An analysis of the ethical challenges of blockchain-enabled E-healthcare applications in 6G networks

Srivastava, Vandana; Mahara, Tripti; Yadav, Pooja

doi:10.1016/j.ijcce.2021.10.002

Cited by 15 publications

(7 citation statements)

References 23 publications

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“…Other results are listed in Table 2. Another work by Srivastava et al [59] also focused on different ethical challenges in BC adoption in E-healthcare. They used several factors (given from their literature) to develop a framework.…”

Section: Blockchain Adoption In Industries and Firmsmentioning

confidence: 99%

A Critical Review of Blockchain Acceptance Models—Blockchain Technology Adoption Frameworks and Applications

Taherdoost

2022

Computers

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Blockchain is a promising breakthrough technology that is highly applicable in manifold sectors. The adoption of blockchain technology is accompanied by a range of issues and challenges that make its implementation complicated. To facilitate the successful implementation of blockchain technology, several blockchain adoption frameworks have been developed. However, selecting the appropriate framework based on the conformity of its features with the business sector may be challenging for decision-makers. This study aims to provide a systematic literature review to introduce the adoption frameworks that are most used to assess blockchain adoption and realize business sectors that these models have been applied. Thus, the blockchain adoption models in 56 articles are reviewed and the results of the studies are summarized by categorizing the articles into five main sections including supply chain, industries, financial sector, cryptocurrencies, and other articles (excluded from the former fields). The findings of the study show that the models based on the technology acceptance model (TAM), technology–organization–environment (TOE), and new conceptual frameworks were the focus of the majority of selected articles. Most of the articles have focused on blockchain adoption in different industry fields and supply chain areas.

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Section: Blockchain Adoption In Industries and Firmsmentioning

confidence: 99%

A Critical Review of Blockchain Acceptance Models—Blockchain Technology Adoption Frameworks and Applications

Taherdoost

2022

Computers

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“…This article tries to contribute to mastering this challenge by addressing some of the ethical questions which arise in the context of blockchain technology and by providing some ethical guidance in the area of blockchain technology, both by transparently introducing and by concretely applying human rights as ethical points of reference. Further research contributions within specific applied domains of blockchain technology are necessary [82,83], e.g., blockchain ethics in healthcare [84,85], blockchain ethics in organizations improving the work environment [86], and blockchain ethics in accounting [87]. This need is based on a fundamental principle serving as a horizon of understanding: the ethical responsibility of humans for blockchain technology cannot be delegated to blockchain technology itself due to the moral capability of humans.…”

Section: Concluding Remarks: the Ambiguity Of Blockchain Technology A...mentioning

confidence: 99%

Blockchain Ethics

Kirchschlaeger

2023

Philosophies

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There is no question about the innovation force and the economic potential of blockchain technology. As the basis for new currencies, financial services, and smart contracts, blockchain technology can be seen as the fifth disruptive computing paradigm, after mainframes, personal computers, the Internet, and mobile devices. However, there are questions about its ethical implications, which have the potential to also impact the economic success of blockchain technology. This article aims to provide ethical guidance on blockchain technology. In order to reach this goal, the focus of the ethical analysis will first concentrate on the unique characteristics of blockchain technology compared to other technology-based innovations. The unique nucleus of blockchain technology can be defined as a move from the trust in people to a trust in math, as a move from an internet of information to an internet of value, or—as I would propose—a shift from an intermediated network to an immediate network. Second, the ethical opportunities (e.g., transparency, participation, global access to services) and risks (e.g., ecological impact, lack of legal monitoring and enforcement) associated with this unique nucleus of blockchain technology will be discussed. Third, an outlook on possible concrete solutions will be provided.

