HealthSense: A medical use case of Internet of Things and blockchain

Dey, Tushar Kumar; Jaiswal, Shaurya; Sunderkrishnan, Shweta; Katre, Neha

doi:10.1109/iss1.2017.8389459

Cited by 91 publications

(53 citation statements)

References 3 publications

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“…Most of the research reviewed focused on blockchain’s use to strengthen HIT security or patients’ privacy during health data exchange or access; 53% (37/70) papers focused on addressing patients’ lack of control over the privacy and security of their data [ 10 - 46 ], and 40% (28/70) papers addressed blockchain’s ability to prevent data tampering [ 10 , 12 , 21 , 25 , 33 , 34 , 37 , 38 , 40 - 44 , 46 - 60 ]. Data breaches were addressed in 37% (26/70) papers [ 15 , 18 , 19 , 22 , 24 , 29 , 31 , 32 , 34 , 36 - 38 , 43 , 44 , 54 , 56 - 66 ], 9% (6/70) papers mentioned malicious attacks (eg, impersonation) that blockchain could potentially resolve [ 17 , 34 , 44 , 56 , 60 , 67 ], and 4% (3/70) papers focused on how blockchain can preserve patients’ anonymity while third parties accessed their health and medical records for activities such as medical research [ 41 , 42 , 68 ].…”

Section: Resultsmentioning

confidence: 99%

The Current State of Research, Challenges, and Future Research Directions of Blockchain Technology in Patient Care: Systematic Review

Durneva¹,

Cousins²,

Chen³

2020

J Med Internet Res

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Background Blockchain offers a promising new distributed technology to address the challenges of data standardization, system interoperability, security, privacy, and accessibility of medical records. Objective The purpose of this review is to assess the research on the use of blockchain technology for patient care and the associated challenges and to provide a research agenda for future research. Methods This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. We queried the Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed, Excerpta Medica dataBASE (EMBASE), and Web of Science databases for peer-reviewed research articles published up to December 2019 that examined the implementation of blockchain technology in health care settings. We identified 800 articles from which we selected 70 empirical research articles for a detailed review. Results Blockchain-based patient care applications include medical information systems, personal health records, mobile health and telemedicine, data preservation systems and social networks, health information exchanges and remote monitoring systems, and medical research systems. These blockchain-based health care applications may improve patient engagement and empowerment, improve health care provider access to information, and enhance the use of health care information for medical research. Conclusions Blockchain health information technology (HIT) provides benefits such as ensuring data privacy and security of health data, facilitating interoperability of heterogeneous HIT systems, and improving the quality of health care outcomes. However, barriers to using blockchain technology to build HIT include security and privacy vulnerabilities, user resistance, high computing power requirements and implementation costs, inefficient consensus algorithms, and challenges of integrating blockchain with existing HIT. With 51% of the research focused on medical information systems such as electronic health record and electronic medical record, and 53% of the research focused on data security and privacy issues, this review shows that HIT research is primarily focused on the use of blockchain technologies to address the current challenges HIT faces. Although Blockchain presents significant potential for disrupting health care, most ideas are in their infancy.

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Section: Resultsmentioning

confidence: 99%

The Current State of Research, Challenges, and Future Research Directions of Blockchain Technology in Patient Care: Systematic Review

Durneva¹,

Cousins²,

Chen³

2020

J Med Internet Res

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“…Remote health monitoring entails the collection of biomedical data through wearable sensors to monitor the physical condition of remotely located patients. Recent work has gone into storing, managing and sharing remotely-collected patient data through blockchain-based systems [34][35][36]. In [37], authors propose a solution built on the Ethereum platform with smart contracts to support real-time monitoring with automated interventions and preemptive measures.…”

Section: Related Workmentioning

confidence: 99%

A Decentralized Peer-to-Peer Remote Health Monitoring System

Ali

Vecchio

Putra

et al. 2020

Sensors

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Within the Internet of Things (IoT) and blockchain research, there is a growing interest in decentralizing health monitoring systems, to provide improved privacy to patients, without relying on trusted third parties for handling patients’ sensitive health data. With public blockchain deployments being severely limited in their scalability, and inherently having latency in transaction processing, there is room for researching and developing new techniques to leverage the security features of blockchains within healthcare applications. This paper presents a solution for patients to share their biomedical data with their doctors without their data being handled by trusted third party entities. The solution is built on the Ethereum blockchain as a medium for negotiating and record-keeping, along with Tor for delivering data from patients to doctors. To highlight the applicability of the solution in various health monitoring scenarios, we have considered three use-cases, namely cardiac monitoring, sleep apnoea testing, and EEG following epileptic seizures. Following the discussion about the use cases, the paper outlines a security analysis performed on the proposed solution, based on multiple attack scenarios. Finally, the paper presents and discusses a performance evaluation in terms of data delivery time in comparison to existing centralized and decentralized solutions.

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“…These systems collect and store PHD from sensors, such as wearable devices. These systems' use extends similarly to popular healthcare solutions, enforcing access control on this data [63][64][65].…”

Section: Blockchain In Healthcarementioning

confidence: 99%

Dwarna: a blockchain solution for dynamic consent in biobanking

et al. 2019

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Dynamic consent aims to empower research partners and facilitate active participation in the research process. Used within the context of biobanking, it gives individuals access to information and control to determine how and where their biospecimens and data should be used. We present Dwarna-a web portal for 'dynamic consent' that acts as a hub connecting the different stakeholders of the Malta Biobank: biobank managers, researchers, research partners, and the general public. The portal stores research partners' consent in a blockchain to create an immutable audit trail of research partners' consent changes. Dwarna's structure also presents a solution to the European Union's General Data Protection Regulation's right to erasure-a right that is seemingly incompatible with the blockchain model. Dwarna's transparent structure increases trustworthiness in the biobanking process by giving research partners more control over which research studies they participate in, by facilitating the withdrawal of consent and by making it possible to request that the biospecimen and associated data are destroyed.

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HealthSense: A medical use case of Internet of Things and blockchain

Cited by 91 publications

References 3 publications

The Current State of Research, Challenges, and Future Research Directions of Blockchain Technology in Patient Care: Systematic Review

The Current State of Research, Challenges, and Future Research Directions of Blockchain Technology in Patient Care: Systematic Review

A Decentralized Peer-to-Peer Remote Health Monitoring System

Dwarna: a blockchain solution for dynamic consent in biobanking

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