Applications of Blockchain Technologies in Health Services: A General Framework for Policymakers

Kara, Oğuz; Kurutkan, Mehmet Nurullah

doi:10.1007/978-981-33-6811-8_11

Cited by 4 publications

(3 citation statements)

References 65 publications

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“…Additionally, the security and data handling of HIMs requires the resolution of data breaches and security issues. New technologies, specifically blockchain [21,82] and HL7 FHIR [79], signal the need for careful consideration of HIMs with regard to factors such as interoperability and data integrity.…”

Section: Evaluation Of Co-occurrence Analysismentioning

confidence: 99%

“…Electronic medical records and electronic health records are the most important. Other types of records include personal health records, genomic point-of-care records, oncology patient records, and records for drug/pharmaceutical networks [21]. Of all the record types, the ones that have undergone the most research are electronic health records (EHRs), electronic medical records (EMRs), and personal health records (PHRs) [22].…”

Section: Introductionmentioning

confidence: 99%

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Analysis of Publications on Health Information Management Using the Science Mapping Method: A Holistic Perspective

Tengilimoğlu,

Orhan,

Şenel Tekin

et al. 2024

Healthcare

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Objective: In the age of digital transformation, there is a need for a sustainable information management vision in health. Understanding the accumulation of health information management (HIM) knowledge from the past to the present and building a new vision to meet this need reveals the importance of understanding the available scientific knowledge. With this research, it is aimed to examine the scientific documents of the last 40 years of HIM literature with a holistic approach using science mapping techniques and to guide future research. Methods: This study used a bibliometric analysis method for science mapping. Co-citation and co-occurrence document analyses were performed on 630 academic publications selected from the Web of Science core collection (WoSCC) database using the keyword “Health Information Management” and inclusion criteria. The analyses were performed using the R-based software Bibliometrix (Version 4.0; K-Synth Srl), Python (Version 3.12.1; The Python Software Foundation), and Microsoft® Excel® 2016. Results: Co-occurrence analyses revealed the themes of personal health records, clinical coding and data quality, and health information management. The HIM theme consisted of five subthemes: “electronic records”, “medical informatics”, “e-health and telemedicine”, “health education and awareness”, and “health information systems (HISs)”. As a result of the co-citation analysis, the prominent themes were technology acceptance, standardized clinical coding, the success of HISs, types of electronic records, people with HIM, health informatics used by consumers, e-health, e-mobile health technologies, and countries’ frameworks and standards for HISs. Conclusions: This comprehensive bibliometric study shows that structured information can be helpful in understanding research trends in HIM. This study identified critical issues in HIM, identified meaningful themes, and explained the topic from a holistic perspective for all health system actors and stakeholders who want to work in the field of HIM.

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Section: Evaluation Of Co-occurrence Analysismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Analysis of Publications on Health Information Management Using the Science Mapping Method: A Holistic Perspective

Tengilimoğlu,

Orhan,

Şenel Tekin

et al. 2024

Healthcare

View full text Add to dashboard Cite

show abstract

“…Blockchain offered an interesting solution to overcome these problems, using distributed ledger technology and cryptography in a data-centric way [7]. It has created opportunities for policymakers in various areas-from banking and finance, to healthcare and education [8]. In spite of the advantages, it suffered from a scalability problem that requires users to pay high fees and to wait for hours for the approval of transactions [9].…”

Section: Introductionmentioning

confidence: 99%

Holochain: a novel technology without scalability bottlenecks of blockchain for secure data exchange in health professions education

et al. 2022

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The efficacy of health professions education (HPE) is more and more reliant on leveraging new technologies as they emerge. The nascent "Web 3.0" is shifting us away from traditional centralized architectures for capture and storage of information, and aims to decentralize and distribute it. Blockchain has received a large amount of attention as a promising "Web 3.0" technology and has been applied in the HPE setting. In this paper we argue that blockchain has two core issues which have prevented its widespread adoption: scalability and environmental impact. The architecture of blockchain means that all participating nodes must store and validate all of the data. This creates a large amount of overhead, which does not scale well. Similarly, there is growing awareness that the energy requirements of validating blockchain transactions run counter to global efforts to mitigate climate change. Holochain, however, is a novel Web 3.0 technology that aims to overcome both of these issues. Its architecture is fundamentally different to blockchain, by virtue of being "agent-centric" rather than "data-centric". That is, each piece of data does not need to be globally validated-and yet Holochain can still guarantee data validity and integrity. We identify that specific challenges in the HPE setting-tracking educational activities, accountable mechanisms for observing entrustable professional activities, and validation of third-party certification and credentialing-can all be achieved elegantly in Holochain, without experiencing any of the disadvantages evidenced in blockchain.

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Predictors of e-Nabız acceptance among physicians: an integration of UTAUT, trust, and privacy factors

Şahin,

Kurutkan,

Arslan

2024

JSTPM

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Purpose Today, e-government (electronic government) applications have extended to the frontiers of health-care delivery. E-Nabız contains personal health records of health services received, whether public or private. The use of the application by patients and physicians has provided efficiency and cost advantages. The success of e-Nabız depends on the level of technology acceptance of health-care service providers and recipients. While there is a large research literature on the technology acceptance of service recipients in health-care services, there is a limited number of studies on physicians providing services. This study aims to determine the level of influence of trust and privacy variables in addition to performance expectancy, effort expectancy, social influence and facilitating factors in the unified theory of acceptance and use of technology (UTAUT) model on the intention and behavior of using e-Nabız application. Design/methodology/approach The population of the study consisted of general practitioners and specialist physicians actively working in any health facility in Turkey. Data were collected cross-sectionally from 236 physicians on a voluntary basis through a questionnaire. The response rate of data collection was calculated as 47.20%. Data were collected cross-sectionally from 236 physicians through a questionnaire. Descriptive statistics, correlation analysis and structural equation modeling were used to analyze the data. Findings The study found that performance expectancy, effort expectancy, trust and perceived privacy had a significant effect on physicians’ behavioral intentions to adopt the e-Nabız system. In addition, facilitating conditions and behavioral intention were determinants of usage behavior (p < 0.05). However, no significant relationship was found between social influence and behavioral intention (p > 0.05). Originality/value This study confirms that the UTAUT model provides an appropriate framework for predicting factors influencing physicians’ behaviors and intention to use e-Nabız. In addition, the empirical findings show that trust and perceived privacy, which are additionally considered in the model, are also influential.

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Applications of Blockchain Technologies in Health Services: A General Framework for Policymakers

Cited by 4 publications

References 65 publications

Analysis of Publications on Health Information Management Using the Science Mapping Method: A Holistic Perspective

Analysis of Publications on Health Information Management Using the Science Mapping Method: A Holistic Perspective

Holochain: a novel technology without scalability bottlenecks of blockchain for secure data exchange in health professions education

Predictors of e-Nabız acceptance among physicians: an integration of UTAUT, trust, and privacy factors

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