Blockchain in Healthcare: A Comprehensive Survey of Implementations and a Secure Model Proposal
DOI:
https://doi.org/10.53560/PPASA(60-3)816Keywords:
Blockchain in Healthcare, Healthcare Scams, Blockchain Solution, eHealthcare, Blockchain Architectures, Hyperledger, Enterprise Ecosystem, Ethereum, Transparency, SurveyAbstract
Blockchain's core attributes, including decentralization, transparency, and immutability, have positioned it as a pioneering technology in the realm of financial technology (fintech) and have rendered it highly applicable across diverse industries. The current enterprise ecosystem has faced setbacks primarily due to a lack of trust in the existing infrastructure. This issue can be traced back to the centralized management of healthcare data, making it vulnerable to tampering and fraudulent activities, resulting in financial losses. The existing enterprise ecosystem failed due to the lack of trust in the currently in-place infrastructure. This problem can be attributed to the centralized healthcare data management, which is prone to tampering and fraudulent activities leading to capital loss. The present study relates to a comprehensive survey conducted in timespan from 2018 to 2022 on the implementation of blockchain technology in the healthcare industry, identifying and discussing the key challenges facing the healthcare industry, such as fraud, and scams against healthcare data. It is found that there is an enormous inclination towards the decentralization of patient-centric data. However, a rapid decline is reported due to the privacy and security concerns of the confidential and sensitive data. Moreover, it is noticed that most of the implementations utilized either Ethereum or Hyperledger. Based on the survey's findings, the study proposed a blockchain-based healthcare framework that can address the identified challenges by providing a secure and transparent platform for collecting, storing, and sharing patient health data while prioritizing security and privacy.
References
D. Khan, L.T. Jung, and M.A. Hashmani. Systematic literature review of challenges in blockchain scalability. Applied Sciences 11(20): 9372 (2021).
D. Khan, M.M. Memon, M.A. Hashmani, F.T. Simpao, A.C. Sales, and N.Q. Santillan. A Critical Review on Blockchain Frameworks for Dapp. International Journal of Technology Management and Information System 5(1): 1-10 (2023).
D. Khan, L.T. Jung, M.A. Hashmani, and M.K. Cheong. Blockchain Enabled Diabetic Patients’ Data Sharing and Real Time Monitoring. In CS & IT Conference Proceedings 12(6): (2022).
D. Khan, L.T. Jung, M.A. Hashmani, and A. Waqas. A critical review of blockchain consensus model. 3rd international conference on computing, mathematics and engineering technologies (iCoMET): 1-6 (2020).
D. Khan, L.T. Jung, and M.A. Hashmani. Proof-of-Review: A Review based Consensus Protocol for Blockchain Application. International Journal of Advanced Computer Science and Applications 12(3): 290-300 (2021).
K.C. Moke, T.J. Low, and D. Khan. IoT blockchain data veracity with data loss tolerance. Applied Sciences 11(21): 9978 (2021).
D. Khan, L.T. Jung, M.A. Hashmani, and M.K. Cheong. Empirical performance analysis of hyperledger LTS for small and medium enterprises. Sensors 22(3): 915 (2022).
G. Zhang, X. Zhang, M. Bilal, W. Dou, X. Xu, and J. Rodrigues. Identifying fraud in medical insurance based on blockchain and deep learning. Future Generation Computer Systems 130: 140-154 (2021).
M.S. Rahman, M.A. Islam, M.A. Uddin, and G. Stea. A survey of blockchain-based IoT eHealthcare: Applications, research issues, and challenges. Internet of Things 19(8): 100551 (2022).
S. Surekha, and M.Z.U. Rahman. Blockchain framework for Cognitive Sensor Network using Non-Cooperative Game Theory. IEEE Access 10: 60114-60127 (2022).
E. Chondrogiannis, V. Andronikou, E. Karanastasis, A. Litke, T. Varvarigou. Using blockchain and semantic web technologies for the implementation of smart contracts between individuals and health insurance organizations. Blockchain: Research and Applications 3(2): 100049 (2022).
