Decentralized Telemedicine Framework for a Smart Healthcare Ecosystem

The healthcare sector is one of the most rapidly growing sectors globally. With the ever-growing technology, patient care, regulatory compliance, and digital transformation, there is an increased need for healthcare sectors to collaborate with all stakeholders – both within the healthcare ecosystem and in concurring industries. In recent times, telemedicine has proven to provide high quality, affordable, and predominantly adapted healthcare services. However, telemedicine suffers from several risks in implementation, such as data breach, restricted access across medical fraternity, incorrect diagnosis and prescription, fraud, and abuse. In this work, introduce blockchain-based framework that would unlock the future of the healthcare sector and improved services. Our proposed solution utilizing Ethereum smart contracts to develop a transparent, tamper-proof telemedicine healthcare framework, and ensure the integrity of sensitive patient data eliminating a central administrator. Moreover, the smart contract regulates the interaction between all the parties involved in the network and keeps the patient meticulously informed about the transactions in the network

Blockchain from a Modern Perspective: An Evolution to Health Science

This paper gives a thorough evaluation of the literature on blockchain applications in healthcare. The evaluation included 42 papers that presented current information on the existing implications and gaps in the usage of blockchain technology for enhancing healthcare systems. According to the SLR results, blockchain is being utilized to produce unique and sophisticated solutions to enhance the prevailing standards of medical data handling, sharing, and processing. In the healthcare business, blockchain technology is experiencing conceptual evolution, adding considerable value through enhanced efficiency, access control, technical innovation, privacy protection, and data management process security. The findings also indicate that the current limits are mostly related to model performance, as well as the constraints and costs involved with implementation. An integrated approach is offered to cover prospective areas where future researchers might bring considerable value, such as regulatory compliance, system architecture, and data protection. Finally, the SLR believes that further research can help to enable the wider implementation of blockchain applications to handle crucial challenges like as medical diagnostics, legal compliance, preventing fraud, and enhancing patient care in remote monitoring or medical emergencies

A systematic review of blockchain in healthcare : frameworks, prototypes, and implementations

Blockchain, a form of distributed ledger technology has attracted the interests of stakeholders across several sectors including healthcare. Its' potential in the multi-stakeholder operated sector like health has been responsible for several investments, studies, and implementations. Electronic Health Records (EHR) systems traditionally used for the exchange of health information amongst healthcare stakeholders have been criticised for centralising power, failures and attack-points with exchange data custodians. EHRs have struggled in the face of multi-stakeholder and system requirements while adhering to security, privacy, ethical and other regulatory constraints. Blockchain is promising amongst others to address the many EHR challenges, primarily trustless and secure exchange of health information amongst stakeholders. Many blockchain-in-healthcare frameworks have been proposed; some prototyped and/or implemented. This study leveraged the PRISMA framework to systematically search and evaluate the different models proposed; prototyped and/or implemented. The bibliometric and functional distribution of all 143 articles from this study were presented. This study evaluated 61 articles that discussed either prototypes or pilot or implementations. The technical and architectural analysis of these 61 articles for privacy, security, cost, and performance were detailed. Blockchain was found to solve the trust, security and privacy constraints of traditional EHRs often at significant performance, storage and cost trade-offs.peer-reviewe

Interorganizational Information Systems: Systematic Literature Mapping Protocol

Organizations increasingly need to establish partnerships with other organizations to face environment changes and remain competitive. This interorganizational relationship allows organizations to share resources and collaborate to handle business opportunities better. This technical report present the protocol of the systematic mapping performed to understand what is an IOIS and how these systems support interorganizational relationships

A blockchain approach applied to a teledermatology platform in the Sardinian Region (Italy)

The use of teledermatology in primary care has been shown to be reliable, offering the possibility of improving access to dermatological care by using telecommunication technologies to connect several medical centers and enable the exchange of information about skin conditions over long distances. This paper describes the main points of a teledermatology project that we have implemented to promote and facilitate the diagnosis of skin diseases and improve the quality of care for rural and remote areas. Moreover, we present a blockchain-based approach which aims to add new functionalities to an innovative teledermatology platform which we developed and tested in the Sardinian Region (Italy). These functionalities include giving the patient complete access to his/her medical records while maintaining security. Finally, the advantages that this new decentralized system can provide for patients and specialists are presented