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Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

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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Updated: Jul 17, 2026

TBase - an Integrated Electronic Health Record and Research Database for Kidney Transplant Recipients
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Blockchain technology for secure and efficient nephrology data management.

David R Evans1, Ömer Tarik Özyilmaz1,2, Huifang Xue1

  • 1Department of Internal Medicine, Division Nephrology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Clinical Kidney Journal
|July 16, 2026
PubMed
Summary

Blockchain technology offers secure data management in nephrology, addressing fragmentation and privacy risks. However, challenges like scalability and regulatory compliance (GDPR) impact its real-world adoption and value.

Keywords:
Blockchainbig datadata managementdata sciencesmart contracts

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Area of Science:

  • Digital health
  • Nephrology
  • Blockchain technology

Background:

  • Digital healthcare advancements in nephrology present data fragmentation, sharing complexities, and security risks.
  • Existing solutions address these issues individually, but a unified approach is needed.
  • Blockchain offers features like immutability and interoperability for secure data management.

Purpose of the Study:

  • To explore blockchain's potential as a unified solution for data management challenges in nephrology.
  • To examine blockchain's broader applications in healthcare quality assurance and medical device reliability.
  • To identify practical challenges hindering blockchain adoption in nephrology.

Main Methods:

  • Review of blockchain features (immutability, interoperability, programmability).
  • Analysis of potential applications in nephrology, pharmaceuticals, biobanking, and medical devices.
  • Identification of practical challenges including legislative conflicts (GDPR) and technical limitations (scalability, cost).

Main Results:

  • Blockchain provides a framework for secure and efficient data management, extending beyond nephrology data governance.
  • Potential applications include quality assurance in pharmaceuticals/biobanking and ensuring medical device reliability.
  • Significant practical challenges exist, including conflicts with regulations like GDPR and technical/economic barriers to adoption.

Conclusions:

  • Blockchain presents a promising framework for addressing data management challenges in nephrology and healthcare.
  • Legislative compatibility (GDPR) and technical/economic factors (scalability, cost) require careful consideration for successful implementation.
  • The real-world value and adoption of blockchain in nephrology remain uncertain pending resolution of these challenges.