Blockchain Technology in e-Healthcare Management

2: Department of Teleinformatics Engineering, Federal University of Ceará, Brazil
The healthcare arena has seen a shift in recent years, with more healthcare provisions being delivered or managed via electronic means. Healthcare providers can now provide patients with diagnosis, treatment, monitoring, or a prescription without ever sharing the same physical space. With so much more patient data now stored and accessed electronically, the security of this information is ever more critical to the delivery of effective and efficient healthcare services. As blockchains are resistant to modification of their data, blockchain technology therefore provides traceable and reliable security to e-Healthcare systems and services.
Introducing the fundamentals of blockchain technology and discussing its applications in the e-Healthcare sphere, the editors highlight recent research and development in blockchain technology, specifically in healthcare environments such as e-healthcare records and data security, health insurance management and fraud detection, pharmaceutical supply chain management and drug traceability, and IoT enabled patient monitoring. Including a case study on managing e-Healthcare data the editors also explore the challenges and future directions of using blockchain technology in delivering and managing e-Healthcare provision.
Written by a range of international experts, the book will be of interest to researchers and academics in information security, data scientists, and healthcare professionals/administrators with responsibility for e-Healthcare records.
- Book DOI: 10.1049/PBHE048E
- Chapter DOI: 10.1049/PBHE048E
- ISBN: 9781839536021
- e-ISBN: 9781839536038
- Page count: 276
- Format: PDF
-
Front Matter
- + Show details - Hide details
-
p.
(1)
-
1 Blockchain technology: fundamentals, applications, and challenges
- + Show details - Hide details
-
p.
1
–30
(30)
Blockchain, also known as distributed ledger technology, has gained widespread adoption in many fields apart from financial transactions. With high security and transparency, it is used in supply chain management systems, healthcare, payments, business, Internet of Things (IoT), voting systems, and many more for securing a wide range of digital assets from tampering. Blockchain technology is also used to share, replicate, and synchronize data, and to track transactions and assets in any type of business across different geographical locations. Rather than working with a central authority to control all the data transactions, blockchain technology uses a consensus mechanism, where all the nodes of the system need to agree on a new transaction. At first, this chapter discusses all the fundamental aspects and technical details along with the advantages and disadvantages of blockchain. It also discusses different types of blockchain networks with their pros and cons, smart contracts, and hyperledger technology. Then, several applications of blockchain technology and challenges in adopting it in various industries are also given in this chapter to show how the technology works as a whole.
-
2 e-Healthcare record management using blockchain technology
- + Show details - Hide details
-
p.
31
–58
(28)
Electronic health records (EHR) provide an end-to-end ecosystem that unites patients, healthcare providers, and pharmacists. For the sustainable and enhanced performance of the healthcare industry of any province, EHR has become a key requirement. If a secure storage and transmission mechanism are incorporated into the infrastructure, it has the capability to support architecture based on Internet-of-Things (IoT). Such distributed settings may be equipped with blockchain technology to guard sensitive information regarding a person's medical status. Blockchain has been emerged as the most trustworthy technology for mitigating the risk of cyber-attacks and frauds in banking, cryptocurrency, insurance, supply chain, and healthcare as well. This chapter shows how blockchain technology can be used to monitor and manage patient data, prescriptions, and medicine traceability with minimum or no falsification of real data. A five-layer architecture has been presented in this study using Blockchain-based IoT (BIoT) for decentralized traceability in the medicine supply chain. The viability and effectiveness of BIoT have been validated by utilizing the real data from the Ethereum Blockchain ledger. The pharmaceutical industry can also utilize the proposed framework to implement blockchain design for robust supervision of the drug-supply chain. The amalgamation of transparency in information-sharing among collaborators will also help in regulating the quality of medicine.
-
3 Blockchain in pharmaceutical sector
- + Show details - Hide details
-
p.
59
–88
(30)
The pharmaceutical companies that manufacture, ship, and supply medical products face various challenges in tracing the products and identifying the counterfeit drugs in the supply chain system. Counterfeit drugs are one of the major consequences within the existing supply chain, which seriously affects human health and causes severe loss to the economy of the healthcare industry. Moreover, the traditional supply chain systems suffer from various challenges such as lack of transparency, limited tracing and tracking of products, privacy-related issues, and inaccurate information. The solution to the identified challenges is to leverage blockchain technology in the pharmaceutical system that adds traceability, visibility, privacy, and security to the drug supply chain. Blockchain technology is an advanced technology that stores medical product-related details in a completely decentralized manner and ensure transparency in the supply chain process. Thus, this chapter presents the drug discovery process, the pharmaceutical supply chain management system and its challenges, the need for clinical trials, and various preventive measures involved in the current pharmaceutical supply chain consortium. Then, we discuss the use case of a blockchain-based supply chain system for the pharmaceutical sector to track medical products and highlight its functionalities using the smart contract concept. The use case also explains the various smart contract concepts utilize to guarantee data provenance, eliminate the intermediatory authority, provide an immutability feature with security, maintain product traceability, and ensure transparency.
