Blockchain Technology Use Cases in Healthcare
Blockchain Technology Use Cases in Healthcare
复制标题
DOI：
10.1016/bs.adcom.2018.03.006
复制
发表时间：
2018-01-01
期刊：
影响因子：
--
通讯作者：
Lenz, Gunther
中科院分区：
文献类型：
--
作者：
Zhang, Peng;Schmidt, Douglas C.;Lenz, Gunther
区块链技术减轻了对集中权威机构的依赖，以证明信息的完整性和所有权，以及调解交易和数字资产的交换，同时实现安全的伪匿名交易以及交互各方之间的直接协议。它具有一些关键属性，例如不变性、去中心化和透明度，这些属性可能会解决医疗保健中的紧迫问题，例如护理点的记录不完整以及难以访问患者自己的健康信息。高效和有效的医疗保健系统需要互操作性，这使得软件应用程序和技术平台能够安全无缝地通信、交换数据，并在医疗机构和应用程序供应商之间使用交换的数据。不幸的是，今天的医疗保健受到孤立和碎片化数据、延迟通信以及由于缺乏互操作性而导致的不同工作流工具的困扰。区块链提供了以安全和伪匿名的方式访问存储在分散系统中的纵向、完整和防篡改的医疗记录的机会。本章重点关注区块链技术在医疗保健中的适用性，方法是：(1)确定医疗保健中潜在的区块链用例，(2)提供实现区块链技术的案例研究，以及(3)评估在医疗保健中应用该技术时的设计考虑。
Blockchain technology alleviates the reliance on a centralized authority to certify information integrity and ownership, as well as mediate transactions and exchange of digital assets, while enabling secure and pseudoanonymous transactions along with agreements directly between interacting parties. It possesses key properties, such as immutability, decentralization, and transparency, which potentially address pressing issues in healthcare, such as incomplete records at point of care and difficult access to patients' own health information. An efficient and effective healthcare system requires interoperability, which allows software apps and technology platforms to communicate securely and seamlessly, exchange data, and use the exchanged data across health organizations and app vendors. Unfortunately, healthcare today suffers from siloed and fragmented data, delayed communications, and disparate workflow tools caused by the lack of interoperability. Blockchain offers the opportunity to enable access to longitudinal, complete, and tamper-aware medical records that are stored in fragmented systems in a secure and pseudoanonymous fashion. This chapter focuses on the applicability of Blockchain technology in healthcare by (1) identifying potential Blockchain use cases in healthcare, (2) providing a case study that implements Blockchain technology, and (3) evaluating design considerations when applying this technology in healthcare.