A dynamic Bayesian network model for resilience assessment in blockchain-based internet of medical things with time variation

Blockchain technology and the Internet of Medical Things (IoMT) have garnered increased attention recently due to their growing application in effectively managing data security, storage, and transmission concerns within healthcare organizations. However, integrating various advancements, such as coordination, adaptivity, and automated responses, within the framework of blockchain-based IoMT has amplified its susceptibility to a range of attacks and vulnerabilities. Assessing and enhancing the resilience of blockchain-based IoMT is of utmost importance, particularly in anticipation of potential disruptions, to ensure its continuous and sustainable functionality. The stochastic nature of risks adds complexity to evaluating the resilience of blockchain-based IoMT, given that resilience in this domain may fluctuate over time. This study employs a dynamic Bayesian network (DBN) method to address the evolving characteristics of pertinent variables, capturing their temporal dependencies and demonstrating how the resilience capabilities of blockchain-based IoMT may evolve across different time intervals. Additionally, an information theory approach is adopted to mitigate uncertainty regarding the resilience performance of blockchain-based IoMT and its crucial subcomponents. This research showcases the effectiveness and adaptability of the DBN methodology in healthcare systems, offering insights for shaping appropriate and essential strategies for decision-makers to establish a highly resilient framework for blockchain-based IoMT.