Enabling Care Continuity using a Digital Health Wallet

Clinical records capture the temporal, participatory, and interventional details of the care provision process. The exchange of these records plays a critical role in care continuity. Recently, there has been increasing attention on health data privacy and confidentiality which translates to questio...

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Bibliographic Details
Main Authors: Osebe, Samuel, Wachira, Charles M., Matu, Fiona, Bore, Nelson, Kaguma, David, Mutahi, Juliet, Ogallo, William, Cintas, Celia, Remy, Sekou L., Walcott, Aisha, Weldemariam, Komminist
Format: Conference Proceeding
Language:English
Subjects:
Benchmark testing
Blockchain
Clinical Records
Consent
Data privacy
Developing countries
Electronic healthcare
Health Information Exchange
Informatics
Referrals
Smart Contracts
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Summary:Clinical records capture the temporal, participatory, and interventional details of the care provision process. The exchange of these records plays a critical role in care continuity. Recently, there has been increasing attention on health data privacy and confidentiality which translates to questions on ownership and accessibility of clinical records. Traditional approaches to remedy this stand the risk of reducing the accessibility of these records, making care continuity across facilities more difficult. This poses a need for mechanisms that would enable the secure exchange of health data without adversely affecting the access to clinical records. This paper presents the Digital Health Wallet (DHW); a blockchain-enabled system that allows seamless clinical workflow orchestration and patient-mediated data exchange through consent management in a privacy-preserving manner. We conducted a preliminary test to benchmark the performance of DHW in resource-constrained healthcare facilities in developing countries.
ISSN:2575-2634
DOI:10.1109/ICHI.2019.8904625