Blockchain-based Privacy-preserving Data Sharing in Healthcare Systems

Authors

  • Ushaa Eswaran Principal and Professor, Department of ECE, Indira Institute of Technology and Sciences, Markapur, Andhra Pradesh, India
  • Vivek Eswaran Senior Software Engineer, Tech Lead at Medallia, Austin, Texas, United States
  • Keerthna Murali Secure Connection: Cybersecurity, Site Reliability Engineer II (SRE) at Dell EMC | CKAD | AWS CSAA, United States
  • Vishal Eswaran Senior Data Engineer at CVS Health Centre, Dallas, Texas, United States

Keywords:

Blockchain, healthcare, data sharing, privacy, security, decentralization

Abstract

Healthcare systems contain expansive yet fragmented sensitive data necessitating secure consolidated access mechanisms respecting patient consent preferences continually. This research develops a decentralized blockchain framework orchestrating granular authorization using cryptography while demonstrating efficacy via clinical implementations optimizing cancer diagnostics through aggregated genome analysis otherwise prohibited under isolated datasets. Comparative benchmarking against traditional database models evaluates correctness, interoperability, and auditability improvements using multiparty endorsement affirming consented transactions. Quantified metrics guide technology adoption trade-offs balancing security, privacy and utility based on contextual needs. Reference implementations confirm 50% enhancement in cohort analytical power reinforced by robust threat protections unalterable absent collusion. Resultant principles inform medical data sharing governance given diversifying data accumulation, computational capabilities and patient participatory expectations entering the digital health era.

References

Pandey P, Voorsluys W, Niu S, Khandoker A, Buyya R. An internet of things framework for the healthcare system: use cases, challenges and blockchain solutions. Int J Netw Distrib Comput. 2021; 9 (3): 174–192. doi: 10.2991/ijndc.k.210304.003.

Kuo TT, Kim HE, Ohno-Machado L. Blockchain distributed ledger technologies for biomedical and health care applications. J Am Med Inform Assoc. 2019; 24 (6): 1211–1220. doi: 10.1093/jamia/ocz068.

Wu F, Wu T, Yuce MR, Lu JC. Protecting personal health information in internet of things systems: challenges, current solutions and future opportunities. IEEE Access. 2018; 6: 3660–3671. doi: 10.1109/ACCESS.2018.2790760.

Kaur H, Alam MA, Jameel R, Mourya AK, Chang V. A proposed healthcare system using blockchain technology. Healthcare. 2020; 8 (4): 461. doi: 10.3390/healthcare8040461.

Jiang S, Cao J, Wu H, Yang Y, Ma M, He J. BC-PPS: A blockchain-based privacy-preserving data sharing for electronic medical records. IEEE Access. 2020; 8: 185487–185498. doi: 10.1109/ACCESS.2020.3028575.

Hardjono T, Smith N. Cloud-based commissioning of constrained IoT devices using permissioned blockchains. IEEE Access. 2021; 9: 107674–107686. doi: 10.1109/ACCESS.2021.3110943.

Griggs KN, Ossipova O, Kohlios CP. Healthcare blockchain system using smart contracts for secure automated remote patient monitoring. J Med Syst. 2021; 45 (1): 1–7. doi: 10.1007/s10916-020-01665-w.

Rao A, Shin R. Nine patient privacy breaches reported over 12 months in one health system using cloud-based EHR. Int J Med Inform. 2020; 141: 104227. doi: 10.1016/j.ijmedinf.2020.104227.

Abbas A, Khan SU. A review on the state-of-the-art privacy-preserving approaches in the e-health clouds. IEEE Biomed Health Inform. 2014; 18 (4): 1431–1441. doi: 10.1109/JBHI.2014.2300753.

Abay NC, Zhou Y, Kantarcioglu M, Thuraisingham B, Sweeney L. Privacy preserving synthetic data release using deep learning. In: Proceedings of Machine Learning and Knowledge Discovery in Databases: European Conference, ECML PKDD. 2018, Sep 10-14. Part I; 2019. Dublin, Ireland: Springer International Publishing; p. 510–526.

Published

2023-12-20