Do you know how much blockchain technology it’s worth for healthcare providers? I do because I have been working in Healthcare I have worked alongside with programmers to develop Healthcare products and they all have the same flaw, there’s always somebody who can go back in the records and change them, and it’s system has a hard time communicating with another system and basically you are not in control over your own health care records
Basic documentation 101
As a certified nursing assistant, I am qualified to write about documentation and the basics and documentation and we need this in order to understand why blockchain can change the way we do things. a little background is also needed so I have worked in Home Care, on somatic Hospitals and on psychiatric hospitals, so I have been around a lot of different aspects of health care both physical and mental and when it comes to the documentation all programs I have tried has a lot of the same flaws.
the first problem I will print out with current system in use in Denmark and I know for a fact that the same problem arises in almost any Healthcare system that is not completely centralised, the exchange of data right now my patients can see what I write they can even complain about it but they have little to no control over it, if it is needed for treatment I don’t need to ask permission to exchange data with and other Healthcare provider, but if I am to deliver information without being needed for an exact treatment I need to ask permission. and as it is today we need a written permission. Of course it’s a good thing that we don’t just give out the data to left and right. But when I discharge a patient I am of course needed to inform The local physician and if they receive home care I need to inform them so that the staff of the home care knows that they need to visit the patient, But I am only allowed to say that they have been discharged. of course my patient can go in and their own profile through the Danish digital joined access to the Healthcare system, Then from their print out their records and give them to their local physician. but I cannot send the records directed to the physician not even if the patient allows me to. I I can sit down and write a summary of what has happened in the hospital which usually takes an hour to an hour and a half and then send it to the local physician, so a lot of time is wasted on writing this summary of admission. And if you read further on you will see the possibilities of blockchain technology as a way of solving the problem where the individual patient can choose which record to send to the local physician to the hospital and so on.
Second problem often run into Healthcare record keeping it’s difficult because every system tries to be everything, so if I am at the hospital the system tries also to be something the local physician can use the home care can use and it is simply not possible to make an efficient system that does it all and with blockchain technology we can get specialised systems and still have a common record I will get more into that later in the article.
The third problem is that Healthcare record keeping is big and complex there’s a lot of aspects to a patient there’s more than just what we see and to get a full overview of the patients we will have to look closely through a lot of Records and there’s no smart way of getting a summary there’s no smart way of summing up the patient into one piece and to solve this problem we need more than just blockchain but blockchain is the beginning.
And the last problem is that no matter how big and complex systems you make it’s actually possible to go back correct your mistakes without anyone knowing it even though the movement and the computer I’m using is put into a log, there are still people who have a bag access to the system in order to correct mistakes but there’s back excess can also be misused two change patient records, and if you know little about blockchain you know this will solve the problem in a quick and easy way.
Government’s need to act
if I want a blockchain to manage my Healthcare records why do I need the governments To be a part of it, well I’m not saying they should maintain the blockchain but in order to remove the cash incentive from the blockchain we need to have a central authority overseeing the blockchain, but we could then demand that hospitals and bigger institutions ho want access to the blockchain Also take part in maintaining the black chain and we might need more than one chain to store all the information, but if we can solve the basic issue with storage space. We only need one chain, And to see there’s no cash incentive it’s a bit of an understatement even in public Healthcare systems we aim to deliver good service And all government’s can demant they take part in maintaining the blockchain and fore private Healthcare systems the incentive is to deliver a good and quick service With a minimum of work hours so in that way to increase the profit gained from the individual patient.
and now the government has come soon because the government needs to lay the groundwork and outline how the blockchain is to be used which information goes to the blockchain and which goes to local systems. And since the Department of Health Care in whatever country that chooses to adopt such a system Need to take an active role they will go sometime before we see a good system up and running.
More than one access
But now we know that the system needs to be a decentralized centralised system so we know that a central authority outlines How the records are kept so we Only have one way of keeping records instead of as it is today we have a new way for every system, but this also ensures that we can have specialised systems so on their neurological Ward they would have a system specialised for neurological conditions when it comes to record keeping these records would then be sent to the blockchain, Looking the same way as if it was sent from Any other wards, and if we employ smart systems it will find the relevant data in the blockchain without us having to manually look through all the records. We would still have the access to look beyond what the system to show us but a smart system with machine learning would simply just find it for us, and by looking through the entire blockchain the smart system might even catch some things that the doctors don’t, and because we have a unified documentation ledger, The artificial intelligence in his mad system might suggest to the doctor that a neuro patient, might have a urological disorder. And this is mad because when you work in one specialised field you seem to miss some of the symptoms relating to another field, It was always for women in psychiatric patients have physical disorders that are not getting caught quite in time. And the other benefit for the Physicians, nurses and other Healthcare staff is that a specialised system would require you to document less, and since it’s a blockchain system we can get monitoring equipment to send the data directly to the blockchain, We just need to have a big focus on security.
The patient is in control
By using a kind of token system we can give absolute control over the Healthcare records to the patient, So if I don’t want my Primary Care physician to know what has happened while on my last stay at the hospital, I can simply through an app on a phone or on the computer, go in and say and this is not for you to see I love by not giving the position the token which allows to see or reverse it and say ok my tokens is what I don’t want others to see. Of course they still need to be an emergency access to a person’s health records And this emergency exit should only be available to emergency rooms and emergency personnel, and maybe even make it simple so it only shows what allergies a patient man have, what known conditions patient might have and any ongoing treatments. Because in an emergency situation you don’t need to look through the entire record you just need to know the basics about the patient and away we can secure the access for it is why fingerprint or retinal scan, only the accessibility of technology sets the limits.
The thing there’s also needs to be developed is when we take away the legal status of a person to control one’s own treatment, is a system that allows us to access all records of the patient without their consent when it is needed in my mind no doctor should be allowed to do with alone, In Denmark we have a system where two doctors have to agree when it is in the psychiatric system and if it’s outside of the psychiatric system at judge need to approve of it and that system also needs to be in place for the safety and security of the patient. And that is why it does more complicated than just creating a blockchain to create a well-rounded Healthcare system.
in conclusion we have only touched the basics of a well-rounded Healthcare system so I would love to hear your input and what you think of a blockchain based Healthcare system will leave your comment down below and don’t be afraid to speak your mind nothing is wrong even if no one agrees with you, then your opinion still matters.
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I have a background in cryptocurrencies I have been into the cryptocurrency game since 2011