生物医学区块链与实际实施和定量评估:一个系统的审查
Roger Lacson1, Yufei Yu2,3, Tsung-Ting Kuo2,3
1Department of Biomedical Informatics & Data Science, Yale School of Medicine, New Haven, CT 06510, United States.
概括
区块链对医疗保健数据共享有前途,但需要实际实施和评估指标才能得到广泛采用. 需要进一步的研究才能充分了解它对卫生部门的影响.
科学领域:
- 生物医学信息学 生物医学信息学
- 分布式账本技术 分布式账本技术
- 健康数据管理 管理健康数据
背景情况:
- 区块链为医疗数据共享提供了去中心化,不变性和可追溯性.
- 现有的审查缺乏对生物医学中的实际区块链实施和评估的全面调查.
研究的目的:
- 系统地审查和评估生物医学领域实施的区块链应用程序.
- 用量化指标来评估这些应用程序.
主要方法:
- 系统性审查遵循系统性审查和元分析 (PRISMA) 框架的首选报告项目.
- 在3个数据库中搜索了2023年8月之前发表的生物医学区块链论文.
- 收集和总结关于区块链应用,实施和评估指标的数据.
主要成果:
- 包括11篇文章,涵盖了COVID-19数据共享,物联网数据存储,临床试验和电子健康记录 (EHR) 等应用程序.
- 以太坊是主要的平台,大多数实现使用私有网络.
- 只有一个研究报告了在医疗机构的部署;在一些研究中报告了存储和查询速度指标.
结论:
- 区块链在医疗保健方面是可行的,但尚未像现有的数据管理技术那样普及.
- 不一致的指标和有限的研究数量阻碍了直接的技术比较.
- 解决实施和评估对于展示区块链在医疗保健中的实际好处至关重要.
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