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Blockchain in Health Systems

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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 leveraging innovative technologies, particularly blockchain. By decentralizing data and ensuring integrity, security, and accessibility, blockchain technology has gathered attention from various fields. This Special Issue will collect contributions from various disciplines to explore the educational, clinical, and practical implications of integrating blockchain in the healthcare sector.

In addition to blockchain, this Special Issue also considers synergies between other information and communication technologies, such as IoT and AI. These technologies, when combined, have the potential to improve healthcare delivery by adapting to clinical demands and ethical and legal standards. The focus of this collection will be on research on conceptual models and studies implementing these technologies in healthcare settings. Our goal is to analyze their impact on public health, occupational health, and legal frameworks.

Overall, this Special Issue seeks to provide insights into the application of blockchain and other emerging technologies in healthcare, offering valuable perspectives for researchers, practitioners, and policymakers alike.

Dr. Ana Corte-Real
Guest Editor

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Keywords

  • blockchain
  • occupational health
  • public health
  • electronic health records
  • medical informatics
  • information technology
  • health communication
  • ethics

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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
Cited by 1 | Viewed by 2398
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 1841
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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