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Blok-Zincir Teknolojisinin Sağlık Hizmeti Yönetimi Alanına Penetrasyonu: Zorluklar ve Fırsatlar

Yıl 2023, Cilt: 12 Sayı: 3, 930 - 939, 26.09.2023
https://doi.org/10.37989/gumussagbil.1227604

Öz

Blok-zincir teknolojisi, sağlık hizmeti yönetimi alanında yeni teknolojilerden biridir. Bu teknoloji ile ilgili sağlık hizmeti yönetimi alanına ilişkin öne çıkan zorluklar ve fırsatlar teknolojinin alanda kullanılabilirliği ile yakından ilişkilidir. Bu çalışmada, blok-zincir teknolojisinin sağlık hizmeti yönetimi alanına ne düzeyde penetrasyon sağladığı değerlendirilmiştir. Web of Science (WoS) veri tabanı kullanılarak yayınlar elde edilmiştir. Elde edilen yayınlar R programı kullanılarak çeşitli analizlere tabi tutulmuştur. Yürütülen analizler için kullanılan parametreler biblioshiny ile sağlanan değerler çerçevesinde ele alınmıştır. Veri keşfi ve görselleştirmede ggplot2 paketi kullanılmıştır. Bulgulara göre, blok-zincir teknolojisi, sağlık hizmeti yönetimi alanı ile en çok elektronik sağlık kayıtlarının yönetimi ile ilişkisi bağlamında ele alınmıştır. Öne çıkan anahtar kavram ve tematik harita bulguları, blok-zincir teknolojisinin sağlık kayıtlarının yönetilmesinde potansiyel bir araç olabileceğini ortaya koymuştur. Gizlilik, güvenlik, karmaşıklık ve sürdürülebilirlik temel zorluklar olarak öne çıkarken; aktif hasta, sağlık kayıtlarının yönetimi, klinik araştırmaların kalitesi ve güvenirliği, ilaç sektöründe izlem ve tedarik süreçlerinde kullanımı ise teknolojinin yarattığı fırsatlar olarak öne çıkmıştır. Genel olarak değerlendirildiğinde, blok-zincir teknolojisinin sağlık verisinin yönetiminde yepyeni bir paradigma olduğu, bu yönüyle sağlık hizmeti yönetimine hasta, sunucu ve ödeyici perspektiflerinden önemli katkılar sağlayabileceği değerlendirilmektedir.

