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Applying Blockchain in Telemedicine: A Systematic Review.
Asghar Ehteshami1, Mohammad Sattari1
1Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
International Journal of Preventive Medicine
|February 23, 2026
Summary
Blockchain technology enhances telemedicine security and data management. This review highlights its growing impact on electronic health records and future potential in healthcare applications.
Area of Science:
- Health Informatics
- Computer Science
- Telemedicine
Background:
- Blockchain offers significant potential for healthcare applications, including mobile health, electronic health records, and insurance.
- Its application in telemedicine is a key area for improving data security and management.
Purpose of the Study:
- To investigate the specific application areas of blockchain technology within telemedicine.
- To assess the impact of blockchain on telemedicine services and data handling.
Main Methods:
- A systematic literature review was conducted using PubMed, Science Direct, and Web of Science databases.
- 16 studies meeting specific criteria were analyzed for details on authors, publication year, country, applications, privacy, blockchain platforms, and encryption.
- The JBI checklist was utilized for quality appraisal of the included studies.
Main Results:
- China and Italy lead in blockchain telemedicine research, with a focus on electronic health records.
- Commonly used blockchain platforms include Ethereum, Internet of Things, cloud services, and GPS.
- Attribute-based encryption, decentralized identity, order-preserving encryption, hashcode, and double blockchain are key encryption techniques.
Conclusions:
- Blockchain is crucial for enhancing the security of telemedicine technologies.
- The integration of blockchain in telemedicine is expected to drive significant advancements and attract further research.
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