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Harnessing Blockchain to Transform Healthcare Data Management 利用区块链变革医疗数据管理
Pub Date : 2024-04-24 DOI: 10.30953/bhty.v7.301
Horst Treiblmaier, Abderahman Rejeb, Mike Gault, Anjum Khurshid, Alex Norta, Jim Poteet, Suresh Sivagnanam
The proper management of healthcare data is a complex endeavor that needs to balance the requirements and interests of many stakeholders. Previous research has identified and detailed many innovative blockchain-based use cases, but the current state of healthcare data management is still far from perfect. In this paper we present the findings from a panel discussion with healthcare professionals, who elaborate on the current situation in healthcare data management as well as the future role that blockchain can play in this sector. Based on the findings of this panel, we structure the research field of healthcare data management in a comprehensive framework and provide numerous avenues for future research. The outcome is a framework that highlights the important role of patients and their sensitive data, structured into several areas. From a patients’ perspective, we specifically elaborate on trust and privacy as well as the expected benefits. Additionally, four important data properties are identified: integrity, security, sharing and transfer, and interoperability. We outline the importance of the respective areas and derive several timely and important research questions that form the foundation of a future research agenda for blockchain-driven innovation in healthcare data management.
妥善管理医疗保健数据是一项复杂的工作,需要平衡许多利益相关者的要求和利益。以往的研究已经发现并详细介绍了许多基于区块链的创新用例,但医疗保健数据管理的现状仍远未达到完美。在本文中,我们介绍了与医疗保健专业人士进行小组讨论的结果,他们详细阐述了医疗保健数据管理的现状以及区块链在该领域未来可以发挥的作用。根据小组讨论的结果,我们将医疗保健数据管理研究领域划分为一个综合框架,并为未来研究提供了众多途径。研究成果是一个突出患者及其敏感数据的重要作用的框架,分为几个方面。从患者的角度出发,我们特别阐述了信任和隐私以及预期收益。此外,我们还确定了四个重要的数据属性:完整性、安全性、共享和传输以及互操作性。我们概述了各个领域的重要性,并提出了几个及时而重要的研究问题,这些问题构成了医疗数据管理中区块链驱动创新的未来研究议程的基础。
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引用次数: 0
Blockchain in Health - From Pilots to Mainstream and Implications for AI 健康领域的区块链--从试点到主流以及对人工智能的影响
Pub Date : 2024-04-21 DOI: 10.30953/bhty.v7.309
Sathya Krishnasamy, MS, Badri Gopalakrishnan, PhD, Atul Apte, BSc, MODERATOR: Anjum Khurshid, MD, PhD
Speakers delve into and beyond the previously published BHHTY journal article “Moving Beyond Proof of Concept and Pilots to Mainstream: Discovery and Lessons from Blockchain in Healthcare,” located at https://doi.org/10.30953/bhty.v6.280. This continuous enterprise blockchain technology journey extends the framework and solution assemblies including further developments, with cross over into generative AI and ethics. Objectives Learn specific examples on the economics of blockchain revealing low-hanging fruit for the move from pilots to adoption. Explore concepts such as: Data integrity, minimal data, inter-entity streamlining leading to efficiencies, and what is already possible with tech stack developments and economics in efficiency (in millions) from the previously published BHTY article at DOI: https://doi.org/10.30953/bhty.v6.280 Learn from other verticals to build a framework that is more comprehensive encompassing global perspectives Future proofing and stair-stepping design for an evolving technology – holistic guidance to find and execute the opportunities Obtain a framework for blockchain adoption based on the article. In addition, authors address the academic view of blockchain adoption, and that it is a combination of tech, policy, economics, consumer engagement, and operationalization. Acquire multi-dimensional discovery and specific blockchain constructs including provenance- consensus, trust maps, convergence, dApp human loops, and future proofing /stair-stepping Grasp global perspectives on evolving frameworks with in many verticals and the multi-dimensional nature of blockchain transformation, operationalization, blockchain-enterprise landscape, and AI automation. Gain a better understanding of why is blockchain an essential technology for the future of responsible AI and for scalability of solutions