Kaynakça

  • 1. Kaku, M. (2015). “Geleceğin Fiziği”. Ankara: ODTÜ Geliştirme Vakfı Yayıncılık.
  • 2. Wolfond, G. (2017). “A Blockchain Ecosystem for Digital Identity: Improving Service Delivery in Canada’s Public and Private Sectors”. Technology Innovation Management Review, 7 (10), 35-40.
  • 3. Park, J. ve Park, J. (2017). “Blockchain Security in Cloud Computing: Use Cases, Challenges, and Solutions”. Symmetry, 9 (8), 164.
  • 4. Giungato, P, Rana, R, Tarabella, A. ve Tricase, C. (2017). “Current Trends in Sustainability of Bitcoins and Related Blockchain Technology”. Sustainability, 9 (12), 1-11.
  • 5. Lansiti, M. ve Lakhani, K.R. (2017). “The Truth about Blockchain”. Erişim adresi: https://hbr.org/2017/01/the-truth-about-blockchain (Erişim tarihi: 10 Eylül 2022).
  • 6. Çarkacioğlu, A. (2016). “Kripto-Para Bitcoin”. Ankara: Sermaye Piyasası Kurulu Araştırma Dairesi.
  • 7. Yli-Huumo, J, Deokyoon, K, Sujin, C, Sooyong, P. ve Kari, S. (2016). “Where Is Current Research on Blockchain Technology? A Systematic Review”. PLoS One, 11 (10), 1-27.
  • 8. Marr, B. (2019). “Data Strategy”. Istanbul: MediaCat Publishing. 9. Lee, I. (2017). “Big Data: Dimensions, Evolution, Impacts, and Challenges”. Business Horizons, 60 (3), 293-303.
  • 10. Angraal, S, Krumholz, H.M. ve Schulz, W.L. (2017). “Blockchain Technology: Applications in Health Care”. Circulation: Cardiovascular Quality and Outcomes, 10 (9), 1-3.
  • 11. Benchoufi, M. ve Ravaud, P. (2017). “Blockchain Technology for Improving Clinical Research Quality”. Trials, 18 (1), 1-5.
  • 12. Scott, B, Loonam, J. ve Kumar, V. (2017). “Exploring The Rise of Blockchain Technology: Towards Distributed Collaborative Organizations”. Strategic Change, 26 (5), 423-428.
  • 13. Hoy, M.B. (2017). “An Introduction to the Blockchain and Its Implications for Libraries and Medicine”. Medical Reference Services Quarterly, 36 (3), 273-279.
  • 14. Swan, M. ve de Filippi, P. (2017). “Toward A Philosophy of Blockchain”. Metaphilosophy, 48 (5), 603-619.
  • 15. Banerjee, M, Lee, J. ve Choo, K.K.R. (2017). “A Blockchain Future to Internet of Things Security: A Position Paper”. Digital Communications and Networks, 4 (3), 149-160.
  • 16. Mainelli, M. ve Smith, M. (2015). “Sharing Ledgers for Sharing Economies: An Exploration of Mutual Distributed Ledgers”. The Journal of Financial Perspectives, 3 (3), 38-69.
  • 17. Pop, C, Cioara, T, Antal, M, Anghel, I, Salomie, I. ve Bertoncini, M. (2018). “Blockchain Based Decentralized Management of Demand Response Programs in Smart Energy Grids”. Sensors, 18 (1), 162.
  • 18. Sullivan, C. ve Burger, E. (2017). “E-Residency and Blockchain”. Computer Law and Security Review, 33 (4), 470-481.
  • 19. Li, X, Jiang, P, Chen, T, Luo, X. ve Wen, Q. (2020). “A Survey on the Security of Blockchain Systems”. Future Generation Computer Systems, 107, 841-853.
  • 20. Khan, M.A. ve Salah, K. (2017). “IoT Security: Review, Blockchain Solutions, and Open Challenges”. Future Generation Computer Systems, 82, 395-411.
  • 21. Mattila, J, Seppala, T, Naucler, C, Stahl, R, Tikkanen M, Badenlid, A. ve Seppala, J. (2016). “Industrial Blockchain Platforms: An Exercise in Use Case Development in the Energy Industry”. USA: ETLA Working.
  • 22. Kuo, T.T, Kim, H.E. ve Ohno-Machado, L. (2017). “Blockchain Distributed Ledger Technologies for Biomedical and Health Care Applications”. Journal of the American Medical Informatics Association, 24 (6), 1211-1220.
  • 23. Swan, M. (2015). “Blockchain: Blueprint for A New Economy”. USA: O'Reilly.
  • 24. Engelhardt, M.A. (2017). “Hitching Healthcare to the Chain: An Introduction to Blockchain Technology in the Healthcare Sector”. Technology Innovation Management Review, 7 (10), 22-34.
  • 25. Krawiec, R.J, Housman, D. ve White, M. (2016). “Blockchain: Opportunities for Health Care”. USA: NIST.
  • 26. Randall, D, Goel, P. ve Abujamra, R. (2017). “Blockchain Applications and Use Cases in Health Information Technology”. Journal of Health & Medical Informatics, 8 (3), 8-11.
  • 27. Yue, X, Wang, H, Jin, D, Li, M. ve Jiang, W. (2016). “Healthcare Data Gateways: Found Healthcare Intelligence on Blockchain with Novel Privacy Risk Control”. Journal of Medical Systems, 40, 218.
  • 28. Berwick, D. (2012). “Eliminating Waste in US Health Care”. Journal of the American Medical Association, 307 (14), 1513-1516.
  • 29. Pauwels, B.E. ve Grevatt, N. (2017). “The Social Benefits of Blockchain for Health Data: Securing Patient Privacy and Control”. Washington: Wilson Briefs.
  • 30. McKinsey Company (2011). “Big Data: The Next Frontier for Innovation, Competition, and Productivity”. New York: McKinsey Global Institute.
  • 31. McDonald, D.C. ve Carlson, K.E. (2013). “Estimating the Prevalence of Opioid Diversion by Doctor Shoppers in the United States”. PLoS One, 8 (7), e69241.
  • 32. Byers, J. (2017). “IBM Watson, FDA Aim to Tackle, Tame Blockchain for Data Exchange”. USA: Healthcare Dive.
  • 33. Chen, C. (2017). “Science Mapping: A Systematic Review of the Literature”. Journal of Data, Information and Management, 2 (2), 1-40.
  • 34. Ariaa, M. ve Cuccurullo, C. (2017). “Bibliometrix: An rtool for Comprehensive Science Mapping Analysis”. Journal of Informetrics, 11 (4), 959-975.
  • 35. Zupic, I. (2015). “Bibliometric Methods in Management and Organization”. Organizational Research Methods, 18 (3), 429-472. 36. Pritchard, A. (1969). “Statistical Bibliography or Bibliometrics”. Journal of Documentation, 25 (4), 358-359.
  • 37. Cobo, M, Lopez-Herrera, A, Herrera-Viedma, E. ve Herrera, F. (2011). “Science Mapping Software Tools: Review, Analysis, and Cooperative Study among Tools”. The Journal of the Association for Information Science and Technology, 62 (7), 1382-1402.
  • 38. Martinez, M.A, Cobo, M.J, Herrera, M. ve Herrera-Viedma, E. (2015). “Analyzing the Scientific Evolution of Social Work Using Science Mapping”. Research on Social Work Practice, 25 (2), 257-277.
  • 39. Small, H. (1999). “Visualizing Science by Citation Mapping for Information Science”. Journal of the American Society, 50 (9), 799-813.
  • 40. Dos Santos, R.P. (2017). “On the Philosophy of Bitcoin/Blockchain Technology: Is It A Chaotic, Complex System”. Metaphilosophy, 48 (5), 620-633.

