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Blockchain implementation in electronic health records management systems: Challenges and enabling factors

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Resumo(s)

The exponential growth of blockchain technology is commonly associated with bitcoin and other cryptocurrencies, however, this technology has demonstrated great potential when applied to other sectors. One of the areas where blockchain presents promising prospects is healthcare, particularly in the Electronic Health Record management systems functioning. The security and interoperability features that concern blockchain, put it as a principal candidate to mitigate some of the current gaps in today's healthcare systems. Given the sensitivity of healthcare data, it is extremely important to consider not only the compatible points, but also all the setbacks involved in transitioning to this technology. This is especially potentiated by the lack of practical implementation in a sector like healthcare, thus emphasizing the importance of clear evaluation. Through literature research and NGT methodology composed of two groups of 4 and 6 blockchain specialists, this research has shown that blockchain indeed possesses a wide array of promising characteristics that could facilitate patients’ ownership of their medical data. Furthermore, it suggests that blockchain can foster an integrated approach to exchanging information among different health entities while securely storing records. However, this study also addresses the challenges associated with this potential application, revealing that difficulties in standardization and data compatibility protocols, along with the lack of trust and knowledge in the technology, constitute significant setbacks in the adoption of blockchain as an immediate candidate for EHR system management. The identified challenges do not imply that blockchain is unfit to support EHR systems, but rather that critical variables should be thoroughly studied and evaluated before considering its implementation. Additionally, blockchain is continuously evolving; therefore, different variations and models may present distinct enabling factors and challenges.

Descrição

Dissertation presented as the partial requirement for obtaining a Master's degree in Information Management, specialization in Information Systems and Technologies Management

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Blockchain Electronic Health Records Healthcare Challenges Enabling Factors SDG 3 - Good health and well-being

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