演讲者深入探讨了之前发表的 BHHTY 期刊文章 "超越概念验证和试点,迈向主流:区块链在医疗保健领域的探索与经验》,网址:https://doi.org/10.30953/bhty.v6.280。这一持续的企业区块链技术之旅扩展了框架和解决方案组合,包括进一步的发展,并与生成式人工智能和伦理学交叉。目标 了解有关区块链经济学的具体案例,揭示从试点到采用的低悬果实。探索以下概念 数据完整性、最小数据、实体间精简以提高效率,以及技术堆栈的发展和效率经济学(以百万为单位)已成为可能,文章来自之前发表的 BHTY 文章(DOI: https://doi.org/10.30953/bhty.v6.280) 学习其他垂直行业的经验,以建立一个更全面、涵盖全球视角的框架 针对不断发展的技术进行未来验证和阶梯式设计--为寻找和执行机会提供整体指导 根据文章获得区块链应用框架。此外,作者还论述了区块链应用的学术观点,即区块链应用是技术、政策、经济、消费者参与和可操作性的结合。获得多维度的发现和具体的区块链构造,包括出处-共识、信任地图、融合、dApp 人际循环和未来证明/阶梯式发展 掌握全球视角,了解许多垂直领域不断发展的框架,以及区块链转型、运营、区块链-企业格局和人工智能自动化的多维度性质。更好地理解为什么区块链是未来负责任的人工智能和解决方案可扩展性的必要技术
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引用次数: 0
EHR Systems and Blockchain: Potentials, Challenges and the Road Ahead 电子病历系统和区块链:潜力、挑战和未来之路
Pub Date : 2024-04-20 DOI: 10.30953/bhty.v7.312
Jim Poteet, Mike Gault, Anjum Khurshid, MD, PhD, Suresh Sivagnanam, Alex Norta, PhD, Moderator: Horst Treiblmaier, PhD
Panelists discuss blockchain technology use for electronic health records, and specifically delve into the benefits that blockchain brings to EHRs, but also discuss what its pitfalls and limitations are; including presenting perspectives from academia, and examplesfrom practitioners. Learning Objectives Understand the potential applications of blockchain for electronic health records (EHRs). Explore the benefits and challenges of implementing blockchain for EHRs, including security, interoperability, privacy, and data integrity. Identify key use cases and real-world examples of blockchain implementation in healthcare and EHR management. Analyze the potential impact of blockchain on improving healthcare data exchange, patient consent management, and medical research. Discuss the regulatory and legal considerations associated with using blockchain in healthcare, such as compliance with data protection laws and standards. Examine the role of smart contracts and decentralized applications (DApps) in enhancing EHR management and patient control over their health information. Assess the scalability and performance limitations of blockchain technology in handling large-scale healthcare data and high transaction volumes. Evaluate potential cost savings and efficiency gains achieved through blockchain implementation in EHRs, considering factors such as data access, auditability, and administrative overhead. Discuss the future prospects and challenges of integrating blockchain with existing healthcare systems, standards, and infrastructure to achieve widespread adoption and interoperability.
小组成员讨论区块链技术在电子健康记录中的应用,特别深入探讨区块链给电子健康记录带来的好处,同时也讨论其隐患和局限性;包括介绍学术界的观点和从业人员的实例。学习目标 了解区块链在电子健康记录(EHR)中的潜在应用。探讨为电子健康记录实施区块链的好处和挑战,包括安全性、互操作性、隐私和数据完整性。确定在医疗保健和电子病历管理中实施区块链的关键用例和实际案例。分析区块链对改善医疗保健数据交换、患者同意管理和医学研究的潜在影响。讨论在医疗保健领域使用区块链的相关监管和法律注意事项,如遵守数据保护法律和标准。研究智能合约和去中心化应用程序(DApps)在加强电子健康记录管理和患者对其健康信息控制方面的作用。评估区块链技术在处理大规模医疗数据和高交易量时的可扩展性和性能限制。考虑数据访问、可审计性和管理费用等因素,评估在电子病历中实施区块链技术可能实现的成本节约和效率提升。讨论将区块链与现有医疗保健系统、标准和基础设施整合以实现广泛采用和互操作性的未来前景和挑战。
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引用次数: 0
Pioneering New Business Models in Value Based Care 开拓基于价值的医疗保健新业务模式
Pub Date : 2024-04-20 DOI: 10.30953/bhty.v7.318
Ahmed Abdulla
  This session will explore the real-world impact value-based procurement and subsequent contracting, and health technology pricing in the context of value-based care. We will delve into innovative business models that are reshaping the healthcare landscape, promoting cost-effectiveness, and enhancing patient outcomes. Attendees will gain valuable insights into the evolving strategies driving value-based care and its implications for healthcare providers, payers, and patients. Learning Objectives Understand the concept of value-based care and its significance in the current healthcare environment Explore the real-world impact of value-based pricing on healthcare delivery and patient outcomes Examine the role of value-based procurement/contracting in driving cost-effective healthcare solutions Gain insights into health technology pricing models and their impact on value-based care initiatives Identify innovative business models that support value-based care and improve patient outcomes
