skip to main content
10.1145/3326365.3326405acmotherconferencesArticle/Chapter ViewAbstractPublication PagesicegovConference Proceedingsconference-collections
research-article

A Framework for the Adoption of Blockchain Technology in Healthcare Information Management Systems: A Case Study of Nigeria

Published: 03 April 2019 Publication History

Abstract

The role of record keeping and information sharing in the health sector cannot be overemphasized. More recently, there has been renewed interest in finding a solution to the issues pertaining to privacy of health records and how these records can be easily accessed by different healthcare providers in healthcare-service delivery. Thus, such records comprise an individual's health history and other information that facilitates healthcare decisions. Furthermore, easy access to a patient's health information is an important aspect of health-service delivery that must be regulated and monitored because of the sensitivity of the information. Current approaches adopted in many hospitals face challenges of missing files, or records, lack of information sharing between healthcare providers, insecure records and also inaccessibility of patients' health information for healthcare providers that are needed to make informed health decisions. Building from a case study grounded in interviews and document review, we propose a scalable framework that supports the adoption of blockchain technology in addressing the issues of privacy, information sharing, and record keeping in the health sector.

References

[1]
Pirkle, C. M., Dumont, A., & Zunzunegui, M. V. (2012). Medical Recordkeeping, Essential but Overlooked Aspect of Quality of Care in Resource-limited Settings. International Journal for Quality in Health Care. Vol 24 No 6, pp. 564--567.
[2]
Abimbola, O., & Japheth, A. (2016). Management and Preservation of Health Records in some Selected Hospitals in Lagos State, Nigeria. International Journal of Information Research. Vol 3 No1, pp. 1601--1605.
[3]
Sikhondze, N. C., & Erasmus, L. (2016). Electronic Medical Records: A developing and Developed Country Analysis. International Association for Management of Technology (IAMOT) 2016 Conference Proceedings. Pp. 273--290.
[4]
Oyegoke, L. (2013). Adoption and Utilization of ICT in Nigeria Hospitals (Government Owned). Pp. 1--39.
[5]
Mathai N., Shiratudin MF., & Sohel, F. (2017). Electronic Health Record Management: Expectations, Issues, and Challenges. Journal of Health & Medical Informatics. Volume 8 No3, pp. 1--5.
[6]
Acquah-swanzy, M. (2015). Evaluating Electronic Health Record Systems in Ghana: The case of Effia Nkwanta Regional Hospital. Pp. 1--148.
[7]
Fitzpatrick, G. (2000). Understanding the Paper Health Record in Practice: Implications for EHRs. In Proceedings of Health Informatics Conference (HIC 2000). Pp. 323--331.
[8]
Howard, J., Clark, E. C., Friedman, A., Crosson, J. C., Pellerano, M., Crabtree, B. F., Karsh, B. T., Jaen, C. R., Bell, D. S., & Cohen, D. J. (2012). Electronic health record impact on work burden in small, unaffiliated, community-based primary care practices. Journal of general internal medicine, 28(1). Pp 107--113.
[9]
Rodriguez, N. J., Murillo, V., Borges, J. A., Ortiz, J., & Sands, D. Z. (2002). A Usability Study of Physicians' Interaction with a Paper-based Patient Record System and a Graphical-based Electronic Patient Record System. Proceedings of AMIA Symposium, pp 667--71.
[10]
Al-Nassar, B.A., Abdullah, M.S., & Osman, W.R. (2011). Overcoming challenges to use Electronic Medical Records System (EMRs) in Jordan Hospitals. International Journal of Computer Science and Network Security, Vol 11, No 8, pp. 51--58.
[11]
Ranck, J. (2011). Health Information and Health Care: The Role of Technology in Unlocking Data and Wellness - A Discussion Paper (Washington, D.C.: United Nations Foundation & Voda- fone Foundation Technology Partnership).
[12]
Adane, K., Muluye, D., & Abebe, M. (2013). Processing Medical Data: A Systematic Review. Archives of public health, Vol 71No1, pp27. pp. 1.
[13]
Xanthidis, D., & Aleisa, E. (2012). eHealth Record and Personal Privacy. International Conference on Information Technology and e-Services, pp 1--8.
[14]
Hillier, J., McMullen, M. S., Chumney, W. M., & Baumer, D. L. (2011). Privacy and Security in the Implementation of Health Information Technology (Electronic Health Records): U.S. and EU Compared. B.U. J. SC. & TECH. L, Vol 17 No 1, pp. 39.
[15]
Kok, O.M,. Basoglu, N., & Daim, T. (2012). Exploring the Success Factors of Electronic Health Record Systems Adoption. Proceedings of PICMET '12: Technology Management for Emerging Technologies, pp. 1471--1477.
[16]
Rezaeibagha, F. (2013). Privacy and Data Security of Electronic Patient Records (EPR) Sharing.
[17]
Walker, J., Leveille, S. G., Ngo, L., Vodicka, E., Darer, J. D., Dhanireddy, S., Elmore, J. G., Feldman, H. J., Lichtenfeld, M. J., Oster, N., Ralston, J. D., Ross, S. E., & Delbanco, T. (2011). Inviting Patients to Read their Doctors' Notes: Patients and Doctors Look Ahead: Patient and Physician Surveys. Annals of Internal Medicine, 155(12), pp 811--819.
[18]
Portela, F., Vilas-Boas, M., Santos, M. F., Abelha, A., Machado, J., Cabral, A., & Aragao, I. (2010). Electronic Health Records in the Emergency Room. IEEE/ACIS 9th International Conference on Computer and Information Science, Yamagata, pp. 195--200.
[19]
Trautman, L., J. (2016). Is Disruptive Blockchain Technology the Future of Financial Services? 69 The Consumer Finance Law Quarterly Report 232. Available at SSRN: https://ssrn.com/abstract=2786186.
[20]
Yli-Huumo J, Ko D, Choi S, Park S, Smolander K (2016) Where Is Current Research on Blockchain Technology? A Systematic Review. PLoS ONE 11(10): e0163477.
[21]
Tapscott, D., & Tapscott, A. (2017). Realizing the Potential of Blockchain: A Multistakeholder Approach to the Stewardship of Blockchain and Cryptocurrencies. Blockchain Whitepaper, pp. 46.
[22]
Randall, D., Goel, P., & Abujamra, R. (2017). Blockchain Applications and Use Cases in Health Information Technology. Journal of Health & Medical Informatics, 8(3), pp. 8--11.
[23]
Manset, D. (2017). Big Data and Privacy Fundamentals: Toward a "Digital Skin". In: Menvielle L., Audrain-Pontevia AF., Menvielle W. (eds) The Digitization of Healthcare. Palgrave Macmillan, London.
[24]
E-Estonia. (2012). Estonian blockchain technology.
[25]
Smart Dubai Global Network. (2017). Case Study Dubai - The First City on the Blockchain.
[26]
Krawiec, RJ., Housman, D., White, M., Filipova, M., Quarre, F., Barr, D., Nesbitt, A., Fedosova, K., Killmeyer, J., Israel, A., & Tsai, L. (2016). Blockchain: Opportunities for healthcare.
[27]
Azogu, I. (2018). A Framework for the Adoption of Blockchain Technology in Healthcare Information Management System: A Case Study of Nigeria, Master thesis, TalTech University, Estonia, https://digi.lib.ttu.ee/i/file.php?DLID=10948&t=1

