Secure and Fast Emergency Road Healthcare Service Based on Blockchain Technology for Smart Cities

Ksibi, Amel; Mhamdi, Halima; Ayadi, Manel; Almuqren, Latifah; Alqahtani, Mohammed S.; Ansari, Mohd Dilshad; Sharma, Ashutosh; Sakli, Hèdi

doi:10.3390/su15075748

Cited by 14 publications

(3 citation statements)

References 32 publications

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“…Amel Ksibi et al propose a system that combines the Internet of Vehicles (IoV) and the Internet of Medical Things (IoMT) concepts with blockchain technology, enabling emergency vehicles to arrive at the accident scene promptly and speeding up interventions in emergency cases. Additionally, this system ensures the security of patient data [ 61 ]. Moreover, blockchain technology has already been applied in conjunction with fifth-generation wireless networks in the context of newborn emergency transport [ 93 ].…”

Section: Discussionmentioning

confidence: 99%

Blockchain Revolutionizing in Emergency Medicine: A Scoping Review of Patient Journey through the ED

Wu,

2023

Healthcare

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Background: Blockchain technology has revolutionized the healthcare sector, including emergency medicine, by integrating AI, machine learning, and big data, thereby transforming traditional healthcare practices. The increasing utilization and accumulation of personal health data also raises concerns about security and privacy, particularly within emergency medical settings. Method: Our review focused on articles published in databases such as Web of Science, PubMed, and Medline, discussing the revolutionary impact of blockchain technology within the context of the patient journey through the ED. Results: A total of 33 publications met our inclusion criteria. The findings emphasize that blockchain technology primarily finds its applications in data sharing and documentation. The pre-hospital and post-discharge applications stand out as distinctive features compared to other disciplines. Among various platforms, Ethereum and Hyperledger Fabric emerge as the most frequently utilized options, while Proof of Work (PoW) and Proof of Authority (PoA) stand out as the most commonly employed consensus algorithms in this emergency care domain. The ED journey map and two scenarios are presented, exemplifying the most distinctive applications of emergency medicine, and illustrating the potential of blockchain. Challenges such as interoperability, scalability, security, access control, and cost could potentially arise in emergency medical contexts, depending on the specific scenarios. Conclusion: Our study examines the ongoing research on blockchain technology, highlighting its current influence and potential future advancements in optimizing emergency medical services. This approach empowers frontline medical professionals to validate their practices and recognize the transformative potential of blockchain in emergency medical care, ultimately benefiting both patients and healthcare providers.

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Section: Discussionmentioning

confidence: 99%

Blockchain Revolutionizing in Emergency Medicine: A Scoping Review of Patient Journey through the ED

Wu,

2023

Healthcare

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“…Patients are more actively involved in the decision-making process and IoMT enables faster diagnosis through the collection of large-scale medical data. However, in all of this, confidentiality, security, and quick responses are taken into consideration when exchanging sensitive medical data (Ksibi, et al 2023). Traditional healthcare institutions have recognized the need to innovate their workflow, yet there is a great deal of uncertainty about digitization (Tripathy, et al 2022).…”

Section: Literature Reviewmentioning

confidence: 99%

Digitization Processes in Slovak Healthcare Sector – The Issue of Slovak Doctors and Nurses