L. Ismail and S.J.I.p. Zeadally. Healthcare insurance frauds: Taxonomy and blockchain-based detection framework (Block-HI). IT professional 23(4): 36-43 (2021).
J. Kuckreja, P. Nigde, and P. Patil. Health Insurance Claim using Blockchain. International Research Journal of Engineering and Technology (IRJET) 8(5): 2406-2409 (2021).
N. Deepa, T. Devi, N. Gayathri, and S.R. Kumar. Decentralized Healthcare Management System Using Blockchain to Secure Sensitive Medical Data for Users. Blockchain Security in Cloud Computing 265-282 (2022).
B. Zaabar, O. Cheikhrouhou, F. Jamil, M. Ammi, and M.J.C.N. Abid. HealthBlock: A secure blockchain-based healthcare data management system. Computer Networks (200): 108500 (2021).
M. Y. Jabarulla, and H.N. Lee. A blockchain and artificial intelligence-based, patient-centric healthcare system for combating the COVID-19 pandemic. Opportunities and applications In Healthcare 9(8): 1019 (2021).
S. Kumar, A.K. Bharti, and R. Amin. Decentralized secure storage of medical records using Blockchain and IPFS: A comparative analysis with future directions. Security and Privacy 4(5): 162 (2021).
P. Pandey, and R. Litoriya. Implementing healthcare services on a large scale: challenges and remedies based on blockchain technology. Health Policy and Technology 9(1): 69-78 (2020).
A. Premkumar, and C. Srimathi. Application of blockchain and IoT towards pharmaceutical industry. In 2020 6th International Conference on Advanced Computing and Communication Systems (ICACCS): 729-733 (2020)
J. Pane, K.M. Verhamme, L. Shrum, I. Rebollo, and M.C.J.M. Sturkenboom. Blockchain technology applications to postmarket surveillance of medical devices. Expert Review of Medical Devices 17(10): 1123-1132 (2020).
G. Saldamli, V. Reddy, K.S. Bojja, M.K. Gururaja, Y. Doddaveerappa, and L. Tawalbeh. Health care insurance fraud detection using blockchain. Seventh International Conference on Software Defined Systems: 145-152 (2020).
P. Zhang, and M.N.K. Boulos. Blockchain solutions for healthcare. In Book: Precision Medicine for Investigators, practitioners and providers. Academic Press: 519-524: (2020).
T.K. Mackey, K. Miyachi, D. Fung, S. Qian, and J. Short. Combating health care fraud and abuse: Conceptualization and prototyping study of a blockchain antifraud framework. Journal of medical Internet research 22(9): e18623 (2020).
F. Jamil, S. Ahmad, N. Iqbal, and D.H. Kim. Towards a remote monitoring of patient vital signs based on IoT-based blockchain integrity management platforms in smart hospitals. Sensors 20(8): 2195 (2020).
A.I. Abhi, and S.Y. Shin. A blockchain-based secure healthcare scheme with the assistance of unmanned aerial vehicle in Internet of Things. Computers & Electrical Engineering 84: 106627 (2020).
Z. Wang, N. Luo, and P. Zhou. GuardHealth: Blockchain empowered secure data management and Graph Convolutional Network enabled anomaly detection in smart healthcare. Journal of Parallel and Distributed Computing 142: 1-12 (2020).
G. Tripathi, M.A. Ahad, and S. Paiva. S2HS-A blockchain based approach for smart healthcare system. Healthcare 8(1): 100391 (2020).
S. Tanwar, K. Parekh, and R. Evans. Blockchain-based electronic healthcare record system for healthcare 4.0 applications. Journal of Information Security and Applications 50: 102407 (2020).
A.J.E. Khatoon. A blockchain-based smart contract system for healthcare management. Electronics 9(1): 94 (2020).