Cited By

View all

Index Terms

  1. A Framework for the Adoption of Blockchain Technology in Healthcare Information Management Systems: A Case Study of Nigeria

    Recommendations

    Comments

    Information & Contributors

    Information

    Published In

    cover image ACM Other conferences
    ICEGOV '19: Proceedings of the 12th International Conference on Theory and Practice of Electronic Governance
    April 2019
    538 pages
    ISBN:9781450366441
    DOI:10.1145/3326365
    Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

    Publisher

    Association for Computing Machinery

    New York, NY, United States

    Publication History

    Published: 03 April 2019

    Permissions

    Request permissions for this article.

    Check for updates

    Author Tags

    1. Blockchain technology
    2. electronic health records
    3. information sharing

    Qualifiers

    • Research-article
    • Research
    • Refereed limited

    Conference

    ICEGOV2019

    Acceptance Rates

    ICEGOV '19 Paper Acceptance Rate 81 of 171 submissions, 47%;
    Overall Acceptance Rate 350 of 865 submissions, 40%

    Contributors

    Other Metrics

    Bibliometrics & Citations

    Bibliometrics

    Article Metrics

    • Downloads (Last 12 months)54
    • Downloads (Last 6 weeks)2
    Reflects downloads up to 14 Jan 2025

    Other Metrics

    Citations

    Cited By

    View all

    View Options

    Login options

    View options

    PDF

    View or Download as a PDF file.

    PDF

    eReader

    View online with eReader.

    eReader

    Media

    Figures

    Other

    Tables

    Share

    Share

    Share this Publication link

    Share on social media