Decentralized Telemedicine Framework for a Smart Healthcare Ecosystem

Abugabah, Ahed; Nizamuddin, Nishara; AlZubi, Ahmad Ali

doi:10.1109/access.2020.3021823

Cited by 49 publications

(22 citation statements)

References 43 publications

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“…Ahed et al 16 proposed a solution for providing remote diagnostics and prescription through Telemedicine, as standard healthcare institutions are not present there. Also, due to technological advancements, telemedicine can be provided at a cheaper rate and patients can be benefitted from high‐quality diagnostics.…”

Section: Literature Reviews and Discussionmentioning

confidence: 99%

Decentralized secure storage of medical records using Blockchain and IPFS: A comparative analysis with future directions

Kumar

Bharti

Amin

2021

Security and Privacy

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Most of the hospitals store their patient's data locally and some even do not have any backup storage. This poses a real threat of data loss or data corruption. Although many hospitals are migrating to cloud storage, the clouds have their own threat vectors. Recently, various health care providers were hit by ransomware and Distributed Denial of Service attacks during the COVID‐19 outbreak. Due to these attacks, many emergency services were halted, affecting hundreds of thousands without any healthcare. Another problem with these traditional database practices is that they often misplace or mix the patient's data, which, needless to say, have severe complications. Many researchers are working on IPFS and Blockchain technology to improve the storage of medical records. This article presents a detailed study of the IPFS and Blockchain based healthcare secure storage solutions. It analyzes the existing solutions and their architecture, which will further facilitate the future research and development of emerging IPFS and Blockchain technologies.

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Section: Literature Reviews and Discussionmentioning

confidence: 99%

Decentralized secure storage of medical records using Blockchain and IPFS: A comparative analysis with future directions

Kumar

Bharti

Amin

2021

Security and Privacy

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“…The primary goal of this system is to eliminate third parties and resolve the vulnerability issues in remote monitoring. In other studies [21,22], researchers created a secure and trusted digital environment using a smart contract-based healthcare system to prevent data breaches in electronic health records (EHRs). To attain decentralized data management in healthcare, the authors of [16] proposed a framework to store patient EHRs in a decentralized, patient-centric framework that allows patients to control their data using a rule-based smart contract.…”

Section: Related Work 21 Blockchain and Ai In Healthcare Systemsmentioning

confidence: 99%

A Blockchain and Artificial Intelligence-Based, Patient-Centric Healthcare System for Combating the COVID-19 Pandemic: Opportunities and Applications

Jabarulla

Lee

2021

Healthcare

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The world is facing multiple healthcare challenges because of the emergence of the COVID-19 (coronavirus) pandemic. The pandemic has exposed the limitations of handling public healthcare emergencies using existing digital healthcare technologies. Thus, the COVID-19 situation has forced research institutes and countries to rethink healthcare delivery solutions to ensure continuity of services while people stay at home and practice social distancing. Recently, several researchers have focused on disruptive technologies, such as blockchain and artificial intelligence (AI), to improve the digital healthcare workflow during COVID-19. Blockchain could combat pandemics by enabling decentralized healthcare data sharing, protecting users’ privacy, providing data empowerment, and ensuring reliable data management during outbreak tracking. In addition, AI provides intelligent computer-aided solutions by analyzing a patient’s medical images and symptoms caused by coronavirus for efficient treatments, future outbreak prediction, and drug manufacturing. Integrating both blockchain and AI could transform the existing healthcare ecosystem by democratizing and optimizing clinical workflows. In this article, we begin with an overview of digital healthcare services and problems that have arisen during the COVID-19 pandemic. Next, we conceptually propose a decentralized, patient-centric healthcare framework based on blockchain and AI to mitigate COVID-19 challenges. Then, we explore the significant applications of integrated blockchain and AI technologies to augment existing public healthcare strategies for tackling COVID-19. Finally, we highlight the challenges and implications for future research within a patient-centric paradigm.

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“…More specifically, the existing studies have mainly focused on securing patients’ EHR [16] , [10] , [22] , traceability of COVID-19 outbreak [23] , [24] , [25] , drugs supply chain management [26] , [18] , [27] , [28] , and digitization of telemedicine industry [29] , [30] , [14] . An Ethereum-based telemedicine solution presented in [31] has preserved the integrity of EHR by storing IPFS hashes of EHR in the decentralized network. Another system proposed in [32] has combined artificial intelligence (AI) and blockchain technology for securing and monetizing the patient's health data.…”

Section: Introductionmentioning

confidence: 99%