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...

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Main Authors: Mazlan, A. A., Daud, S. M., Sam, S. M., Abas, H., Rasid, S. Z. A., Yusof, M. F.
Format: Article
Language:English
Published: Institute of Electrical and Electronics Engineers Inc. 2020
Subjects:
Online Access:http://eprints.utm.my/86820/1/AhmadAkmaluddinMazlan2020_ScalabilityChallengesinHealthcareBlockchain.pdf
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author Mazlan, A. A.
Daud, S. M.
Sam, S. M.
Abas, H.
Rasid, S. Z. A.
Yusof, M. F.
author_facet Mazlan, A. A.
Daud, S. M.
Sam, S. M.
Abas, H.
Rasid, S. Z. A.
Yusof, M. F.
author_sort Mazlan, A. A.
collection ePrints
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.
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spelling utm.eprints-868202020-09-30T09:08:36Z http://eprints.utm.my/86820/ Scalability challenges in healthcare blockchain system - a systematic review Mazlan, A. A. Daud, S. M. Sam, S. M. Abas, H. Rasid, S. Z. A. Yusof, M. F. T Technology (General) 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. Institute of Electrical and Electronics Engineers Inc. 2020 Article PeerReviewed application/pdf en http://eprints.utm.my/86820/1/AhmadAkmaluddinMazlan2020_ScalabilityChallengesinHealthcareBlockchain.pdf Mazlan, A. A. and Daud, S. M. and Sam, S. M. and Abas, H. and Rasid, S. Z. A. and Yusof, M. F. (2020) Scalability challenges in healthcare blockchain system - a systematic review. IEEE Access, 8 . pp. 23663-23673. ISSN 2169-3536 https://dx.doi.org/10.1109/ACCESS.2020.2969230 DOI:10.1109/ACCESS.2020.2969230
spellingShingle T Technology (General)
Mazlan, A. A.
Daud, S. M.
Sam, S. M.
Abas, H.
Rasid, S. Z. A.
Yusof, M. F.
Scalability challenges in healthcare blockchain system - a 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 a systematic review
topic T Technology (General)
url http://eprints.utm.my/86820/1/AhmadAkmaluddinMazlan2020_ScalabilityChallengesinHealthcareBlockchain.pdf
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