Abstract
With a growing trend in medicine towards individualized, patient-centric care, traditional health information technology limits progress. With high administrative costs and the lack of universal data access, contemporary electronic medical records serve more the institution rather than the patient. Blockchain technology, as presently described, was initially developed for use in financial markets, serving as a decentralized, distributed ledger of transactions. However, certain inherent characteristics of this technology suit it for use in the healthcare sector. Potential applications of the blockchain in medicine include interoperable health data access, data storage and security, value-based payment mechanisms, medical supply chain efficiency, amongst others. While the technology remains in nascent stages, it is essential that members of the healthcare community understand the fundamental concepts behind blockchain, and recognize its potential impact on the future of medical care.
Highlights
In January 2015, President Barack Obama enacted the Precision Medicine Initiative, which aimed “to enable a new era of medicine through research, technology, and policies that empower patients, researchers, and providers to work together toward development of individualized care” [16]
The mandatory use of electronic health record (EHR) was established via the U.S Centers for Medicare and Medicaid Services (CMS) Meaningful Use criteria in 2009 [1], the broad array of economically competing EHRs used in different hospital systems significantly limits interoperability, and prevents fluid exchange of health information between institutions
Interoperability Currently, there exists a significant challenge distributing medical records across health care platforms, for e xample, between a nursing home and an acute care center or even between two independent hospitals (Figure 1). This leads to inefficiencies in health data collection and failures to communicate essential health information such as medications and allergies
Summary
With a growing trend in medicine towards individualized, patient-centric care, traditional health information technology limits progress. With high administrative costs and the lack of universal data access, contemporary electronic medical records serve more the institution rather than the patient. Blockchain technology, as presently described, was initially developed for use in financial markets, serving as a decentralized, distributed ledger of transactions. Certain inherent characteristics of this technology suit it for use in the healthcare sector. Potential applications of the blockchain in medicine include interoperable health data access, data storage and security, value-based payment mechanisms, medical supply chain efficiency, amongst others. While the technology remains in nascent stages, it is essential that members of the healthcare community understand the fundamental concepts behind blockchain, and recognize its potential impact on the future of medical care
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