Analysis of the challenges for blockchain technology adoption in the Indian health-care sector

IF 1.8 Q3 MANAGEMENT Journal of Modelling in Management Pub Date : 2023-07-12 DOI:10.1108/jm2-09-2022-0229
Sarthak Dhingra, Rakesh D. Raut, A. Gunasekaran, B. K. Rao Naik, Venkateshwarlu Masuna
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Abstract

Purpose This paper aims to discover and analyze the challenges hampering blockchain technology’s (BT’s) implementation in the Indian health-care sector. A total of 18 challenges have been prioritized and modeled based on an extensive literature search and professional views. Design/methodology/approach An integrated multi-criteria decision-making approach has been used in two phases. Best worst method (BWM) is used in the first phase to prioritize the challenges with sensitivity analysis to validate the findings and eliminate a few challenges. In the second phase, interpretive structural modeling is applied to the remaining 15 challenges to obtain relative relationships among them with cross-impact matrix multiplication applied to classification analysis for their categorization. Findings The study’s results reveal that limited knowledge and expertise, cost and risk involved, technical issues, lack of clear regulations, resistance to change and lack of top management support are the top-ranked or high-intensity challenges according to the BWM. Interpretive structural modelling findings suggest that the lack of government initiatives has been driving other challenges with the highest driving power. Research limitations/implications This work has been conducted in the Indian context, so careful generalization of the results is needed. Practical implications This work will give health-care stakeholders a better perspective regarding blockchain’s adoption. It will help health-care stakeholders, service providers, researchers and policymakers get a glimpse of the strategies for eradicating mentioned challenges. The analysis will help reduce the challenges’ impact on blockchain’s adoption in the Indian health-care sector. Originality/value The adoption of BT is a novel concept, especially in developing countries such as India. This is one of the few works addressing the challenges to BT adoption in the Indian health-care sector.
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分析印度保健部门采用区块链技术所面临的挑战
目的本文旨在发现和分析阻碍区块链技术在印度医疗保健部门实施的挑战。根据广泛的文献检索和专业观点,共对18项挑战进行了优先排序和建模。设计/方法论/方法综合多标准决策方法已分两个阶段使用。在第一阶段使用最佳-最坏方法(BWM),通过敏感性分析对挑战进行优先级排序,以验证发现并消除一些挑战。在第二阶段,将解释性结构建模应用于剩余的15个挑战,以获得它们之间的相对关系,并将交叉影响矩阵乘法应用于分类分析以进行分类。研究结果表明,根据BWM,有限的知识和专业知识、所涉及的成本和风险、技术问题、缺乏明确的法规、对变革的抵制以及缺乏最高管理层的支持是排名最高或高强度的挑战。解释性结构建模结果表明,政府举措的缺乏一直在以最高的驱动力推动其他挑战。研究局限性/含义这项工作是在印度背景下进行的,因此需要对结果进行仔细的概括。实际意义这项工作将使医疗保健利益相关者对区块链的采用有更好的看法。它将帮助医疗保健利益相关者、服务提供商、研究人员和政策制定者了解消除上述挑战的战略。该分析将有助于减少这些挑战对印度医疗保健部门采用区块链的影响。独创性/价值采用BT是一个新颖的概念,尤其是在印度等发展中国家。这是为数不多的解决印度医疗保健部门采用BT面临挑战的作品之一。
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来源期刊
CiteScore
5.50
自引率
12.50%
发文量
52
期刊介绍: Journal of Modelling in Management (JM2) provides a forum for academics and researchers with a strong interest in business and management modelling. The journal analyses the conceptual antecedents and theoretical underpinnings leading to research modelling processes which derive useful consequences in terms of management science, business and management implementation and applications. JM2 is focused on the utilization of management data, which is amenable to research modelling processes, and welcomes academic papers that not only encompass the whole research process (from conceptualization to managerial implications) but also make explicit the individual links between ''antecedents and modelling'' (how to tackle certain problems) and ''modelling and consequences'' (how to apply the models and draw appropriate conclusions). The journal is particularly interested in innovative methodological and statistical modelling processes and those models that result in clear and justified managerial decisions. JM2 specifically promotes and supports research writing, that engages in an academically rigorous manner, in areas related to research modelling such as: A priori theorizing conceptual models, Artificial intelligence, machine learning, Association rule mining, clustering, feature selection, Business analytics: Descriptive, Predictive, and Prescriptive Analytics, Causal analytics: structural equation modeling, partial least squares modeling, Computable general equilibrium models, Computer-based models, Data mining, data analytics with big data, Decision support systems and business intelligence, Econometric models, Fuzzy logic modeling, Generalized linear models, Multi-attribute decision-making models, Non-linear models, Optimization, Simulation models, Statistical decision models, Statistical inference making and probabilistic modeling, Text mining, web mining, and visual analytics, Uncertainty-based reasoning models.
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