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Issues And Trends In Healthcare Delivery System01:29

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Related Experiment Video

Updated: Feb 25, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Tamper-Resistant Mobile Health Using Blockchain Technology.

Daisuke Ichikawa1, Makiko Kashiyama1, Taro Ueno1,2,3

  • 1Sustainable Medicine, Inc., Tokyo, Japan.

JMIR Mhealth and Uhealth
|July 28, 2017
PubMed
Summary
This summary is machine-generated.

Blockchain technology offers a tamperproof system for mobile health (mHealth) applications. This integration enhances data security and transparency in digital health, improving patient care and clinical trials.

Keywords:
cognitive therapycomputer securityelectronic health recordssleeptelemedicine

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Area of Science:

  • Digital Health
  • Blockchain Technology
  • Health Informatics

Background:

  • Digital health technologies like telemedicine and mobile health (mHealth) are increasingly vital in healthcare.
  • Secure data management is crucial for advancing digital health, improving care delivery, and reducing costs.
  • mHealth empowers patients and providers with real-time monitoring, but data security against manipulation is paramount for medical practice and trials.

Purpose of the Study:

  • To develop and assess a tamper-resistant mobile health (mHealth) system utilizing blockchain technology.
  • To enable trusted and auditable computing through a decentralized network for mHealth data.

Main Methods:

  • An mHealth system was developed using a smartphone app for cognitive behavioral therapy for insomnia.
  • Data collected via the app were stored in JavaScript Object Notation and transmitted to a blockchain network.
  • Tamper resistance was evaluated by introducing artificial faults to assess data integrity.

Main Results:

  • Electronic health records from smartphones were successfully integrated into a private Hyperledger Fabric blockchain.
  • Data updates were verified under normal and network fault conditions, demonstrating successful data handling.
  • All electronic health records registered on the blockchain proved resistant to tampering and revision, confirming system integrity.

Conclusions:

  • Blockchain technology provides a robust, tamperproof foundation for mHealth systems.
  • Integrating mHealth with blockchain offers a decentralized solution for accessible and transparent health data management.
  • This approach eliminates the need for third parties, enhancing trust in digital health platforms.