A. Sharma, Sarishma, R. Tomar, N. Chilamkurti, and B.G. Kim. Blockchain based smart contracts for internet of medical things in e-healthcare. Electronics 9(10): 1609 (2020).
A. Khatoon. Use of blockchain technology to curb novel coronavirus disease (COVID-19) transmission. Available at SSRN 3584226: (2020).
R.M.A. Latif, K. Hussain, N.Z. Jhanjhi, A. Nayyar, and O. Rizwan. A remix IDE: smart contract-based framework for the healthcare sector by using Blockchain technology. Multimedia tools and applications: 1-24 (2020).
M. Zghaibeh, U. Farooq, N.U. Hasan, and I. Baig. Shealth: A blockchain-based health system with smart contracts capabilities. IEEE Access 8: 70030-70043 (2020).
S. Shi, D. He, L. Li, N. Kumar, M.K. Khan, and K.R. Choo. Applications of blockchain in ensuring the security and privacy of electronic health record systems: A survey. Computers & security 97: 101966 (2020).
W. Liu, Q. Yu, Z. Li, Z. Li, Y. Su, and J. Zhou. A blockchain-based system for anti-fraud of healthcare insurance. IEEE 5th International Conference on Computer and Communications (ICCC): pp. 1264-1268 (2019).
T. Motohashi, T. Hirano, K. Okumura, M. Kashiyama, D. Ichikawa, and T. Ueno. Secure and scalable mhealth data management using blockchain combined with client hashchain: system design and validation. Journal of medical Internet research 21(5): e13385 (2019).
T. Mohan and K. Praveen. Fraud detection in medical insurance claim with privacy preserving data publishing in TLS-N using blockchain. International Conference on Advances in Computing and Data Sciences: pp. 211-220 (2019).
M. Usman and U. Qamar. Secure electronic medical records storage and sharing using blockchain technology. Procedia Computer Science 174: 321-327 (2020).
S. Chakraborty, S. Aich, and H.C. Kim. A secure healthcare system design framework using blockchain technology. 21st International Conference on Advanced Communication Technology (ICACT): pp. 260-264 (2019).
T. McGhin, K.R. Choo, C.Z. Liu, D. He. Blockchain in healthcare applications: Research challenges and opportunities. Journal of network and computer applications 135: 62-75 (2019).
A.A. Siyal, A.Z. Junejo, M. Zawish, K. Ahmed, A. Khalil, and G. Soursou. Applications of blockchain technology in medicine and healthcare: Challenges and future perspectives. Cryptography 3(1): 3 (2019).
M.N.K. Boulos, J.T. Wilson, and K.A. Clauson. Geospatial blockchain: promises, challenges, and scenarios in health and healthcare. International journal of health geographics 17: (2018).
A. Al Omar, M.Z.A. Bhuiyan, A. Basu, S. Kiyomoto, and S. Rahman. Privacy-friendly platform for healthcare data in cloud based on blockchain environment. Future generation computer systems 95: 511-521 (2019).
K.N. Griggs, O. Ossipova, C.P. Kohlios, A.N. Baccarini, E.A. Howson, and T. Hayajneh. Healthcare blockchain system using smart contracts for secure automated remote patient monitoring. Journal of medical systems 42: 1-7 (2018).
H. Pham, T. Tran, and Y. Nakashima. A secure remote healthcare system for hospital using blockchain smart contract. IEEE globecom workshops (GC Wkshps): pp. 1-6 (2018).
S.P. Novikov, O. Kazakov, N. Kulagina, and N. Azarenko. Blockchain and smart contracts in a decentralized health infrastructure. IEEE International Conference -- Quality Management, Transport and Information Security, Information Technologies (IT&QM&IS): pp. 697-703 (2018).
D. Khan, T.J. Low, and V.T.B. Dang. Challenges and Application of Blockchain in Healthcare Systems. International Conference on Digital Transformation and Intelligence (ICDI): pp. 15-20 (2022).
