Difference between revisions of "Journal:A scoping review of integrated blockchain-cloud architecture for healthcare: Applications, challenges, and solutions"
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==Introduction== | ==Introduction== | ||
The healthcare domain has been revolutionized over the last century by technological advancement. [1] This revolution aims to improve the diagnosis of diseases and their causes, the quality of medical supplies, and the quality of medical treatment, as well as establish prevention plans on a global scale. The traditional client-server-based healthcare systems [2,3,4,5,6] suffer from [[Cybersecurity|security]] and privacy issues and lead to scattered patient’s medical history, delaying patient treatment. [7,8] Moreover, a patient needs to repeat medical tests when moving to another [[hospital]]. This increases the cost and time to the patient and affects the patient’s health due to repeated exposure to tests, such as X-rays and MRIs, each with their own potential side effects. [9] In addition, healthcare organizations are required to install and maintain infrastructure with up-to-date functionalities while complying with healthcare standards and regulations for the management of [[electronic health record]]s (EHRs). This leads to a high total cost of ownership. To address these limitations of the client-server-based approach, the on-premises database migrated to the [[Cloud computing|cloud]], where health records are maintained by a cloud service provider. | |||
Revision as of 18:59, 29 October 2021
| Full article title | A scoping review of integrated blockchain-cloud architecture for healthcare: Applications, challenges, and solutions |
|---|---|
| Journal | Sensors |
| Author(s) | Ismail, Leila; Meterwala, Huned; Hennebelle, Alain |
| Author affiliation(s) | United Arab Emirates University |
| Primary contact | Email: leila at uaeu dot ac dot ae |
| Editors | Yu, Keping |
| Year published | 2021 |
| Volume and issue | 21(11) |
| Article # | 3753 |
| DOI | 10.3390/s21113753 |
| ISSN | 1424-8220 |
| Distribution license | Creative Commons Attribution 4.0 International |
| Website | https://www.mdpi.com/1424-8220/21/11/3753/htm |
| Download | https://www.mdpi.com/1424-8220/21/11/3753/pdf (PDF) |
 |
This article should be considered a work in progress and incomplete. Consider this article incomplete until this notice is removed. |
Abstract
Blockchain is a disruptive technology for shaping the next era of healthcare systems striving for efficient and effective patient care. This is thanks to its peer-to-peer, secure, and transparent characteristics. On the other hand, cloud computing made its way into the healthcare system thanks to its elasticity and cost-effective nature. However, cloud-based systems fail to provide a secured and private patient-centric cohesive view to multiple healthcare stakeholders. In this situation, blockchain provides solutions to address security and privacy concerns of the cloud because of its decentralization feature combined with data security and privacy, while cloud provides solutions to the blockchain scalability and efficiency challenges. Therefore a novel paradigm of blockchain-cloud integration (BcC) emerges for the domain of healthcare.
In this paper, we provide an in-depth analysis of the BcC integration for the healthcare system to give the readers the motivations behind the emergence of this new paradigm, while also introducing a classification of existing architectures and their applications for better healthcare. We then review the development platforms and services and highlight the research challenges for the integrated BcC architecture, possible solutions, and future research directions. The results of this paper will be useful for the healthcare industry to design and develop a data management system for better patient care.
Keywords: blockchain, cloud computing, electronic health records, health data analytics, healthcare system, security, privacy
Introduction
The healthcare domain has been revolutionized over the last century by technological advancement. [1] This revolution aims to improve the diagnosis of diseases and their causes, the quality of medical supplies, and the quality of medical treatment, as well as establish prevention plans on a global scale. The traditional client-server-based healthcare systems [2,3,4,5,6] suffer from security and privacy issues and lead to scattered patient’s medical history, delaying patient treatment. [7,8] Moreover, a patient needs to repeat medical tests when moving to another hospital. This increases the cost and time to the patient and affects the patient’s health due to repeated exposure to tests, such as X-rays and MRIs, each with their own potential side effects. [9] In addition, healthcare organizations are required to install and maintain infrastructure with up-to-date functionalities while complying with healthcare standards and regulations for the management of electronic health records (EHRs). This leads to a high total cost of ownership. To address these limitations of the client-server-based approach, the on-premises database migrated to the cloud, where health records are maintained by a cloud service provider.
References
Notes
This presentation is faithful to the original, with only a few minor changes to presentation, spelling, and grammar. In some cases important information was missing from the references, and that information was added.
