scholarly journals Blockchain Personal Health Records: A Systematic Review (Preprint)

10.2196/25094 ◽  
2020 ◽  
Author(s):  
Hao Sen Andrew Fang ◽  
Teng Hwee Tan ◽  
Yan Fang Cheryl Tan ◽  
Marcus Tan
Keyword(s):  
Systematic Review ◽  
Personal Health Records ◽  
Personal Health ◽  
Health Records

scholarly journals Blockchain Personal Health Records: A Systematic Review (Preprint)

2020 ◽  
Author(s):  
Hao Sen Andrew Fang ◽  
Teng Hwee Tan ◽  
Yan Fang Cheryl Tan ◽  
Marcus Tan
Keyword(s):  
Systematic Review ◽  
Grey Literature ◽  
Data Access ◽  
Personal Health Records ◽  
Personal Health ◽  
Health Records ◽  
Blockchain Technology ◽  
Data Access Control ◽  
Collection Form ◽  
Permissioned Blockchains

BACKGROUND Blockchain technology has the potential to enable more secure, transparent and equitable data management. In the healthcare domain, it has been most frequently applied to electronic health records (EHRs). Apart from securely managing data, blockchain also has a significant advantage of distributing data access, control and ownership to the end-users. This attribute, among others, makes it especially appealing when used to power personal health records (PHRs). OBJECTIVE In this review, we aim to examine the current landscape, design choices and limitations of blockchain-based PHRs. METHODS Adopting the PRISMA guidelines, a cross-discipline systematic review was performed in July 2020 on all eligible articles, including grey literature, from the following eight databases: ACM, IEEE Xplore, MEDLINE, ScienceDirect, Scopus, SpringerLink, Web of Science and Google Scholar. Three reviewers independently performed a full-text review and data abstraction using a standardized data collection form. RESULTS 58 articles fulfilled the inclusion criteria. The review found that the blockchain PHR space has been maturing over the past five years, from purely conceptual ideas initially to an increasing trend of publications describing prototypes and even implementations. Although the eventual PHR application is purposed for the healthcare industry, majority of the articles came from Engineering or Computer Science publications. Among the blockchain PHRs described, permissioned blockchains and off-chain storage were the more common design choices. While eighteen articles described a tethered blockchain PHR, all of these were at the conceptual stage. CONCLUSIONS This review revealed that research interest in using blockchain for PHRs is increasing and that the space is maturing. With further experimentation, this trend will very likely lead to breakthroughs to address existing limitations which could ultimately accelerate the adoption of blockchain PHRs.

scholarly journals Peran Personal Health Record (PHR) dalam Pengelolaan Diabetes Melitus Tipe 2

2019 ◽  
Vol 5 (1) ◽  
pp. 68
Author(s):  
Berly Nisa Srimayarti ◽  
Kemal N. Siregar ◽  
Martya Rahmaniati
Keyword(s):  
Systematic Review ◽  
Personal Health Record ◽  
Personal Health Records ◽  
Personal Health ◽  
Health Record ◽  
Health Records ◽  
Diabetes Melitus

ABSTRAKDiabetes melitus merupakan salah satu dari empat masalah penyakit tidak menular tertinggi di dunia. Pada tahun 2015 jumlah kasus dengan diabetes tipe 2 mencapai 415 juta, 425 juta pada tahun 2017, dan 629 juta diperkirakan tahun 2045 di dunia. Tujuan penelitian ini adalah untuk menilai manfaat penggunaan Personal Health Records dalam pengelolaan diabetes melitus tipe 2. Penelitian ini menggunakan metode systematic review berdasarkan protokol PRISMA dan pencarian melalui empat database elektronik (PubMed, ProQuest, Scopus, dan SpingerLink). Kriteria inklusi adalah artikel tentang informatika kesehatan, pengelolaan diabetes tipe 2, penggunaan Personal Health Records, dan diterbitkan tahun 2012-2018. Pencarian awal mendapatkan 539 artikel penelitian, yang setelah kriteria ekslusi didapatkan 7 artikel yang dianalisis. Manfaat Personal Health Records adalah catatan kesehatan menjadi lengkap, meningkatkan kesadaran untuk mengelola diabetes tipe 2, dan mendorong perubahan perilaku pasien. Pasien yang mengelola diabetesnya dapat mengurangi risiko gagal ginjal (87%), kebutaan (72%), gejala neuropati (68%), dan amputasi ekstremitas bawah (67%). Personal Health Records dapat mendorong partisipasi pasien dalam kontrol kesehatan individu, yang memungkinkan pasien untuk memantau aktivitas fisik mereka sendiri, diet, berat badan, glikemik, kadar glukosa, untuk mengakses pengetahuan terkait diabetes.Kata Kunci:  Diabetes Tipe 2; Pengelolaan Diabetes; Personal Health Records; Perilaku Pasien 

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