scholarly journals A Review on the Role of Blockchain Technology in the Healthcare Domain

Electronics ◽  
2019 ◽  
Vol 8 (6) ◽  
pp. 679 ◽  
Author(s):  
Haider Dhia Zubaydi ◽  
Yung-Wey Chong ◽  
Kwangman Ko ◽  
Sabri M. Hanshi ◽  
Shankar Karuppayah
Keyword(s):  
Healthcare Providers ◽  
Healthcare Services ◽  
Personal Health ◽  
Integrated Healthcare ◽  
Health Records ◽  
Security Issues ◽  
Blockchain Technology ◽  
Exchange Data

Recently, there have been increasing calls for healthcare providers to provide controls for patients over their personal health records. Nevertheless, security issues concerning how different healthcare providers exchange healthcare information have caused a flop in the deployment of such systems. The ability to exchange data securely is important so that new borderless integrated healthcare services can be provided to patients. Due to its decentralized nature, blockchain technology is a suitable driver for the much-needed shift towards integrated healthcare, providing new insights and addressing some of the main challenges of many healthcare areas. Blockchain allows healthcare providers to record and manage peer-to-peer transactions through a network without central authority. In this paper, we discuss the concept of blockchain technology and hurdles in their adoption in the healthcare domain. Furthermore, a review is conducted on the latest implementations of blockchain technology in healthcare. Finally, a new case study of a blockchain-based healthcare platform is presented addressing the drawbacks of current designs, followed by recommendations for future blockchain researchers and developers.

scholarly journals Assessing commercially available personal health records for home health

2016 ◽  
Vol 07 (02) ◽  
pp. 355-367 ◽  
Author(s):  
Yong Choi ◽  
George Demiris ◽  
Laura Kneale
Keyword(s):  
Information Needs ◽  
Medical Information ◽  
Healthcare Providers ◽  
Study Data ◽  
Home Health ◽  
Personal Health Records ◽  
Personal Health ◽  
Health Records ◽  
Home Health Nurses

SummaryHome health nurses and clients experience unmet information needs when transitioning from hospital to home health. Personal health records (PHRs) support consumer-centered information management activities. Previous work has assessed PHRs associated with healthcare providers, but these systems leave home health nurses unable to access necessary information.To evaluate the ability of publically available PHRs to accept, manage, and share information from a home health case study.Two researchers accessed the publically available PHRs on myPHR.com, and attempted to enter, manage, and share the case study data. We qualitatively described the PHR features, and identified gaps between the case study information and PHR functionality.Eighteen PHRs were identified in our initial search. Seven systems met our inclusion criteria, and are included in this review. The PHRs were able to accept basic medical information. Gaps occurred when entering, managing, and/or sharing data from the acute care and home health episodes. The PHRs that were reviewed were unable to effectively manage the case study information. Therefore, increasing consumer health literacy through these systems may be difficult. The PHRs that we reviewed were also unable to electronically share their data.The gap between the existing functionality and the information needs from the case study may make these PHRs difficult to use for home health environments. Additional work is needed to increase the functionality of the PHR systems to better fit the data needs of home health clients.

Initiating Social Networks in E-Health Services to Support Empowerment (Preprint)

2018 ◽  
Author(s):  
Muhammad Anshari ◽  
Mohammad Nabil Almunawar ◽  
Muhammad Anshari
Keyword(s):  
Social Networks ◽  
Health Services ◽  
Web 2.0 ◽  
Social Networking ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Future Research ◽  
Personal Health ◽  
Main Concern ◽  
Health Records

UNSTRUCTURED Extending e-Health services with social networking through Web 2.0 is the main concern of this paper. This paper discusses how Web 2.0 applications will help healthcare providers extend and enhance their services by involving and empowering their customers. A survey was conducted in Malang, East Java, Indonesia to reveal expectations of potential users towards healthcare services that can offer empowerment through information, knowledge, and experience sharing in social media. The survey revealed that customers highly appreciate various features in e-health services such as consultation online, sharing in social networks, and empowerment in enriching their personal health records. Based on the survey, a prototype of an e-health system incorporating the expected features was developed for future research.

scholarly journals PatientDataChain: A Blockchain-Based Approach to Integrate Personal Health Records

Sensors ◽  
2020 ◽  
Vol 20 (22) ◽  
pp. 6538
Author(s):  
Alexandra Cernian ◽  
Bogdan Tiganoaia ◽  
Ioan Sacala ◽  
Adrian Pavel ◽  
Alin Iftemi
Keyword(s):  
Value Chain ◽  
Medical Records ◽  
Data Exchange ◽  
Healthcare Providers ◽  
Personal Health Records ◽  
Personal Health ◽  
Proof Of Concept ◽  
Health Records ◽  
Blockchain Technology ◽  
Novel Approach