-
4 Managing health insurance using blockchain technology
- + Show details - Hide details
-
p.
89
–125
(37)
Health insurance plays a significant role in ensuring quality healthcare. In response to the escalating costs of the medical industry, the demand for health insurance is soaring. Additionally, those with health insurance are more likely to receive preventative care than those without health insurance. However, from granting health insurance to delivering services to insured individuals, the health insurance industry faces numerous obstacles. Fraudulent actions, false claims, a lack of transparency and data privacy, reliance on human effort and dishonesty from consumers, healthcare professionals, or even the insurer party itself, are the most common and important hurdles towards success. Given these constraints, this chapter briefly covers the most immediate concerns in the health insurance industry and provides insight into how blockchain technology integration can contribute to resolving these issues. This chapter finishes by highlighting existing limitations as well as potential future directions.
-
5 e-Healthcare data security using blockchain technology
- + Show details - Hide details
-
p.
127
–145
(19)
The current medical services suffer from critical difficulties like detailed information, detectability, unchanging nature, review, information provenance, universal access, trust, protection, and security. Additionally, an enormous piece of the existing medical services framework utilized for overseeing data is brought together, which might suffer from a single point of failure in cataclysmic events. This limitation must be overcome using advanced decentralized, secure technologies like blockchain. Blockchain is a decentralized technology that can alter, reshape, and change how information is being taken care of in the medical sector. This chapter talks about utilizing blockchain to share medical data securely. This chapter presents the critical blockchain elements and attributes from a security perspective. It also examines the benefits of blockchain innovation alongside potential open doors for the medical sector to preserve privacy and security. At last, this chapter presents ongoing tasks and contextual investigations to show the reasonableness of blockchain innovation for different healthcare applications and areas. Furthermore, this proposed work distinguishes and talks about significant open examination challenges upsetting the fruitful reception of blockchain in the healthcare area.
-
6 IoT and blockchain technology-based healthcare monitoring
- + Show details - Hide details
-
p.
147
–173
(27)
Nowadays, there are several Internet of Things (IoT) protocols with different purposes and application areas, such as transportation, logistics, industry, smart homes, robotics, and healthcare. Since there are advantages and disadvantages to each of them, it is necessary to use the best technologies for people's health and personal data protection. This paper will attempt to review the IoT protocols used in the e-Health industry and the topologies used in each of them. This review aims to introduce the existing technologies, e-Health topology, and their advantages. With technological advances, IoT has become much more accessible to the market, offering a branch of products that standardize and facilitate the adoption of these. Most home devices are considered part of IoT, bringing many social facilities and advantages. The correct adoption of IoT can be very beneficial for society. A little beyond commercial, implementing IoT in monitoring devices can save lives. From intelligent navigation systems that can alert drivers of a risk of collision in their vehicle to real-time monitoring of the critically ill patient. There are innumerable benefits of this technology if it is well applied. In the last decade, one of the fastest-growing industries has been medicine.
-
7 Case study: a novel system to manage e-healthcare data by using blockchain technology
- + Show details - Hide details
-
p.
175
–209
(35)
Changing socio-economic factors, scientific breakthroughs in biomedical research, as well as the emergence of new materials and information technologies are profoundly transforming the healthcare sector. In the last 20 years, a large number of research and development projects and standardization activities have concerned the processing, sharing and presentation of data through reliable, scalable, and economically sustainable systems. In particular, blockchain-based technologies are playing an increasing role in collecting, handling, storing, and updating medical records securely. After the illustration of the current challenges faced by the healthcare organizations in data management, this chapter focuses on a specific use case related to the update of the Patient Summary. This health data document is of fundamental importance for a correct knowledge of the patient's clinical history. The authors developed a blockchain system to support the general practitioner in the Patient Summary update process, ensuring the integrity of the health data and validating the entire medical process through smart contract programming. The proof-of-concept simulation demonstrates the practicability of the technical approach and its ability in improving the current management of the Patient Summary update process.
-
8 Challenges and future work directions in e-healthcare using blockchain technology
- + Show details - Hide details
-
p.
211
–249
(39)
Electronic healthcare (e-healthcare) emerges as a trend for enhancing traditional healthcare systems that are costly and ineffective. Besides, blockchain technology provides a distributed and secure environment for sensitive applications. This chapter discusses challenges and future work directions for digital healthcare using blockchain technology. First, the chapter introduces how blockchain technology applies to healthcare applications. Then, it discusses the main requirements for developing blockchain-based healthcare applications. In addition, the chapter presents the key challenges for applying blockchain in this sensitive-data context, emphasizing critical technological and social aspects. Next, the chapter highlights the advantages and disadvantages of applying blockchain in healthcare. Finally, it concludes with future work directions and opportunities for research on the topic.
-
Back Matter
- + Show details - Hide details
-
p.
(1)
Related content
