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216     CHAPTER 8 BLOCKCHAIN IN HEALTHCARE: CHALLENGES AND SOLUTIONS






              Table 8.4 Capability of Blockchain With Respect to Challenge Offered From Healthcare
              Big Data
              Factors       Healthcare Big Data Challenge      Blockchain Solution
              Data          Data are producing in a fragmented decentral  Computer networks and the connected
              fragmentation  way. Patients, doctors, clinic, therapists,  decentralized system can create a network
                            analytics are producing data separately.  among all groups (blockchain nodes).
              Concurrent and  Manual collaboration, privacy policy, and  Distributed blockchain can secure concurrent
              timely access  negotiation hamper timely access and  analysis on the same set of data without any
                            concurrent analysis.               risk of data manipulation (blockchain are
                                                               immutable).
              System        Trust issue (data and person) generates unrest  Blockchain verify participating nodes and
              scalability   in collaboration among parties.    associated data, which eliminates all risk
                                                               (node and data authentication through
                                                               consensus algorithm).
              Sensor (IoT)  Thousands of IoT devices are in use to collect  Blockchain can secure IoT device by device
              data handling  and distribute data, which are difficult to track  communication and data by creating a private
                            and handle.                        blockchain network among themselves.
              Data and      Data handlers should not be open and there  Blockchain can use its three types (private,
              access        must be some regulations for distribution.  public, and consortium) of user scope to
              consistency                                      define owner’s selected data processors and
                                                               regulators.
              Data          Currently, several third parties along with all  Blockchain middlemen less concurrent
              processing cost  individuals do an analysis of data, which  architecture can reduce the operation cost of
                            increases costs.                   data analysis and distribution.
              Data owner’s  Currently, owner’s identities are open and  Blockchain technology offers a secret way of
              privacy       processors are hidden.             data handling where data processing identities
                                                               are open to all. Blockchain can even secure
                                                               data flow and permissions (smart contract).
              Business to   Currently, middlemen and third parties  Blockchain can remove every third party to
              business      manipulate and distribute data to make a  create a territory-less open boundary for data
              communication  profit.                           distribution in a secure way.



             8.4.8 FIGHTING COUNTERFEIT DRUGS
             Fake and low-quality drugs are everywhere. Blockchain technology can help to maintain medicine
             standards by tracking from production to end user feedback. According to a report by the Guardian
             [73] published by the World Health Organization, “One in ten medical products circulating in
             low- and middle-income countries is either substandard or falsified.” Drug production and distribution
             supply chains can be tracked by blockchain technology. WHO is spending 30 billion USD in the fight
             against counterfeit medicine.



             8.4.9 COLLABORATIVE PATIENT ENGAGEMENT
             The patient can form a common community or group for taking care of one another. Blockchain
             technology can maintain the overall monitoring system. Patients also feel uneasy dealing with some
             disease with associated information. All the information and doctors’ decision can be tackled with
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