Penetration of Blockchain Technology in Healthcare Management Domain: Challenges and Opportunities

Yıl 2023, Cilt: 12 Sayı: 3, 930 - 939, 26.09.2023
https://doi.org/10.37989/gumussagbil.1227604

Öz

Blockchain technology (Btech) is one of the new technologies in healthcare management domain. Challenges and opportunities are closely related to the usability of the technology. The study aims to evaluate penetration of the technology in healthcare management domain. Web of Science database was utilized to obtain publications. The publications were subjected to various analyses in the R environment. The parameters were handled within the framework of the values provided with biblioshiny package. The ggplot2 package was used for data exploration and visualization. According to the findings, Btech has been discussed in the context of the management of electronic health records. Prominent key concepts and thematic map revealed that the technology could be a potential tool in the management of health records. While privacy, security, complexity, and sustainability stand out as the main challenges; active patients, management of health records, quality and reliability of clinical trials, and its use in monitoring and procurement processes in the pharmaceutical industry stand out as opportunities. In general, Btech is a brand new paradigm in the management of health data, and in this respect, it can make important contributions to healthcare management from the perspectives of patients, providers, and payers.

Kaynakça

  • 1. Kaku, M. (2015). “Geleceğin Fiziği”. Ankara: ODTÜ Geliştirme Vakfı Yayıncılık.
  • 2. Wolfond, G. (2017). “A Blockchain Ecosystem for Digital Identity: Improving Service Delivery in Canada’s Public and Private Sectors”. Technology Innovation Management Review, 7 (10), 35-40.
  • 3. Park, J. ve Park, J. (2017). “Blockchain Security in Cloud Computing: Use Cases, Challenges, and Solutions”. Symmetry, 9 (8), 164.
  • 4. Giungato, P, Rana, R, Tarabella, A. ve Tricase, C. (2017). “Current Trends in Sustainability of Bitcoins and Related Blockchain Technology”. Sustainability, 9 (12), 1-11.
  • 5. Lansiti, M. ve Lakhani, K.R. (2017). “The Truth about Blockchain”. Erişim adresi: https://hbr.org/2017/01/the-truth-about-blockchain (Erişim tarihi: 10 Eylül 2022).
  • 6. Çarkacioğlu, A. (2016). “Kripto-Para Bitcoin”. Ankara: Sermaye Piyasası Kurulu Araştırma Dairesi.
  • 7. Yli-Huumo, J, Deokyoon, K, Sujin, C, Sooyong, P. ve Kari, S. (2016). “Where Is Current Research on Blockchain Technology? A Systematic Review”. PLoS One, 11 (10), 1-27.
  • 8. Marr, B. (2019). “Data Strategy”. Istanbul: MediaCat Publishing. 9. Lee, I. (2017). “Big Data: Dimensions, Evolution, Impacts, and Challenges”. Business Horizons, 60 (3), 293-303.
  • 10. Angraal, S, Krumholz, H.M. ve Schulz, W.L. (2017). “Blockchain Technology: Applications in Health Care”. Circulation: Cardiovascular Quality and Outcomes, 10 (9), 1-3.
  • 11. Benchoufi, M. ve Ravaud, P. (2017). “Blockchain Technology for Improving Clinical Research Quality”. Trials, 18 (1), 1-5.
  • 12. Scott, B, Loonam, J. ve Kumar, V. (2017). “Exploring The Rise of Blockchain Technology: Towards Distributed Collaborative Organizations”. Strategic Change, 26 (5), 423-428.
  • 13. Hoy, M.B. (2017). “An Introduction to the Blockchain and Its Implications for Libraries and Medicine”. Medical Reference Services Quarterly, 36 (3), 273-279.
  • 14. Swan, M. ve de Filippi, P. (2017). “Toward A Philosophy of Blockchain”. Metaphilosophy, 48 (5), 603-619.
  • 15. Banerjee, M, Lee, J. ve Choo, K.K.R. (2017). “A Blockchain Future to Internet of Things Security: A Position Paper”. Digital Communications and Networks, 4 (3), 149-160.
  • 16. Mainelli, M. ve Smith, M. (2015). “Sharing Ledgers for Sharing Economies: An Exploration of Mutual Distributed Ledgers”. The Journal of Financial Perspectives, 3 (3), 38-69.
