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One of the famous sayings finely quotes that - “The challenge with healthcare technology is not in the potential it offers, but in the complexity of the systems and processes it needs to work with." Thus, it can be said that the real challenge doesn't lie in technological innovation but in meaningful implementation and adoption by a concerned group of people. However, cutting to the chase, blockchain technology is a new-age digitalised solution that has been widely implemented across many sectors. The reason is a bunch of benefits it offers in improving operational and service efficiency for organisations, and if you are wondering, how does it work? Here is a glimpse - Blockchain technology is fundamentally a distributed database that maintains a continuously growing list of ordered records called blocks. These blocks are linked using cryptography; each contains a cryptographic hash of the previous block, a timestamp, and transaction data. Thus, it is no magic but a decentralised, distributed and public digital ledger that is used to record transactions across many computers so that the record cannot be altered retroactively without the alteration of all subsequent blocks and the consensus of the network.
However, despite its many benefits, embracing blockchain in healthcare is filled with challenges for healthcare organisations to make it work to its fullest. Here we have enumerated some of those challenges.
The first and foremost challenge is nothing but the adaption. In order for blockchain technology to function, every organization involved in patient care and medical research in the healthcare system will be required to be on board and willing to adapt to the many changes this new technology will demand. In addition, healthcare organizations operate on different systems and platforms, making it difficult for them to share information seamlessly. Therefore, interoperability issues can hinder the adoption of blockchain technology, which relies on a standardized system for exchanging data.
Healthcare organisations need to find a gap in their existing system to make space for this new technology and integrate blockchain into healthcare systems without adding additional steps for already-overburdened healthcare professionals.
A challenge in a data management system in regard to security, privacy and efficacy while integrating a blockchain is one of the critical issues to solve. Due to its ledger legacy, blockchain may have difficulty in supporting large data files (MRIs and CAT scan images) in a single transaction. Resultantly, healthcare organizations will need to employ backend repositories and encoded libraries to house and track large files.
A sudden technical shift in the system may face multiple financial and technical challenges. Thus, employing blockchain in healthcare requires overcoming both financial and technical challenges, including investing in specialized resources, ensuring data privacy and security, adhering to government regulations, and developing standardized systems for exchanging data.
Blockchain utilizes encryption algorithms to secure the legitimacy of the data. The transactions in the blockchain are auditable as the validation is performed on the basis of timestamps, which allows ease to users to keep track of the previous records. Nevertheless, Transparency is the key to blockchain that is implemented using pseudo-anonymity. Additionally, a considerably greater trust mechanism is provided to the users of blockchain technology. Whenever a new node is inserted into the network, it asks for the consensus of participants before allowing it to confirm that node data is a medium of an authentic verification technique of security. The three eminent categories of blockchain that are widely implemented are public, private and consortium. A private blockchain is also called a hybrid/federated blockchain, where admin rights validate and authenticate every transaction node.
The implementation of blockchain technology in the healthcare sector offers multiple advantages, such as secure and transparent sharing of patient data and improved efficiency in processes. However, there are challenges that need to be addressed, particularly in regards to the balance between transparency and privacy. On the one hand, blockchain's transparency can increase accountability and trust in healthcare systems, as patients can access their health data and track who has accessed it. While on the other hand, transparency may compromise patient privacy and confidentiality, especially with sensitive health information. Therefore, striking a balance between transparency and privacy is crucial for the successful implementation of blockchain technology in healthcare. This comprises many elements like developing robust security protocols to protect patient data, ensuring patient consent and control over their data, and educating healthcare providers and patients on the risks and benefits of blockchain technology.
Moreover, One of the prominent challenges confronting Patients and healthcare practitioners in regard to implementing this technology is securely accessing, managing, integrating, and sharing health records. As the core ideology behind the implementation of any technology in healthcare is that patients should be able to manage their health records anywhere in the world, keep track of their medical background, give access to data, and securely share those with any healthcare professional. Technological innovations from blockchain to AI-aided systems have given many benefits in improving access and quality of services in the healthcare sector. Yet, they do not adequately address these requirements due to privacy, security, and full ecosystem interoperability limitations. Nevertheless, there is no scope for doubt that with the help of digital technologies, patients can receive more personalized and efficient care, medical professionals can make more informed treatment decisions, and healthcare systems can become more cost-effective and accessible as the possibilities in the digital healthcare solutions and implementation are endless, and challenges coming across can be conquered with a clear understanding of the challenges and a comprehensive approach to addressing them.
Gearing back in 2008, it came into the picture by serving as the public transaction ledger of the cryptocurrency bitcoin, which made it the first digital currency to solve the double-spending problem without requiring a trusted authority or central authority server. Overall, the advantages of blockchain to healthcare may far outweigh the challenges when coupled with artificial intelligence; blockchain has the power to transform healthcare drastically. That's why major healthcare organizations are already adopting blockchain technology. The high need for reducing healthcare costs and preventing tampering with medical data is likely to boost demand for blockchain in healthcare in the region over the next five years.