本次会议将探讨基于价值的采购和后续合同以及医疗技术定价对基于价值的医疗服务的实际影响。我们将深入探讨重塑医疗保健格局、提高成本效益和改善患者疗效的创新商业模式。与会者将深入了解推动价值医疗不断发展的战略及其对医疗服务提供者、支付者和患者的影响。学习目标 了解价值医疗的概念及其在当前医疗环境中的意义 探讨价值定价对医疗服务和患者疗效的现实影响 探讨价值采购/合同在推动具有成本效益的医疗解决方案中的作用 深入了解医疗技术定价模式及其对价值医疗计划的影响 识别支持价值医疗和改善患者疗效的创新商业模式
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引用次数: 0
PharmaLedger Association – Platform Launch Lessons Learned and Outlook PharmaLedger 协会 - 平台启动经验与展望
Pub Date : 2024-04-20 DOI: 10.30953/bhty.v7.313
Natalia Sofia, Daniel Fritz, Disa Lee Choun, Moderator: Anca Petre
The panel explores the application of blockchain technology within the healthcare sector, focusing on its potential to enhance trust, transparency, and connectivity while reinforcing patient-centered control of data access. The discussion examines the opportunities for patient empowerment and improved patient access to healthcare information through decentralized ledger technology. The panel features industry experts providing insights into current trends, challenges, and future prospects of blockchain in pharmaceuticals, emphasizing broader use cases beyond specific organizations.  Objectives Gain a comprehensive understanding of the role of blockchain technology in the pharmaceutical industry and its potential impact on patient care and relationships with the healthcare system. Explore the opportunities presented by blockchain for improving trust, transparency, and audibility in data sharing within the healthcare and medical environment. Understand the significance of patient-centered control in accessing, storing, and utilizing healthcare data and how blockchain can contribute to enhancing patient empowerment. Discuss the challenges and considerations associated with implementing blockchain in the pharmaceutical sector and explore strategies to overcome them while ensuring compliance with regulatory frameworks.
小组探讨了区块链技术在医疗保健领域的应用,重点关注其在增强信任、透明度和连通性方面的潜力,同时加强以患者为中心的数据访问控制。讨论探讨了通过去中心化分类账技术增强患者能力和改善患者获取医疗信息的机会。业内专家将就区块链在制药领域的当前趋势、挑战和未来前景发表见解,并强调特定组织以外的更广泛的使用案例。 目标 全面了解区块链技术在制药行业中的作用及其对患者护理和医疗系统关系的潜在影响。探索区块链为提高医疗保健和医疗环境中数据共享的信任度、透明度和可审计性带来的机遇。了解在访问、存储和使用医疗保健数据时以患者为中心进行控制的重要性,以及区块链如何有助于增强患者的能力。讨论在制药行业实施区块链的相关挑战和注意事项,探索克服这些挑战的策略,同时确保符合监管框架。
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引用次数: 0
Data Economy in Healthcare on Blockchain Technology 基于区块链技术的医疗保健数据经济
Pub Date : 2024-04-20 DOI: 10.30953/bhty.v7.316
Kevin Yavuz
  The importance of data and digitization in healthcare cannot be overstated. These advancements have the potential to revolutionize the way healthcare is delivered, leading to improved patient outcomes, enhanced efficiency, and better decision-making by healthcare providers. Blockchain technology can play a significant role in addressing the main challenges like data accessibility, privacy, interoperability and patient empowerment, ultimately transforming the healthcare ecosystem into a data-driven economy
数据和数字化在医疗保健领域的重要性怎么强调都不为过。这些进步有可能彻底改变医疗服务的提供方式,从而改善患者的治疗效果,提高效率,并使医疗服务提供者做出更好的决策。区块链技术可在解决数据可获取性、隐私、互操作性和患者赋权等主要挑战方面发挥重要作用,最终将医疗生态系统转变为数据驱动型经济。
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引用次数: 0
Developing a Secure Internet-based Network of Trusted Data 开发基于互联网的安全可信数据网络
Pub Date : 2024-04-20 DOI: 10.30953/bhty.v7.317
Thomas Hardjono, PhD, Florence Hudson, BSE
Our world has not caught up with technology, and as a result has become more dangerous and nefarious with clandestine actors. Learn what reputable organizations, businesses and academic pioneers are doing to preserve digital identity, data provenance, universal access, and secure privacy-preserving transactions, to harness socially responsible global data sharing.
