对基于区块链的医疗保健实施的系统文献审查
Mutiullah Shaikh1, Shafique Ahmed Memon1, Ali Ebrahimi1
1SDU Health Informatics and Technology, The Maersk Mc-Kinney Moller Institute, University of Southern Denmark, 5230 Odense, Denmark.
Healthcare (Basel, Switzerland)
|May 14, 2025
概括
医疗保健中的区块链 (BC) 改善了数据共享和安全性,在药物可追溯性和欺诈预防方面表现出显著的有效性. 对数据驱动医疗保健系统的可扩展性和伦理整合性需要进一步的研究.
科学领域:
- 医疗信息学 医疗信息学
- 区块链技术 区块链技术
- 数据安全与隐私数据安全与隐私
背景情况:
- 医疗保健信息系统面临数据共享,隐私侵犯和患者数据控制等挑战.
- 区块链 (BC) 提供了一个去中心化,透明和不可变的分类账,用于安全,保护隐私的医疗信息技术 (HIT) 访问控制.
- 目前在医疗保健中采用BC仅限于概念或概念证明 (PoC) 阶段,通常使用模拟数据.
研究的目的:
- 系统地审查和分析基于区块链的医疗保健实施方案.
- 为了对同行评审的研究进行比较,并评估现实世界的应用程序及其指标.
- 专注于实用,验证的BC应用,超越概念研究和PoCs.
主要方法:
- 系统性文献审查 (SLR) 遵循PRISMA-2020指南.
- 搜索了五个主要的数据库 (Scopus,科学网络,PubMed,IEEE Xplore,ScienceDirect) 使用MeSH术语用于医疗保健中的BC.
- 包括独立审查员选,资格评估,质量评估和数据合成;在OSF注册的审查协议.
主要成果:
- 82项原始研究符合资格标准,报告了基于BC的医疗保健实施的验证结果.
- 研究综合了关于BC在应对医疗保健挑战方面的有效性方面的定性和定量数据.
- 确定了BC应用的关键领域及其验证的绩效指标.
结论:
- 基于区块链的医疗保健解决方案显示出显著的定性和定量有效性.
- 取得的进展包括药物可追溯性高达100%的有效性和95%的欺诈减少.
- 未来的研究应该解决可扩展性,隐私,安全,整合和道德框架的广泛采用.
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