Currently there is not a single trusted infrastructure used for the exchange and storage of medical data along the healthcare value chain and, thus, there is no platform used for monitoring patients’ traceability within the entire healthcare chain. This situation leads to difficult communication and increased procedural costs, and thus it limits healthcare players from developing a better understanding and know-how of patients’ traceability that could further boost innovation and development of the best-fitted health services. PatientDataChain blockchain-based technology is a novel approach, based on a decentralized healthcare infrastructure that incorporates a trust layer in the healthcare value chain. Our aim was to provide an integrated vision based on interoperability principles, that relies on the usage of specific sensors from various wearable devices, allowing us to collect specific data from patients’ medical records. Interconnecting different healthcare providers, the collected data is integrated into a unitary personal health records (PHR) system, where the patient is the owner of his/her data. The decentralized nature of PatientDataChain, based on blockchain technology, leveraged the proper context to create a novel and improved data-sharing and exchange system, which is secure, flexible, and reliable. This approach brings increased benefits to data confidentiality and privacy, while providing secure access to patient medical records. This paper presents the design, implementation, and experimental validation of our proposed system, called PatientDataChain. The original contributions of our paper include the definition of the concept of unifying the entire healthcare value chain, the design of the architectural model of the system, the development of the system components, as well as the validation through a proof of concept (PoC) conducted with a medical clinic from Bucharest, using a dataset of 100 patients and over 1000 transactions. The proof of concept demonstrated the feasibility of the model in integrating the personal health records from heterogeneous sources (healthcare systems and sensors) in a unified, decentralized PHR system, with enhanced data exchange among healthcare players.

scholarly journals The Association of Mobile Health Applications with Self-Management Behaviors among Adults with Chronic Conditions in the United States

2021 ◽  
Vol 18 (19) ◽  
pp. 10351
Author(s):  
Hao Wang ◽  
Amy F. Ho ◽  
R. Constance Wiener ◽  
Usha Sambamoorthi
Keyword(s):  
United States ◽  
Chronic Conditions ◽  
Healthcare Providers ◽  
The United States ◽  
Personal Health Records ◽  
Self Management ◽  
Personal Health ◽  
Health Records ◽  
Mhealth Apps ◽  
Management Behaviors

Background: Mobile applications related to health and wellness (mHealth apps) are widely used to self-manage chronic conditions. However, research on whether mHealth apps facilitate self-management behaviors of individuals with chronic conditions is sparse. We aimed to evaluate the association of mHealth apps with different types of self-management behaviors among patients with chronic diseases in the United States. Methods: This is a cross-sectional observational study. We used data from adult participants (unweighted n = 2340) of the Health Information National Trends Survey in 2018 and 2019. We identified three self-management behaviors: (1) resource utilization using electronic personal health records; (2) treatment discussions with healthcare providers; and (3) making healthcare decisions. We analyzed the association of mHealth apps to self-management behaviors with multivariable logistic and ordinal regressions. Results: Overall, 59.8% of adults (unweighted number = 1327) used mHealth apps. Adults using mHealth apps were more likely to use personal health records (AOR = 3.11, 95% CI 2.26–4.28), contact healthcare providers using technology (AOR = 2.70, 95% CI 1.93–3.78), and make decisions on chronic disease management (AOR = 2.59, 95% CI 1.93–3.49). The mHealth apps were associated with higher levels of self-management involvement (AOR = 3.53, 95% CI 2.63–4.72). Conclusion: Among individuals with chronic conditions, having mHealth apps was associated with positive self-management behaviors.

scholarly journals Assessing the Impacts of Hierarchical Healthcare System on the Accessibility and Spatial Equality of Healthcare Services in Shenzhen, China

2021 ◽  
Vol 10 (9) ◽  
pp. 615
Author(s):  
Zhuolin Tao ◽  
Wenchao Han
Keyword(s):  
Healthcare System ◽  
Catchment Area ◽  
Healthcare Services ◽  
Utilization Efficiency ◽  
Delivery Of Healthcare ◽  
Healthcare Accessibility ◽  
Set Up ◽  
Different Levels

The hierarchical healthcare system is widely considered to be a desirable mode of the delivery of healthcare services. It is expected that the establishment of a hierarchical healthcare system can help provide better and more equal healthcare accessibility. However, limited evidence has been provided on the impacts of a hierarchical healthcare system on healthcare accessibility. This study develops an improved Hierarchical two-step floating catchment area (2SFCA) method, which incorporates variable catchment area sizes, distance friction effects and utilization efficiency for facilities at different levels. Leveraging the Hierarchical 2SFCA method, various scenarios are set up to assess the accessibility impacts of a hierarchical healthcare system. The methods are applied in a case study of Shenzhen. The results reveal significant disparity and inequality in healthcare accessibility and also differences between various facility levels in Shenzhen. The overall healthcare accessibility and its equality can be significantly improved by fully utilizing existing facilities. It is also demonstrated that allocating additional supply to lower-level facilities can generate larger accessibility gains. Furthermore, allocating new supply to primary facilities would mitigate the inequality in healthcare accessibility, whereas inequality tends to be aggravated with new supply allocated to tertiary facilities. These impacts cannot be captured by traditional accessibility measures. This study demonstrates the pivotal role of primary facilities in the hierarchical healthcare system. It can contribute to the literature by providing transferable methods and procedures for measuring hierarchical healthcare accessibility and assessing accessibility impacts of a hierarchical healthcare system in developing countries.

