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Blockchain in Health Systems

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601).

Deadline for manuscript submissions: closed (29 February 2024) | Viewed by 3724

Special Issue Editor


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Guest Editor
Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
Interests: blockchain technology; public health; forensic medicine; health quality

Special Issue Information

Dear Colleagues,

To increase the efficiency of health systems, organizations have focused on the challenge of establishing multidisciplinary synergies. The need to break with the current concept of a centralized system in sharing medical data stood out during the COVID-19 pandemic. There is currently an ineffective sharing of information between systems, a failure to update data promptly, delays in decision making, and difficulties in healthcare access and inequity. To overcome these issues, attention has turned to innovative technologies, such as blockchains, which naturally distribute and enable data integrity, security, and accessibility. This Special Issue aims to aggregate multidisciplinary, educational, and clinical competencies to improve the efficiency of healthcare systems and answer new challenges in this field. Additionally, we hope to achieve an effective and integrated response to enhance communication among healthcare institutions.

Dr. Ana Corte-Real
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • health services
  • delivery of health care
  • decision making
  • blockchain
  • health communication
  • safety
  • universal healthcare
  • ethical issues
  • health equity
  • access to health care

Published Papers (2 papers)

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Research

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9 pages, 293 KiB  
Communication
Reflections about Blockchain in Health Data Sharing: Navigating a Disruptive Technology
by Ana Corte-Real, Tiago Nunes and Paulo Rupino da Cunha
Int. J. Environ. Res. Public Health 2024, 21(2), 230; https://doi.org/10.3390/ijerph21020230 - 16 Feb 2024
Viewed by 1683
Abstract
A comprehensive analysis was performed, considering blockchain technology (BT) properties in digital health, addressing medicolegal, privacy, and regulatory considerations. Adherence to personal data protection and healthcare regulatory guidelines were analyzed and compared for GDPR (Europe), HIPAA (United States), CCPA (California), PIPEDA (Canada), the [...] Read more.
A comprehensive analysis was performed, considering blockchain technology (BT) properties in digital health, addressing medicolegal, privacy, and regulatory considerations. Adherence to personal data protection and healthcare regulatory guidelines were analyzed and compared for GDPR (Europe), HIPAA (United States), CCPA (California), PIPEDA (Canada), the Privacy Act of 1988 (Australia), APPI (Japan), and LGPD (Brazil). Issues such as health systems, strengthening and aligning policy orientations and initiatives, and emphasizing the role of data analysis in shaping health policies were explored. The study addressed conflicts between the legal frameworks and blockchain, comparing and suggesting solutions like the revision of laws and the integration of compliance mechanisms. Additionally, it sought to enhance IT-health literacy by integrating the healthcare and legal domains. Ongoing collaboration between legal, health, and IT experts is essential for designing systems that effectively balance privacy rights and data protection while maximizing the benefits of disruptive technologies like blockchain. Full article
(This article belongs to the Special Issue Blockchain in Health Systems)

Review

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14 pages, 1184 KiB  
Review
Clinical Impact of “Real World Data” and Blockchain on Public Health: A Scoping Review
by Virginia Milone, Antonio Fusco, Angelamaria De Feo and Marco Tatullo
Int. J. Environ. Res. Public Health 2024, 21(1), 95; https://doi.org/10.3390/ijerph21010095 - 15 Jan 2024
Viewed by 1433
Abstract
The digitisation of healthcare has allowed a significant rethinking of the previous clinical protocols, improving their interoperability through substantial standardisation. These technological advances have ensured that data are comparable, as they are obtained from ‘reliable’ and certified processes; however, there are billions of [...] Read more.
The digitisation of healthcare has allowed a significant rethinking of the previous clinical protocols, improving their interoperability through substantial standardisation. These technological advances have ensured that data are comparable, as they are obtained from ‘reliable’ and certified processes; however, there are billions of data that are neither structured nor quality-controlled. They are collectively referred to as ‘Real World Data’ (RWD). Blockchain (BC) is a procedure with specific characteristics and algorithms that ensure that the stored data cannot be tampered with. Nowadays, there is an increasing need to rethink blockchain in a one-health vision, making it more than just a ‘repository’ of data and information, but rather an active player in the process of data sharing. In this landscape, several scholars have analysed the potential benefits of BC in healthcare, focusing on the sharing and safety of clinical data and its contact tracing applications. There is limited research on this matter; moreover, there is a strategic interest in managing RWD in a reliable and comparable way, despite the lack of knowledge on this topic. Our work aims to analyse systematically the most impacting literature, highlighting the main aspects of BC within the context of the new digital healthcare, and speculating on the unexpressed potential of RWD. Full article
(This article belongs to the Special Issue Blockchain in Health Systems)
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