A survey: blockchain utilization for securing healthcare system

Year 2021, , 324 - 333, 15.08.2021

Elnaz Dadvar , Kubra Kalkan

https://doi.org/10.35860/iarej.809797

Abstract

Nowadays healthcare systems have started to be integrated with Internet of Things (IoT) in order to deliver some benefits in diagnosis and treatment process, such as remote patient monitoring and data usage for analytics and fast treatment. With the rise of IoT healthcare devices, number of electronic health records are increased to a rate that it is estimated to exceed billions in the next few years. Although cloud computing is a practical solution for processing this kind of data, healthcare records contain confidential and sensitive patient data which makes this system very vulnerable to the security and privacy threats, so it needs more investigation. For making this critical information more secure, researchers have come up with a solution of applying blockchain technology in healthcare. In this paper, we review the latest literature of blockchain application in healthcare from the security and privacy perspective. Several existing works have been discussed and a comparative study is done among the published works, along with potential future perspectives.

Keywords

Blockchain Technology, Healthcare System, IoMT, Privacy, Security

References

• 1. Roman-Belmonte, J. M., H. De la Corte-Rodriguez, and E. C. Rodriguez-Merchan, How blockchain technology can change medicine. Postgraduate medicine, 2018. 130(4), p. 420-427.
• 2. Al Omar, A., M. S. Rahman, A. Basu, and S. Kiyomoto, Medibchain: A blockchain based privacy preserving platform for healthcare data. International conference on security, privacy and anonymity in computation, communication, and storage. Springer, Cham, 2017. Volume 10658, pp. 534–543.
• 3. Yaeger, K., M. Martini, J. Rasouli, and A. Costa, Emerging blockchain technology solutions for modern healthcare infrastructure. Journal of Scientific Innovation in Medicine, 2019. 2(1):1.
• 4. Heston, T.F., Why Blockchain Technology Is Important for Healthcare Professionals. SSRN Electronic Journal, 2017. SSRN 3006389. pp. 1-4.
• 5. Rehman, M., N. Javai, M. Awais, M. Imran, and N. Naseer, Cloud based Secure Service Providing for IoTs using Blockchain. IEEE Global Communications Conference (GLOBECOM), 2019. pp. 1-7.
• 6. Gupta, A., S.T. Siddiqui, S. Alam, and M. Shuaib, Cloud Computing Security using Blockchain. J. Emerging Technol. Innovative Res., 2019. 6(6): p. 791-794.
• 7. Soltanisehat, L., R. Alizadeh, H. Hao, and K. K. R. Choo, Technical, Temporal, and Spatial Research Challenges and Opportunities in Blockchain-Based Healthcare: A Systematic Literature Review. IEEE Transactions on Engineering Management, 2020. p. 0018-9391.
• 8. Khezr, S., M. Moniruzzaman, A. Yassine, and R. Benlamri, Blockchain Technology in Healthcare: A Comprehensive Review and Directions for Future Research. Applied sciences, 2019. 9(9): p. 1736.
• 9. Zubaydi, H. D., Y.W. Chong, K. Ko, S. M. Hanshi, and S. Karuppayah, A review on the role of blockchain technology in the healthcare domain. Electronics, 2019. 8(6): p. 679.
• 10. Nakamoto S., Bitcoin: A peer-to-peer electronic cash system. Available from: http://bitcoin.org/bitcoin.pdf, 2009.
• 11. Hölbl, M., M. Kompara, A. Kamišalić, and L. N. Zlatolas, A systematic review of the use of blockchain in healthcare. Symmetry, 2018. 10(10): p. 470.
• 12. Griggs, K. N., O. Ossipova, C. P. Kohlios, A. N. Baccarini, E. A. Howson, and T. Hayajneh, Healthcare blockchain system using smart contracts for secure automated remote patient monitoring. Journal of medical systems, 2018. 42(7): p.130.
• 13. Zhang, A., and X. Lin, Towards secure and privacy-preserving data sharing in e-health systems via consortium blockchain. Journal of medical systems, 2018. 42(8): p.140.
• 14. Rennock, M., A. Cohn, and J. R. Butcher, Blockchain technology and regulatory investigations. Practical Law Litigation, 2018. pp. 35-44.
• 15. Lin, I. C., and T. C. Liao, A survey of blockchain security issues and challenges. IJ Network Security, 2017. 19(5): p. 653-659.
• 16. Zheng, Z., S, Xie, H. N. Dai, X. Chen, and H. Wang, Blockchain challenges and opportunities: A survey. International Journal of Web and Grid Services, 2018. 14(4): p. 352-375.
• 17. Puppala, M., T. He, X. Yu, S. Chen, R. Ogunti, and S. T. Wong, Data security and privacy management in healthcare applications and clinical data warehouse environment. IEEE-EMBS International Conference on Biomedical and Health Informatics (BHI), 2016. pp. 5-8.
• 18. Azaria, A., A. Ekblaw, T. Vieira, and A. Lippman, Medrec: Using blockchain for medical data access and permission management. 2nd International Conference on Open and Big Data (OBD), 2016. pp. 25-30.
