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Using Blockchain Technology to Mitigate Challenges in Service Access for the Homeless and Data Exchange Between

Anjum Khurshid1, Vivian Rajeswaren2, Steven Andrews1

  • 1Dell Medical School, The University of Texas at Austin, Austin, TX, United States.

Journal of Medical Internet Research
|April 30, 2020
PubMed
Summary
This summary is machine-generated.

Blockchain technology shows promise for secure health data sharing among homeless individuals, improving access to services. However, user adoption and organizational readiness remain key challenges for widespread implementation.

Keywords:
blockchaindata autonomydata sharingdistributed ledger technologyhealth carehomeless

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Area of Science:

  • Health Informatics
  • Blockchain Technology
  • Public Health

Background:

  • Homeless populations face significant barriers to housing and services due to fragmented data access and disparate data formats across organizations.
  • Lack of intersystem access and a unified health record view impede care coordination for individuals experiencing homelessness.
  • While blockchain's potential for healthcare interoperability is recognized, its real-world application within complex health regulations remains largely untested.

Purpose of the Study:

  • To evaluate the feasibility and performance of a blockchain system for secure data storage and sharing within a homeless community.
  • To assess the system's ability to facilitate cross-provider data exchange in the healthcare ecosystem for this vulnerable population.

Main Methods:

  • Conducted platform demonstrations and qualitative feedback interviews with homeless users and service providers.
  • Tested account creation and data transaction processes to assess organizational efficiency and potential health outcome improvements.
  • Utilized an existing blockchain-based platform to test assumptions regarding user and stakeholder adoption.

Main Results:

  • Users and organizations successfully created accounts, managed data sharing permissions, and transmitted documents across a distributed network.
  • Identified challenges related to data security, user experience, adoption rates, and organizational preparedness among service providers.
  • Demonstrated the successful implementation of core blockchain features like decentralized data sharing and immutability.

Conclusions:

  • Blockchain technology offers decentralized, secure, and traceable data management essential for sensitive health information.
  • The study highlights the effectiveness of blockchain in enhancing data sharing but also reveals limitations in user adoption, cost-effectiveness, scalability, and regulatory compliance.
  • Further development is needed to address practical implementation barriers for successful integration into homeless healthcare services.