  • 17. Pop, C, Cioara, T, Antal, M, Anghel, I, Salomie, I. ve Bertoncini, M. (2018). “Blockchain Based Decentralized Management of Demand Response Programs in Smart Energy Grids”. Sensors, 18 (1), 162.
  • 18. Sullivan, C. ve Burger, E. (2017). “E-Residency and Blockchain”. Computer Law and Security Review, 33 (4), 470-481.
  • 19. Li, X, Jiang, P, Chen, T, Luo, X. ve Wen, Q. (2020). “A Survey on the Security of Blockchain Systems”. Future Generation Computer Systems, 107, 841-853.
  • 20. Khan, M.A. ve Salah, K. (2017). “IoT Security: Review, Blockchain Solutions, and Open Challenges”. Future Generation Computer Systems, 82, 395-411.
  • 21. Mattila, J, Seppala, T, Naucler, C, Stahl, R, Tikkanen M, Badenlid, A. ve Seppala, J. (2016). “Industrial Blockchain Platforms: An Exercise in Use Case Development in the Energy Industry”. USA: ETLA Working.
  • 22. Kuo, T.T, Kim, H.E. ve Ohno-Machado, L. (2017). “Blockchain Distributed Ledger Technologies for Biomedical and Health Care Applications”. Journal of the American Medical Informatics Association, 24 (6), 1211-1220.
  • 23. Swan, M. (2015). “Blockchain: Blueprint for A New Economy”. USA: O'Reilly.
  • 24. Engelhardt, M.A. (2017). “Hitching Healthcare to the Chain: An Introduction to Blockchain Technology in the Healthcare Sector”. Technology Innovation Management Review, 7 (10), 22-34.
  • 25. Krawiec, R.J, Housman, D. ve White, M. (2016). “Blockchain: Opportunities for Health Care”. USA: NIST.
  • 26. Randall, D, Goel, P. ve Abujamra, R. (2017). “Blockchain Applications and Use Cases in Health Information Technology”. Journal of Health & Medical Informatics, 8 (3), 8-11.
  • 27. Yue, X, Wang, H, Jin, D, Li, M. ve Jiang, W. (2016). “Healthcare Data Gateways: Found Healthcare Intelligence on Blockchain with Novel Privacy Risk Control”. Journal of Medical Systems, 40, 218.
  • 28. Berwick, D. (2012). “Eliminating Waste in US Health Care”. Journal of the American Medical Association, 307 (14), 1513-1516.
  • 29. Pauwels, B.E. ve Grevatt, N. (2017). “The Social Benefits of Blockchain for Health Data: Securing Patient Privacy and Control”. Washington: Wilson Briefs.
  • 30. McKinsey Company (2011). “Big Data: The Next Frontier for Innovation, Competition, and Productivity”. New York: McKinsey Global Institute.
  • 31. McDonald, D.C. ve Carlson, K.E. (2013). “Estimating the Prevalence of Opioid Diversion by Doctor Shoppers in the United States”. PLoS One, 8 (7), e69241.
  • 32. Byers, J. (2017). “IBM Watson, FDA Aim to Tackle, Tame Blockchain for Data Exchange”. USA: Healthcare Dive.
  • 33. Chen, C. (2017). “Science Mapping: A Systematic Review of the Literature”. Journal of Data, Information and Management, 2 (2), 1-40.
  • 34. Ariaa, M. ve Cuccurullo, C. (2017). “Bibliometrix: An rtool for Comprehensive Science Mapping Analysis”. Journal of Informetrics, 11 (4), 959-975.
  • 35. Zupic, I. (2015). “Bibliometric Methods in Management and Organization”. Organizational Research Methods, 18 (3), 429-472. 36. Pritchard, A. (1969). “Statistical Bibliography or Bibliometrics”. Journal of Documentation, 25 (4), 358-359.
  • 37. Cobo, M, Lopez-Herrera, A, Herrera-Viedma, E. ve Herrera, F. (2011). “Science Mapping Software Tools: Review, Analysis, and Cooperative Study among Tools”. The Journal of the Association for Information Science and Technology, 62 (7), 1382-1402.
  • 38. Martinez, M.A, Cobo, M.J, Herrera, M. ve Herrera-Viedma, E. (2015). “Analyzing the Scientific Evolution of Social Work Using Science Mapping”. Research on Social Work Practice, 25 (2), 257-277.
  • 39. Small, H. (1999). “Visualizing Science by Citation Mapping for Information Science”. Journal of the American Society, 50 (9), 799-813.
  • 40. Dos Santos, R.P. (2017). “On the Philosophy of Bitcoin/Blockchain Technology: Is It A Chaotic, Complex System”. Metaphilosophy, 48 (5), 620-633.
Toplam 38 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Pınar Yalçın Balçık 0000-0001-7949-5779