我们的世界没有跟上技术发展的步伐,因此变得更加危险和邪恶。了解声誉卓著的组织、企业和学术先驱们正在采取哪些措施来保护数字身份、数据来源、普遍访问和安全隐私保护交易,以利用对社会负责的全球数据共享。
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引用次数: 0
Scalability Performance Analysis of Blockchain Using Hierarchical Model in Healthcare 利用分层模型分析区块链在医疗领域的可扩展性能
Pub Date : 2024-04-18 DOI: 10.30953/bhty.v7.295
Lipsa Sadath, MSc, MCA, Deepti Mehrotra, Anand Kumar
Blockchain technology has emerged as a pivotal point to enhance privacy and security in enterprise applications and cyber world. However, scalability is an issue researcher are grappling with, in large enterprises, especially in organizations bearing multiple levels of hierarchy and access privilege. Therefore, the existing models and consensus algorithms suffer one way or another. The medical or healthcare sector suffers this problem the most due to the huge amount of data and probably the central point of failure of the traditional database management system. This paper addresses the situation through a hierarchical model in Hyperledger fabric enterprise application through a healthcare sector use case. Multiple organizations are added to each hierarchy considering them as different organization levels (Hospitals, Hospital Governance, and Insurance company). Currently the first implementation has two levels of hierarchy to show networks of hospitals joining an Insurance Company. Our primary experiment revolves around this model to test and enhance the performance of the network. Performance of the model is assessed by varying and scaling environmental parameters such as the number of organizations, transaction numbers, channels, block intervals and block sizes. The benchmarking tool used is Hyperledger caliper to test various indicators such as success and failure rates along with throughput and latency. The current work only tests the scalability of the model with patient data.
区块链技术已成为增强企业应用和网络世界隐私与安全的关键点。然而,可扩展性是研究人员正在努力解决的一个问题,在大型企业中,尤其是在具有多级等级制度和访问权限的组织中。因此,现有的模型和共识算法都存在这样或那样的问题。由于数据量巨大,医疗或保健领域受这一问题的影响最大,这可能也是传统数据库管理系统的核心故障点。本文通过医疗保健领域的用例,在超级账本结构企业应用中采用分层模型来解决这一问题。每个层次结构中都添加了多个组织,将其视为不同的组织级别(医院、医院管理部门和保险公司)。目前,第一个实施方案有两级层次结构,以显示加入保险公司的医院网络。我们的主要实验围绕这一模型展开,以测试和提高网络的性能。通过改变和调整环境参数,如组织数量、交易数量、通道、区块间隔和区块大小,来评估模型的性能。使用的基准测试工具是 Hyperledger caliper,用于测试成功率和失败率以及吞吐量和延迟等各种指标。目前的工作只测试了模型与患者数据的可扩展性。
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引用次数: 0
Blockchain Applications in the Pharmaceutical Industry 区块链在制药行业的应用
Pub Date : 2024-04-18 DOI: 10.30953/bhty.v7.298
PhD Mark Gaynor, PhD Kathleen Gillespie, Allison Roe, PhD Erica Crannage, MD J.E. Tuttle-Newhall
Background: In recent years, blockchain technology has made great strides in diverse industries but has fallen behind within the pharmaceutical industry. The pharmaceutical industry is complex and would benefit greatly from the distributed database and emphasis of information privacy promoted by blockchain technology. This paper identifies the potential best application for blockchain technology in the United States pharmaceutical industry by identifying current trends, companies exploring the possibilities of blockchain technology, and industry concerns with opportunities for improvement. Methods: We utilized a 4D framework using ease of implementation, novelty, necessity, and fit of the overall industry to examine the adoption of blockchain technology in the pharmaceutical industry. Based on the 2D framework of difficulty and novelty as driving factors for the development of foundational technologies in the world of business by Iansiti and Lakhani in The Harvard Business Review, each application was ranked and scored for the best potential implementation. The potential applications proposed in this paper can be grouped into two main categories. The first category, management, includes best use cases such as health records, clinical trials, and inventory systems. The second category, monitoring, highlights cases such as pharmaceutical products, preventing counterfeits, optimizing supply chains, and addressing prescription misuse and abuse.Results: Each application was ranked by the four metrics in the framework, giving the greatest weight to necessity and ease of implementation. Using the highlighted methodology above, the applications for best implementation include Prescription Drug Misuse and Abuse Prevention, Prevention of Counterfeits, Clinical Trial Outcomes, and Smart Contracts. Conclusion: Blockchain technology offers a new and promising solution to pharmaceutical industry needs. Each application of blockchain technology must fit within the framework of necessary, ease of implementation, familiarity amongst stakeholders, and fit of the overall industry to promote the most appropriate use.  By using the extended framework proposed by Iansiti and Lakhani we show that blockchain, in all these domains, shows promise to improve pharmaceutical industry performance. 