• 19. Theodouli, A., S. Arakliotis, K. Moschou, K. Votis, and D. Tzovaras, On the design of a Blockchain-based system to facilitate Healthcare Data Sharing. IEEE International Conference On Trust, Security And Privacy In Computing And Communications (TrustCom/BigDataSE), 2018. pp. 1374-1379.
• 20. Wohrer, M., and U. Zdun, Smart contracts: security patterns in the ethereum ecosystem and solidity. International Workshop on Blockchain Oriented Software Engineering (IWBOSE), 2018. pp. 2-8.
• 21. Liu, H., R. G. Crespo, and O. S. Martínez, Enhancing Privacy and Data Security across Healthcare Applications Using Blockchain and Distributed Ledger Concepts. Multidisciplinary Digital Publishing Institute, 2021. 8(3): p. 243.
• 22. Zhang, P., J. White, D. C. Schmidt, and G. Lenz, Applying Software Patterns to Address Interoperability in Blockchain-Based Healthcare Apps. arXiv preprint arXiv:1706.03700, 2017.
• 23. Ekblaw, A., A. Azaria, J. D. Halamka, and A. Lippman, A Case Study for Blockchain in Healthcare: “MedRec” prototype for electronic health records and medical research data. In Proceedings of IEEE open & big data conference, 2016. (13): p. 13.
• 24. Yang, G., C. Li, and K. E. Marstein, A blockchain‐based architecture for securing electronic health record systems. Concurrency and Computation: Practice and Experience, Wiley, 2019. e5479, 31.
• 25. Kumar, R., and R. Tripathi, Scalable and secure access control policy for healthcare system using blockchain and enhanced Bell–LaPadula model. Journal of Ambient Intelligence and Humanized Computing, 2020. pp. 1-18.
• 26. Chakraborty, S., S. Aich, and H. C. Kim, A secure healthcare system design framework using blockchain technology. IEEE International Conference on Advanced Communication Technology (ICACT), 2019. pp. 260-264.
• 27. de Oliveira, M. T., L. H. Reis, R. C. Carrano, F. L. Seixas, D. C. Saade, C. V. Albuquerque, N. C. Femandes, S. D. Olabarriaga, D. S.V. Medeiros, and D. M. F. Mattos, Towards a blockchain-based secure electronic medical record for healthcare applications. IEEE International Conference on Communications (ICC), 2019. pp. 1-6.
• 28. Zhao, H., P. Bai, Y. Peng, and R. Xu, Efficient key management scheme for health blockchain. CAAI Transactions on Intelligence Technology, 2018. 3(2): p. 114-118.
• 29. Wang, S., D. Zhang, and Y. Zhang, Blockchain-based personal health records sharing scheme with data integrity verifiable. IEEE Access, 2018. 7: p. 102887-102901.
• 30. Shen, B., J. Guo, and Y. Yang, MedChain: Efficient healthcare data sharing via blockchain. Applied sciences, 2019. 9(6): p. 1207.
• 31. Xia, Q., E. B. Sifah, A. Smahi, S. Amofa, and X. Zhang, BBDS: Blockchain-based data sharing for electronic medical records in cloud environments. Information, 2017. 8(2): p. 44.
• 32. Yue, X., H. Wang, D. Jin, M. Li, and W. Jiang, Healthcare data gateways: found healthcare intelligence on blockchain with novel privacy risk control. Journal of medical systems, 2016. 40(10): p. 1-8.
• 33. Srivastava, G., J. Crichigno, and S. Dhar, A light and secure healthcare blockchain for iot medical devices. IEEE Canadian conference of electrical and computer engineering (CCECE), 2019. pp. 1-5.
• 34. Dwivedi, A. D., G. Srivastava, S. Dhar, and R. Singh, A decentralized privacy-preserving healthcare blockchain for IoT. Sensors, 2019. 19(2): p. 326.
• 35. Uddin, M. A., A. Stranieri, I. Gondal, and V. Balasubramanian, Blockchain leveraged decentralized iot ehealth framework. Internet of Things, 2020. 9: p. 100159.
• 36. Tian, H., J. He, and Y. Ding, Medical data management on blockchain with privacy. Journal of medical systems, 2019. 43(2): p. 26.
• 37. Arul, R., Y. D. Al-Otaibi, W. S. Alnumay, U. Tariq, U. Shoaib, and M. J. Piran, Multi-modal secure healthcare data dissemination framework using blockchain in IoMT. Personal and Ubiquitous Computing, 2021. pp. 1-13.
• 38. Chakraborty, S., S. Aich, and H. C. Kim, A secure healthcare system design framework using blockchain technology. International Conference on Advanced Communication Technology (ICACT), 2019. pp. 260-264.
• 39. Fan, K., S. Wang, Y. Ren, H. Li, and Y. Yang, Medblock: Efficient and secure medical data sharing via blockchain. Journal of medical systems, 2018. 42(8): p. 136.
• 40. Li, H., L. Zhu, M. Shen, F. Gao, X. Tao, and S. Liu, Blockchain-based data preservation system for medical data. Journal of medical systems, 2018. 42(8): p. 141.
• 41. Kaur, H., M. A. Alam, R. Jameel, A. K. Mourya, and V. Chang, A proposed solution and future direction for blockchain-based heterogeneous medicare data in cloud environment. Journal of medical systems, 2018. 42(8): p. 156.
• 42. Ismail, L., H. Materwala, and S. Zeadally, Lightweight blockchain for healthcare. IEEE Access 7, 2019. P. 149935-149951.