术的自主权身份赋能的、用于健康信息交换的非同质化患者代币化。
Comput Biol Med. 2023 May;157:106778. doi: 10.1016/j.compbiomed.2023.106778. Epub 2023 Mar 15.
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Technical Design and Development of A Self-Sovereign Identity Management Platform for Patient-Centric Health Care Using Blockchain Technology.使用区块链技术的以患者为中心的医疗保健自主身份管理平台的技术设计与开发
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