Scalability Challenges in Healthcare Blockchain System—A Systematic Review

Blockchain technology is a private, secure, trustworthy, and transparent information exchange performed in a decentralised manner. In this case, the coordination and validation efforts are simplified as the records are designed to update regularly and there is no difference in the two databases. Thi...

Full description

Bibliographic Details
Main Authors: Ahmad Akmaluddin Mazlan, Salwani Mohd Daud, Suriani Mohd Sam, Hafiza Abas, Siti Zaleha Abdul Rasid, Muhammad Fathi Yusof
Format: Article
Language:English
Published: IEEE 2020-01-01
Series:IEEE Access
Subjects:
Online Access:https://ieeexplore.ieee.org/document/8968381/
_version_ 1818665265917853696
author Ahmad Akmaluddin Mazlan
Salwani Mohd Daud
Suriani Mohd Sam
Hafiza Abas
Siti Zaleha Abdul Rasid
Muhammad Fathi Yusof
author_facet Ahmad Akmaluddin Mazlan
Salwani Mohd Daud
Suriani Mohd Sam
Hafiza Abas
Siti Zaleha Abdul Rasid
Muhammad Fathi Yusof
author_sort Ahmad Akmaluddin Mazlan
collection DOAJ
description Blockchain technology is a private, secure, trustworthy, and transparent information exchange performed in a decentralised manner. In this case, the coordination and validation efforts are simplified as the records are designed to update regularly and there is no difference in the two databases. This review focuses on how the blockchain addresses scalability challenges and provides solutions in the healthcare field through the implementation of blockchain technology. Accordingly, 16 solutions fell under two main areas, namely storage optimization and redesign of blockchain. However, limitations persist, including block size, high volume of data, transactions, number of nodes, and protocol challenges. This review consists of six stages, namely identification of research question, procedures of research, screening of relevant articles, keywording based on the abstract, data extraction, and mapping process. Through Atlas.ti software, the selected keywords were used to analyse through the relevant articles. As a result, 48 codes and 403 quotations were compiled. Manual coding was performed to categorise the quotations. The codes were then mapped onto the network as a mapping process. Notably, 16 solutions fell under two main areas, namely storage optimization and redesign of blockchain. Basically, there are 3 solutions compiled for storage optimization and 13 solutions for the redesign of the blockchain, namely blockchain modelling, read mechanism, write mechanism, and bi-directional network.
first_indexed 2024-12-17T05:45:54Z
format Article
id doaj.art-c6c5583c0c194fa895dbe9f4592796d9
institution Directory Open Access Journal
issn 2169-3536
language English
last_indexed 2024-12-17T05:45:54Z
publishDate 2020-01-01
publisher IEEE
record_format Article
series IEEE Access
spelling doaj.art-c6c5583c0c194fa895dbe9f4592796d92022-12-21T22:01:19ZengIEEEIEEE Access2169-35362020-01-018236632367310.1109/ACCESS.2020.29692308968381Scalability Challenges in Healthcare Blockchain System—A Systematic ReviewAhmad Akmaluddin Mazlan0https://orcid.org/0000-0003-1625-4841Salwani Mohd Daud1https://orcid.org/0000-0002-4329-1202Suriani Mohd Sam2https://orcid.org/0000-0002-2965-2075Hafiza Abas3https://orcid.org/0000-0003-0137-3127Siti Zaleha Abdul Rasid4https://orcid.org/0000-0001-7200-6899Muhammad Fathi Yusof5https://orcid.org/0000-0002-0859-7820Razak Faculty of Technology and Informatics (RFTI), Universiti Teknologi Malaysia (UTM), Kuala Lumpur, MalaysiaRazak Faculty of Technology and Informatics (RFTI), Universiti Teknologi Malaysia (UTM), Kuala Lumpur, MalaysiaRazak Faculty of Technology and Informatics (RFTI), Universiti Teknologi Malaysia (UTM), Kuala Lumpur, MalaysiaRazak Faculty of Technology and Informatics (RFTI), Universiti Teknologi Malaysia (UTM), Kuala Lumpur, MalaysiaAzman Hashim International Business School (AHIBS), Universiti Teknologi Malaysia (UTM), Kuala Lumpur, MalaysiaRazak Faculty of Technology and Informatics (RFTI), Universiti Teknologi Malaysia (UTM), Kuala Lumpur, MalaysiaBlockchain technology is a private, secure, trustworthy, and transparent information exchange performed in a decentralised manner. In this case, the coordination and validation efforts are simplified as the records are designed to update regularly and there is no difference in the two databases. This review focuses on how the blockchain addresses scalability challenges and provides solutions in the healthcare field through the implementation of blockchain technology. Accordingly, 16 solutions fell under two main areas, namely storage optimization and redesign of blockchain. However, limitations persist, including block size, high volume of data, transactions, number of nodes, and protocol challenges. This review consists of six stages, namely identification of research question, procedures of research, screening of relevant articles, keywording based on the abstract, data extraction, and mapping process. Through Atlas.ti software, the selected keywords were used to analyse through the relevant articles. As a result, 48 codes and 403 quotations were compiled. Manual coding was performed to categorise the quotations. The codes were then mapped onto the network as a mapping process. Notably, 16 solutions fell under two main areas, namely storage optimization and redesign of blockchain. Basically, there are 3 solutions compiled for storage optimization and 13 solutions for the redesign of the blockchain, namely blockchain modelling, read mechanism, write mechanism, and bi-directional network.https://ieeexplore.ieee.org/document/8968381/Blockchainhealthcarescalabilitysystematic review
spellingShingle Ahmad Akmaluddin Mazlan
Salwani Mohd Daud
Suriani Mohd Sam
Hafiza Abas
Siti Zaleha Abdul Rasid
Muhammad Fathi Yusof
Scalability Challenges in Healthcare Blockchain System—A Systematic Review
IEEE Access
Blockchain
healthcare
scalability
systematic review
title Scalability Challenges in Healthcare Blockchain System—A Systematic Review
title_full Scalability Challenges in Healthcare Blockchain System—A Systematic Review
title_fullStr Scalability Challenges in Healthcare Blockchain System—A Systematic Review
title_full_unstemmed Scalability Challenges in Healthcare Blockchain System—A Systematic Review
title_short Scalability Challenges in Healthcare Blockchain System—A Systematic Review
title_sort scalability challenges in healthcare blockchain system x2014 a systematic review
topic Blockchain
healthcare
scalability
systematic review
url https://ieeexplore.ieee.org/document/8968381/
work_keys_str_mv AT ahmadakmaluddinmazlan scalabilitychallengesinhealthcareblockchainsystemx2014asystematicreview
AT salwanimohddaud scalabilitychallengesinhealthcareblockchainsystemx2014asystematicreview
AT surianimohdsam scalabilitychallengesinhealthcareblockchainsystemx2014asystematicreview
AT hafizaabas scalabilitychallengesinhealthcareblockchainsystemx2014asystematicreview
AT sitizalehaabdulrasid scalabilitychallengesinhealthcareblockchainsystemx2014asystematicreview
AT muhammadfathiyusof scalabilitychallengesinhealthcareblockchainsystemx2014asystematicreview