2024

Vadyba

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One of the main health policy initiatives in European Union countries is the transition from a patriarchal medical model to a co-managed and integrated approach of personalized healthcare. The 2030 Agenda elements implementation for Health and Quality of Life in terms of technological advances enables the of healthcare delivery optimization. The impact of the elements of digital health and care can be observed on the patient care delivery side and also on the healthcare professionals’ performance side. It has the potential to contribute to reducing, in particular, preventable and avoidable mortality, which represent large economic losses in terms of lost productive years. This study focuses on the assessment of job satisfaction with digitalization among doctors and nurses working in hospitals. The research was conducted through a questionnaire survey. The respondents were doctors and nurses working in hospitals in Slovakia. The study evaluates the satisfaction of doctors and nurses with the digitization of work according to the basic characteristics of the respondents by means of correspondence analysis. The goal of the study is to investigate the bureaucratic burden of nurses and doctors regarding digitalization of work in health care institutions as a modern society development prerequisite based on smart technologies. The research was conducted on primary data collected between April 2022 and November 2023 through a questionnaire survey among doctors and nurses working in Slovak hospitals as part of the research task of the APVV 19-0579 project. Forty hospitals in Slovakia were contacted and the sample consisted of 212 doctors and 752 nurses. The normality of the data distribution was carried out by means of histogram and Gaussian curve when being found out to be not normally distributed. Subsequently, they were analysed through descriptive statistics and correspondence analysis. Correspondence analysis was used to investigate the relationship between digitization and administrative burden to the basic characteristics of the respondents, and the relationships were visualized through a correspondence map. The impact of digitization of work and administrative burden is to be also analysed, as smart healthcare elements should have a positive impact on reducing or simplifying administration within the work of doctors and nurses. The results have revealed that, both doctors and nurses lack application of new technologies that along with digitization of work in medical practice bring up a lot of benefits. The results of the study highlight the importance of digital transformation in healthcare, identifying the impact of technologies usage on various aspects of medical practice, such as speed and accuracy of diagnosis. Elements of digitization implemented into healthcare systems bring a modernization effect and faster data availability to the daily work of doctors and nurses. However, the impact on job satisfaction is insufficient and makes precisely the opposite perception. The conclusion is that the administrative burden has not changed significantly despite the digitization of several administrative activities in healthcare and still remains a significant issue, which can also be considered as a challenge for policy makers.

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“…To achieve sustainable environments and higher quality of life, it is paramount to take into account all the different aspects of the healthcare systems that are not universal around the globe. Researchers explore topics like the supply chains of pharmaceuticals [10], combine technologies like blockchain with IoT infrastructure for the optimized road health assistance [11], and even topics that do not affect the patient directly but electricity management in a hospital can bring other types of quality of service improvements and increase the well-being of patients leading the society to a more sustainable world [12].…”

Section: Introductionmentioning

confidence: 99%

Intrusion Detection in Healthcare 4.0 Internet of Things Systems via Metaheuristics Optimized Machine Learning

Savanović,

Toskovic,

Petrovic

et al. 2023

Sustainability

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Rapid developments in Internet of Things (IoT) systems have led to a wide integration of such systems into everyday life. Systems for active real-time monitoring are especially useful in areas where rapid action can have a significant impact on outcomes such as healthcare. However, a major challenge persists within IoT that limit wider integration. Sustainable healthcare supported by the IoT must provide organized healthcare to the population, without compromising the environment. Security plays a major role in the sustainability of IoT systems, therefore detecting and taking timely action is one step in overcoming the sustainability challenges. This work tackles security challenges head-on through the use of machine learning algorithms optimized via a modified Firefly algorithm for detecting security issues in IoT devices used for Healthcare 4.0. Metaheuristic solutions have contributed to sustainability in various areas as they can solve nondeterministic polynomial time-hard problem (NP-hard) problems in realistic time and with accuracy which are paramount for sustainable systems in any sector and especially in healthcare. Experiments on a synthetic dataset generated by an advanced configuration tool for IoT structures are performed. Also, multiple well-known machine learning models were used and optimized by introducing modified firefly metaheuristics. The best models have been subjected to SHapley Additive exPlanations (SHAP) analysis to determine the factors that contribute to occurring issues. Conclusions from all the performed testing and comparisons indicate significant improvements in the formulated problem.

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Secure and Fast Emergency Road Healthcare Service Based on Blockchain Technology for Smart Cities

Cited by 14 publications

References 32 publications

Blockchain Revolutionizing in Emergency Medicine: A Scoping Review of Patient Journey through the ED

Blockchain Revolutionizing in Emergency Medicine: A Scoping Review of Patient Journey through the ED

Digitization Processes in Slovak Healthcare Sector – The Issue of Slovak Doctors and Nurses

Intrusion Detection in Healthcare 4.0 Internet of Things Systems via Metaheuristics Optimized Machine Learning

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