The Role of Blockchain Technology to Make Business Easier and Effective

2020 ◽  
pp. 16-44
Author(s):  
Vartika Koolwal ◽  
Sunil Kumar ◽  
Krishna Kumar Mohbey
Keyword(s):  
Risk Management ◽  
Financial Services ◽  
Information Exchange ◽  
Management Education ◽  
Innovative Technology ◽  
Security Issues ◽  
Blockchain Technology ◽  
Novel Technology ◽  
Wide Range

Blockchain is the new “buzz” word that has attracted the attention of industries and businesses. It is an innovative technology that provides information exchange in an efficient and transparent manner. It has a wide range of application varying from cryptocurrency, healthcare, risk management, education, financial services, internet of things (IoT), border security to public services. However, security issues and threats of this novel technology is also an important topic. In this chapter, the authors provide a comprehensive study of applications, challenges, and issues and how to combat them in the blockchain. Major areas of concern are security, scalability, cryptocurrency's malicious attacks, etc.

Role of nurse practitioners in encouraging use of personal health records

2014 ◽  
Vol 39 (7) ◽  
pp. 1-8 ◽  
Author(s):  
Rebecca Koeniger-Donohue ◽  
Naresh Kumar Agarwal ◽  
Joellen W. Hawkins ◽  
Sarah Stowell
Keyword(s):  
Nurse Practitioners ◽  
Personal Health Records ◽  
Personal Health ◽  
Health Records

scholarly journals M2M Security Technology of CPS Based on Blockchains

2017 ◽  
Author(s):  
Yin Shiyong ◽  
Jin song Bao ◽  
Zhang Yiming ◽  
Huang Xiaodi
Keyword(s):  
Intelligent Manufacturing ◽  
Security Technology ◽  
M2m Communication ◽  
Public Network ◽  
The Public ◽  
Security Issues ◽  
Blockchain Technology ◽  
Communication Problems ◽  
Security Problem

As the core of intelligent manufacturing, CPS has serious security issues, especially for the communication security of its terminal M2M. In this paper, blockchain technology is introduced to address such a security problem of communications between different types of machines in CPS. According to the principles of blockchain technology, we design a blockchain for secure M2M communications. As a communication system of M2M consists of public network areas, equipment areas and private areas, we design a sophisticated blockchain structure between the public area and private area. For validating our design, we take cotton spinning production as a case study to demonstrate our solution to M2M communication problems under the CPS framework.

scholarly journals Understanding health professional role integration in complex adaptive systems A multiple-case study of Physician Assistants in Ontario, Canada

2019 ◽  
Author(s):  
Kristen Burrows ◽  
Julia Abelson ◽  
Patricia Miller ◽  
Mitch Levine ◽  
Meredith Vanstone
Keyword(s):  
Complexity Theory ◽  
Complex Adaptive Systems ◽  
Adaptive Systems ◽  
Healthcare Providers ◽  
Physician Assistants ◽  
Role Integration ◽  
Complex Adaptive ◽  
Multiple Case

Abstract Background To meet the complex needs of healthcare delivery, the Ministry of Health and Long Term Care (MOHLTC) introduced Physician Assistants (PAs) into the Ontario health care system in 2006 to help increase access to care, decrease wait times, and improve continuity of care. Integration of new health professional roles is often stymied by role resistance and funding barriers. The characterization of healthcare organizations as complex adaptive systems (CAS) may offer insight into the relationships and interactions that optimize and restrict successful PA integration. The aim of this study is to explore the integration of PAs across multiple case settings and to understand the role of PAs within complex adaptive systems.Methods An exploratory, multiple-case study was used to examine PA role integration in four settings: family medicine, emergency, general surgery, and inpatient medicine. Interviews were conducted with 46 healthcare providers and administrators across 13 hospitals and 6 family medicine clinics in Ontario, Canada. Analysis was conducted in three phases: inductive thematic analysis within each of the four cases; a cross-case thematic analysis; and a broader exploration of cross-case patterns pertaining to specific complexity theory principles of interest.Results Support for PA contributions across various health care settings, the importance of role awareness, supervisory relationship attributes, and role vulnerability (in relation to sustainability and funding) are interconnected and dynamic in hospital and community settings. Findings represent the experiences of PAs and other healthcare providers, and demonstrate how the PA’s willingness to work and ability to build relationships within existing health systems allows for the establishment of interprofessional, collaborative, and person-centered care. As a self-organizing agent in complex adaptive systems (i.e. health organizations), PA role exploration revealed patterns of team behavior, non-linear interconnections, open relationships, dynamic systems, and the legacy of role implementation as defined by complexity theory.Conclusions By exploring the role of PAs across multiple sites, the complexity theory lens concurrently fosters an awareness of emerging patterns, relationships and non-linear interactions within the defined context of the Ontario healthcare system. By establishing collaborative, interprofessional care models in community and hospital settings, PAs are making a significant contribution to Ontario healthcare settings.

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