背景:近年来,区块链技术在各行各业都取得了长足进步,但在制药行业却落在后面。制药行业十分复杂,区块链技术所倡导的分布式数据库和对信息隐私的重视将使其受益匪浅。本文通过识别当前趋势、探索区块链技术可能性的公司以及有改进机会的行业关注点,确定区块链技术在美国制药业的潜在最佳应用。方法:我们采用了4D框架,即实施难易度、新颖性、必要性和与整个行业的契合度,来考察区块链技术在制药行业的应用情况。根据 Iansiti 和 Lakhani 在《哈佛商业评论》中提出的 2D 框架,即难度和新颖性是商业世界基础技术发展的驱动因素,我们对每个应用进行了排序和评分,以确定最佳潜在实施方案。本文提出的潜在应用可分为两大类。第一类是管理,包括健康记录、临床试验和库存系统等最佳用例。第二类是监控类,重点关注医药产品、防伪、优化供应链、解决处方误用和滥用等案例:根据框架中的四项指标对每项应用进行了排序,其中必要性和实施难易程度的权重最大。采用上述突出强调的方法,最佳实施应用包括防止处方药滥用和误用、防止假药、临床试验结果和智能合约。结论区块链技术为满足制药行业的需求提供了一种全新且前景广阔的解决方案。区块链技术的每项应用都必须符合必要、易于实施、利益相关者之间熟悉以及适合整个行业的框架,以促进最合适的使用。 通过使用 Iansiti 和 Lakhani 提出的扩展框架,我们表明区块链在所有这些领域都有望改善制药行业的绩效。
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引用次数: 0
Highlights from Advancing the Business of Health with Blockchain and Frontier Tech at ConV2X Symposium 2023. 2023 年 ConV2X 研讨会上利用区块链和前沿技术推进健康业务的亮点。
Pub Date : 2024-01-31 eCollection Date: 2024-01-01 DOI: 10.30953/bhty.v7.288
Tory Cenaj

Many people in the healthcare industry mistake the turbulent cryptocurrency market for a technology that offers significant benefits to healthcare administration, including improved interoperability, revenue recapture, and enhanced security and patient safety. Recently, these subjects were explored during the ConVerge2Xcelerate (ConV2X) 2023 Symposium held at Loyola University in New Orleans, Louisiana, USA. Who benefits most from this discussion - service providers, those seeking to transform outdated business models, or both? The mention of blockchain technology often discourages conversation, causing those who have sound success solutions to approach the topic from alternate perspectives. In the Blockchain in Healthcare Platform Approaches Special Issue, Volume 7, Issue 1, 2024, we share valuable insights based on specific use cases to provide healthcare executives with a nuanced understanding. Several open-access recordings are available, providing a glimpse into the wealth of knowledge and insights shared to advance the business of health with blockchain technology. Recognizing the need for a paradigm shift, we explore topical subjects and cases with various thought leaders in the field.

医疗保健行业的许多人都误认为动荡的加密货币市场是一种能为医疗保健管理带来重大效益的技术,包括改善互操作性、回收收入以及增强安全性和患者安全。最近,在美国路易斯安那州新奥尔良市洛约拉大学举行的 ConVerge2Xcelerate(ConV2X)2023 研讨会上,与会者对这些主题进行了探讨。谁能从这场讨论中获益最多?是服务提供商,还是那些寻求转变过时商业模式的企业,抑或是两者?一提到区块链技术,人们往往会望而却步,导致那些拥有完善的成功解决方案的人从另一个角度来探讨这个话题。在《区块链在医疗保健平台中的应用》特刊(第 7 卷第 1 期,2024 年)中,我们将分享基于具体使用案例的宝贵见解,为医疗保健行业高管提供细致入微的理解。本期特刊还提供了多份开放访问的录音,让读者可以一窥我们分享的丰富知识和见解,从而利用区块链技术推动医疗保健业务的发展。认识到模式转变的必要性,我们与该领域的各种思想领袖探讨了热门话题和案例。
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引用次数: 0
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Blockchain in healthcare today
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