Hüseyin Demir 0000-0002-8990-7228

Yayımlanma Tarihi 26 Eylül 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 12 Sayı: 3

Kaynak Göster

APA Yalçın Balçık, P., & Demir, H. (2023). Penetration of Blockchain Technology in Healthcare Management Domain: Challenges and Opportunities. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 12(3), 930-939. https://doi.org/10.37989/gumussagbil.1227604
AMA Yalçın Balçık P, Demir H. Penetration of Blockchain Technology in Healthcare Management Domain: Challenges and Opportunities. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. Eylül 2023;12(3):930-939. doi:10.37989/gumussagbil.1227604
Chicago Yalçın Balçık, Pınar, ve Hüseyin Demir. “Penetration of Blockchain Technology in Healthcare Management Domain: Challenges and Opportunities”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 12, sy. 3 (Eylül 2023): 930-39. https://doi.org/10.37989/gumussagbil.1227604.
EndNote Yalçın Balçık P, Demir H (01 Eylül 2023) Penetration of Blockchain Technology in Healthcare Management Domain: Challenges and Opportunities. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 12 3 930–939.
IEEE P. Yalçın Balçık ve H. Demir, “Penetration of Blockchain Technology in Healthcare Management Domain: Challenges and Opportunities”, Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, c. 12, sy. 3, ss. 930–939, 2023, doi: 10.37989/gumussagbil.1227604.
ISNAD Yalçın Balçık, Pınar - Demir, Hüseyin. “Penetration of Blockchain Technology in Healthcare Management Domain: Challenges and Opportunities”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 12/3 (Eylül 2023), 930-939. https://doi.org/10.37989/gumussagbil.1227604.
JAMA Yalçın Balçık P, Demir H. Penetration of Blockchain Technology in Healthcare Management Domain: Challenges and Opportunities. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2023;12:930–939.
MLA Yalçın Balçık, Pınar ve Hüseyin Demir. “Penetration of Blockchain Technology in Healthcare Management Domain: Challenges and Opportunities”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, c. 12, sy. 3, 2023, ss. 930-9, doi:10.37989/gumussagbil.1227604.
Vancouver Yalçın Balçık P, Demir H. Penetration of Blockchain Technology in Healthcare Management Domain: Challenges and Opportunities. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2023;12(3):930-9.