TY -的AU -杨,凯伦PY - 2021 DA - 2021/12/20 TI -区块链的卫生保健部门的经验:一个跨学科调查其真正的变革潜力乔- J地中海互联网Res SP - e24109六世- 23 - 12 KW -区块链KW -健康信息管理KW -卫生信息系统千瓦电子健康记录KW -数据共享KW -健康服务管理局KW -病人数据的隐私KW -计算机安全KW -手机AB -背景:学术文献强调了区块链在改变医疗保健方面的潜力，特别是通过无缝、安全地集成现有的数据竖井，同时使患者能够对其电子健康记录的访问进行自动化、细粒度控制。然而，没有严肃的学术尝试来评估这些技术实际上是如何应用于现实世界的医疗保健环境的。目的:本文的主要目的是评估区块链为医疗保健带来变革性利益的理论潜力是否有可能成为现实，方法是对医疗保健部门迄今为止对区块链技术的实际经验进行批判性调查。方法:这项混合方法研究包括一系列迭代的、深入的、理论导向的、基于办公桌的调查和2个焦点小组调查。它建立在一项同伴研究的发现基础上，该研究记录了区块链技术在医疗保健领域的真实参与情况。数据来自与区块链技术的配置、设计和功能有关的多个学科角度的学术和灰色文献。分析分三个阶段进行。首先，它对观察到的医疗保健参与区块链模式进行了定性调查，以确定应用领域、数据共享问题和迄今为止遇到的挑战。其次，它将这些经验与区块链在医疗保健方面的潜在好处进行了严格的比较。 Third, it developed a theoretical account of challenges that arise in implementing blockchain in health care contexts, thus providing a firmer foundation for appraising its future prospects in health care. Results: Health care organizations have actively experimented with blockchain technologies since 2016 and have demonstrated proof of concept for several applications (use cases) primarily concerned with administrative data and to facilitate medical research by enabling algorithmic models to be trained on multiple disparately located sets of patient data in a secure, privacy-preserving manner. However, blockchain technology is yet to be implemented at scale in health care, remaining largely in its infancy. These early experiences have demonstrated blockchain’s potential to generate meaningful value to health care by facilitating data sharing between organizations in circumstances where computational trust can overcome a lack of social trust that might otherwise prevent valuable cooperation. Although there are genuine prospects of using blockchain to bring about positive transformations in health care, the successful development of blockchain for health care applications faces a number of very significant, multidimensional, and highly complex challenges. Early experience suggests that blockchain is unlikely to rapidly and radically revolutionize health care. Conclusions: The successful development of blockchain for health care applications faces numerous significant, multidimensional, and complex challenges that will not be easily overcome, suggesting that blockchain technologies are unlikely to revolutionize health care in the near future. SN - 1438-8871 UR - //www.mybigtv.com/2021/12/e24109 UR - https://doi.org/10.2196/24109 UR - http://www.ncbi.nlm.nih.gov/pubmed/34932009 DO - 10.2196/24109 ID - info:doi/10.2196/24109 ER -