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“…Previous studies suggest a myriad of issues associated with the use of blockchain for healthcare. [14][15][16][17][18][19] In general, these issues can be classified into three main groups we refer to as CORES: clinical (e.g., uncertain health outcomes and patient information literacy), 15,17 organizational and regulatory (e.g., accountability and legal compliance), 14,18 and ethical and social (e.g., autonomy and trust). 16,19 To date, such studies are in the form of literature reviews and focus on identifying clinical as well as organizational and regulatory issues 14,15,17,18 with less emphasis on ethical and social issues.…”

Section: Introductionmentioning

confidence: 99%

“…[14][15][16][17][18][19] In general, these issues can be classified into three main groups we refer to as CORES: clinical (e.g., uncertain health outcomes and patient information literacy), 15,17 organizational and regulatory (e.g., accountability and legal compliance), 14,18 and ethical and social (e.g., autonomy and trust). 16,19 To date, such studies are in the form of literature reviews and focus on identifying clinical as well as organizational and regulatory issues 14,15,17,18 with less emphasis on ethical and social issues. 16,19 Although these reviews offer a good overview of relevant issues associated with deploying blockchain technologies for healthcare, additional research is needed to identify context-specific issues associated with deploying a specific blockchain-based health information technology, like MediLinker.…”

Section: Introductionmentioning

confidence: 99%

“…16,19 To date, such studies are in the form of literature reviews and focus on identifying clinical as well as organizational and regulatory issues 14,15,17,18 with less emphasis on ethical and social issues. 16,19 Although these reviews offer a good overview of relevant issues associated with deploying blockchain technologies for healthcare, additional research is needed to identify context-specific issues associated with deploying a specific blockchain-based health information technology, like MediLinker. Moreover, additional research is needed to identify potential solutions to address such issues.…”

Section: Introductionmentioning

confidence: 99%

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Clinical, Organizational and Regulatory, and Ethical and Social

John

2022

BHTY

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Objective: While existing research by our team has demonstrated the feasibility of building a decentralized identity management application ("MediLinker") for health information, there are implementation issues related to testing such blockchain-based health applications in real-world clinical settings. In this study, we identified clinical, organizational and regulatory, and ethical and social (CORES) issues, including recommendations, associated with deploying MediLinker, and blockchain in general, for clinical testing. Methods: CORES issues and recommendations were identified through a focus group with 11 academic, industry, and government experts on March 26, 2021. They were grouped according to their expertise: clinical care (n = 4), organizational and regulatory concerns (n = 4), and ethical and social issues (n = 3). The focus group was conducted via Zoom in which experts were briefed about the study aims, formed into breakout groups to identify key issues based on their group's expertise, and reconvened to share identified issues with other groups and to discuss potential recommendations to address such issues. The focus group was video recorded and transcribed. The resulting transcriptions and meeting notes were imported to MAXQDA 2018 for thematic analysis. Results: Clinical experts identified issues that concern the clinical system, clinical administrators, clinicians, and patients. Organizational and regulatory experts emphasized issues on accountability, compliance, and legal safeguards. Ethics and social-context experts raised issues on trust, transparency, digital divide, and health-related digital autonomy. Accordingly, experts proposed six recommendations that could address most of the identified issues: (1) design interfaces based on patient preferences, (2) ensure testing with diverse populations, (3) ensure compliance with existing policies, (4) present potential positive outcomes to top management, (5) maintain clinical workflow, and (6) increase the public's awareness of blockchain. Conclusions: This study identified a myriad of CORES issues associated with deploying MediLinker in clinical settings. Moreover, the study also uncovered several recommendations that could address such issues. The findings raise awareness on CORES issues that should be considered when designing, developing, and deploying blockchain for healthcare. Further, the findings provide additional insights into the development of Me-diLinker from a prototype to a minimum viable product for clinical testing. Future studies can use CORES as a socio-technical model to identify issues and recommendations associated with deploying health information technologies in clinical settings.

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An analysis of the ethical challenges of blockchain-enabled E-healthcare applications in 6G networks

Cited by 15 publications

References 23 publications

A Critical Review of Blockchain Acceptance Models—Blockchain Technology Adoption Frameworks and Applications

A Critical Review of Blockchain Acceptance Models—Blockchain Technology Adoption Frameworks and Applications

Blockchain Ethics

Clinical, Organizational and Regulatory, and Ethical and Social

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