Blockchain Technology for Healthcare: Facilitating the Transition to Patient-Driven Interoperability
Interoperability in healthcare has traditionally been focused around data exchange between business entities, for example, different hospital systems. However, there has been a recent push towards patient-driven interoperability, in which health data exchange is patient-mediated and patient-driven....
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| Vydáno v: | Computational and structural biotechnology journal Ročník 16; s. 224 - 230 |
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| Hlavní autoři: | , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
Netherlands
Elsevier B.V
01.01.2018
Research Network of Computational and Structural Biotechnology Elsevier |
| Témata: | |
| ISSN: | 2001-0370, 2001-0370 |
| On-line přístup: | Získat plný text |
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| Abstract | Interoperability in healthcare has traditionally been focused around data exchange between business entities, for example, different hospital systems. However, there has been a recent push towards patient-driven interoperability, in which health data exchange is patient-mediated and patient-driven. Patient-centered interoperability, however, brings with it new challenges and requirements around security and privacy, technology, incentives, and governance that must be addressed for this type of data sharing to succeed at scale. In this paper, we look at how blockchain technology might facilitate this transition through five mechanisms: (1) digital access rules, (2) data aggregation, (3) data liquidity, (4) patient identity, and (5) data immutability. We then look at barriers to blockchain-enabled patient-driven interoperability, specifically clinical data transaction volume, privacy and security, patient engagement, and incentives. We conclude by noting that while patient-driving interoperability is an exciting trend in healthcare, given these challenges, it remains to be seen whether blockchain can facilitate the transition from institution-centric to patient-centric data sharing. |
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| AbstractList | Interoperability in healthcare has traditionally been focused around data exchange between business entities, for example, different hospital systems. However, there has been a recent push towards patient-driven interoperability, in which health data exchange is patient-mediated and patient-driven. Patient-centered interoperability, however, brings with it new challenges and requirements around security and privacy, technology, incentives, and governance that must be addressed for this type of data sharing to succeed at scale. In this paper, we look at how blockchain technology might facilitate this transition through five mechanisms: (1) digital access rules, (2) data aggregation, (3) data liquidity, (4) patient identity, and (5) data immutability. We then look at barriers to blockchain-enabled patient-driven interoperability, specifically clinical data transaction volume, privacy and security, patient engagement, and incentives. We conclude by noting that while patient-driving interoperability is an exciting trend in healthcare, given these challenges, it remains to be seen whether blockchain can facilitate the transition from institution-centric to patient-centric data sharing. Interoperability in healthcare has traditionally been focused around data exchange between business entities, for example, different hospital systems. However, there has been a recent push towards patient-driven interoperability, in which health data exchange is patient-mediated and patient-driven. Patient-centered interoperability, however, brings with it new challenges and requirements around security and privacy, technology, incentives, and governance that must be addressed for this type of data sharing to succeed at scale. In this paper, we look at how blockchain technology might facilitate this transition through five mechanisms: (1) digital access rules, (2) data aggregation, (3) data liquidity, (4) patient identity, and (5) data immutability. We then look at barriers to blockchain-enabled patient-driven interoperability, specifically clinical data transaction volume, privacy and security, patient engagement, and incentives. We conclude by noting that while patient-driving interoperability is an exciting trend in healthcare, given these challenges, it remains to be seen whether blockchain can facilitate the transition from institution-centric to patient-centric data sharing. Keywords: Clinical data, Interoperability, Data exchange, Blockchain, Application programming interface Interoperability in healthcare has traditionally been focused around data exchange between business entities, for example, different hospital systems. However, there has been a recent push towards patient-driven interoperability, in which health data exchange is patient-mediated and patient-driven. Patient-centered interoperability, however, brings with it new challenges and requirements around security and privacy, technology, incentives, and governance that must be addressed for this type of data sharing to succeed at scale. In this paper, we look at how blockchain technology might facilitate this transition through five mechanisms: (1) digital access rules, (2) data aggregation, (3) data liquidity, (4) patient identity, and (5) data immutability. We then look at barriers to blockchain-enabled patient-driven interoperability, specifically clinical data transaction volume, privacy and security, patient engagement, and incentives. We conclude by noting that while patient-driving interoperability is an exciting trend in healthcare, given these challenges, it remains to be seen whether blockchain can facilitate the transition from institution-centric to patient-centric data sharing.Interoperability in healthcare has traditionally been focused around data exchange between business entities, for example, different hospital systems. However, there has been a recent push towards patient-driven interoperability, in which health data exchange is patient-mediated and patient-driven. Patient-centered interoperability, however, brings with it new challenges and requirements around security and privacy, technology, incentives, and governance that must be addressed for this type of data sharing to succeed at scale. In this paper, we look at how blockchain technology might facilitate this transition through five mechanisms: (1) digital access rules, (2) data aggregation, (3) data liquidity, (4) patient identity, and (5) data immutability. We then look at barriers to blockchain-enabled patient-driven interoperability, specifically clinical data transaction volume, privacy and security, patient engagement, and incentives. We conclude by noting that while patient-driving interoperability is an exciting trend in healthcare, given these challenges, it remains to be seen whether blockchain can facilitate the transition from institution-centric to patient-centric data sharing. |
| Author | Catalini, Christian Gordon, William J. |
| AuthorAffiliation | a Brigham and Women's Hospital, 41 Avenue Louis Pasteur #209, Boston, MA 02115, United States c Harvard Medical School, 25 Shattuck St, Boston, MA 02115, United States b Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, United States e National Bureau of Economic Research, 1050 Massachusetts Ave., Cambridge, MA 02138, United States d MIT Sloan School of Management, 30 Memorial Drive, Cambridge, MA 02142, United States |
| AuthorAffiliation_xml | – name: b Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, United States – name: d MIT Sloan School of Management, 30 Memorial Drive, Cambridge, MA 02142, United States – name: a Brigham and Women's Hospital, 41 Avenue Louis Pasteur #209, Boston, MA 02115, United States – name: e National Bureau of Economic Research, 1050 Massachusetts Ave., Cambridge, MA 02138, United States – name: c Harvard Medical School, 25 Shattuck St, Boston, MA 02115, United States |
| Author_xml | – sequence: 1 givenname: William J. surname: Gordon fullname: Gordon, William J. email: wjgordon@partners.org organization: Brigham and Women's Hospital, 41 Avenue Louis Pasteur #209, Boston, MA 02115, United States – sequence: 2 givenname: Christian orcidid: 0000-0003-1312-6705 surname: Catalini fullname: Catalini, Christian email: catalini@mit.edu organization: MIT Sloan School of Management, 30 Memorial Drive, Cambridge, MA 02142, United States |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30069284$$D View this record in MEDLINE/PubMed |
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| Keywords | Clinical data Data exchange Application programming interface Interoperability Blockchain |
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| Snippet | Interoperability in healthcare has traditionally been focused around data exchange between business entities, for example, different hospital systems. However,... |
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| SubjectTerms | Application programming interface Blockchain business enterprises Clinical data Data exchange governance health services hospitals information technology Interoperability patients Review |
| Title | Blockchain Technology for Healthcare: Facilitating the Transition to Patient-Driven Interoperability |
| URI | https://dx.doi.org/10.1016/j.csbj.2018.06.003 https://www.ncbi.nlm.nih.gov/pubmed/30069284 https://www.proquest.com/docview/2082090075 https://www.proquest.com/docview/2153607523 https://pubmed.ncbi.nlm.nih.gov/PMC6068317 https://doaj.org/article/210e8c7879894cafa20033619d42a926 |
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