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Blockchain‐Based Electronic Health Record

Systematic Literature Review

Bibliographic Data

ID23039711
AuthorsNehal Ettaloui (0009-0008-7730-4666, Université Hassan 1er, corresponding author), Sara Arezki (0000-0001-5562-4898, Université Hassan 1er), Taoufiq Gadi (0000-0002-2174-5816, Université Hassan 1er)
EditorsPinaki Chakraborty (0000-0002-2010-8022)
Year2024
Volume2024
Issue1
Publication date2024-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHuman Behavior and Emerging Technologies (JOURNAL)
Journal identifiersISSN: 2578-1863 • E-ISSN: 2578-1863
PublisherWiley (PUBLISHER • GB)
DOI10.1155/hbe2/4734288
OpenAlexW4405828742
LanguageEN
References cited70

Electronic health records (EHRs) represent an innovative approach to constructing a distributed data analysis framework for managing health data within its original location. The integration of blockchain technology into EHR systems offers substantial improvements in security, privacy, and transparency, thus enhancing overall management efficiency. Our research spanned from January 2017 to December 2022, conducting a meticulous systematic literature review across reputable databases such as Scopus, IEEE Xplore, Springer, PubMed Central, and ScienceDirect. This comprehensive search, finalized in December 2022, utilized stringent inclusion and exclusion criteria to ensure the selection of high‐quality articles, thereby guaranteeing transparency and unbiased results. Through this systematic review, our primary objective was to explore, assess, and analyze the diverse architectures, proposed models, limitations, and future trajectories of blockchain‐enabled EHR systems. Our emphasis was on highlighting blockchain’s adaptability and robustness in healthcare contexts while identifying potential challenges and areas for further investigation. Adhering to the Preferred Reporting Items for Systematic Reviews and Meta‐Analysis guidelines, we scrutinized more than 600 scientific studies, culminating in the selection of 31 articles that met our rigorous inclusion standards. Our technical and architectural evaluations delved into critical aspects such as privacy, security, authentication, availability, data control, storage, and resource consumption. Our research outcomes underscore the effective resolution of security, privacy, and availability concerns in EHRs through blockchain integration. However, we observed potential trade‐offs, including impacts on performance, resource utilization, and regulatory compliance. To address these complexities, we introduce an integrated framework designed to mitigate key challenges and deliver substantial value within this domain.

Blockchain · Business · Computer security · Data quality · Data science · MEDLINE · Risk analysis (engineering) · Systematic review · Transparency (behavior) · Blockchain Technology Applications and Security · Computer Science · IoT and Edge/Fog Computing · Privacy-Preserving Technologies in Data

  • Preferred Reporting Items for Systematic Reviews and Meta-Analyses

    Open Access•David Moher, Alessandro Liberati et al.•PLoS Medicine•2009

  • A review study of the blockchain-based healthcare supply chain

    Open Access•Jayendra S Jadhav, Jyoti Deshmukh•Social Sciences & Humanities Open•2022

  • Blockchain and cloud computing-based secure electronic healthcare records storage and sharing

    Open Access•Amna Amanat, Muhammad Rizwan et al.•Frontiers in Public Health•2022

  • Double chain system for online and offline medical data sharing viaprivate and consortium blockchain

    Open Access•Chaoran Li, Jusheng Liu et al.•Frontiers in Public Health•2022

  • Blockchain Technology for Electronic Health Records

    Open Access•Yujin Han, Yawei Zhang et al.•International Journal of…•2022

  • Blockchain

    Open Access•Saeed Asadi Bagloee, Mitra Heshmati et al.•Cities•2021

Citation velocityhistorical
Highly citedNo

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