Blockchain technology is touted as being potentially revolutionary, but what’s the view
for the healthcare sector? Known for being an industry that’s slow to adopt and adapt to
new tech, could there be any value in Blockchain for healthcare? HealthManagement.org
spoke to four Blockchain experts for their views.
Kamales
Lardi
Managing Partner
Lardi & Partner
Consulting
GmbH,
President, Women
In Blockchain, Switzerland
@KamLardi
Blockchain technology initially gained recognition
in the framework of the cryptocurrency Bitcoin.
However, the benefits of Blockchain go far beyond
offering a simple payment method for medical bills
and healthcare with cryptocurrencies. Blockchain is
an immutable, digitally-distributed ledger system that
provides the medical industry with real-time, universal
records.
Application of Blockchain technology will allow all
stakeholders in the healthcare industry to access a
single source of records that are timestamped and
tamper-proof, from anywhere in the world. In addition
to patients being able to fully manage their data
and control who gets access to it, they will be able
to remain anonymous and, potentially even monetise
their data. For example, there are new marketplace
models that allow patients to receive tokens (cryptocurrency
payments) in exchange for use of their data
in pharmaceutical trials.
Blockchain creates new security and data privacy
standards that never existed before. In order to tamper
with records, all nodes in a Blockchain network need
to be changed, making it extremely difficult to carry
out. This prevents incidents that have plagued healthcare
institutions where hackers accessed computer
systems and held data ransom. The combination of
Blockchain with other disruptive technologies such as
artificial intelligence and internet of things enables
real-time data collection, transparent supply chain
management, increased integrity of clinical research
results, optimised processes for payments, claims
management, and regulatory compliance, to name
a few
I believe Blockchain can
be a transformative technology
solution for the healthcare
industry, effectively
addressing key challenges
and disrupting business
models that currently fall
short of global needs.
However, as with any
technology solution,
Blockchain is just an
enabler. Successful
transformation for
the industry will
depend on creating
sustainable business
models and changing
traditional mind-sets to
focus on people’s needs.
Christian Lovis
Professor and Chairman
Division of Medical Information Sciences,
University Hospitals of Geneva (HUG)
IT Editor-in-Chief, HealthManagement.org
@chr_lovis
Firstly, there is no such thing as “the right technology for healthcare.” However,
there are appropriate technologies to address specific challenges in healthcare,
at least as long they are not replaced by the next technology. Blockchain
is a distributed ledger. A distributed ledger is a database spread across several
nodes where each node replicates and saves an identical copy of the ledger.
Blockchain organises the database in blocks and validates addition to the database
through a consensual method between nodes. Blockchain could address
the problem of identities: a trusted source for the ID’s of citizen, care providers,
and other stakeholders. This is a major problem in the healthcare sector which
becomes even worse when it goes transborder. Blockchain cannot solve the
problem of data interoperability, but it can address accessibility of data and
trace exchanges. This would suppose however to have a trusted source for citizens
and providers identities, which is not yet the case. Blockchain could help
developing a global, shared and dynamic approach to consent management,
crossing the boundaries of research and care. There are some other points, but the
important message is that Blockchain is a great technology that will really help
addressing specific important challenges of the healthcare system.
Mark Abrams
Director of Patient
Engagement
Heartbeat Health, U.S.
@heartbeat
As a field that prides itself on data, technology, and being
on the cutting edge, cardiology has the potential to
benefit highly from a new infrastructure built to help implement
evidence-based medicine. By decentralising information
about patient care, research, cost effectiveness,
and clinical outcomes, Blockchain technology truly has the
power to recreate the foundation on which our system
operates, providing a turbo boost in a field ripe for innovation.
It could be the “X factor” that brings us to a next level
we can’t even imagine. Overall, I see Blockchain playing an
important role in cardiology in the years to come.”
Axel
Schumacher
Founder & Chief Scientific Officer
Shivom, Germany
@methylogix
It is impossible for me to overstate the
importance of Blockchain to the healthcare
industry. Healthcare will increasingly
move into the digital area, and
that means sensitive healthcare data
needs to be collected securely, shared,
analysed and adequately controlled.
For all those steps, distributed
ledgers are highly useful. For
example, using immutable
Blockchain technology,
all stakeholders in the
healthcare vertical can
easily share data with
anyone without the
fear of data corruption
or tampering. There
will always be absolute
proof and confidence
that a medical record, research data or anonymised
genomic data, cannot be altered. Blockchain-based
micropayments can help
to incentivise people to participate in
medical research by contributing their
anonymised data to clinical trials. Using
smart contracts and automated digital
consents, patients can be empowered to
manage their own health. Blockchain will
also improve the pharma supply chain,
enable trust-free collaboration, improve
interoperability and help to fight counterfeit
drugs and insurance fraud. Blockchain
in healthcare will be particularly
disruptive if it is combined with other
technologies, ie artificial intelligence.
Despite some resistance, there cannot
be any doubt that Blockchain should and
will disrupt and improve many parts of
the healthcare ecosystem.