DOI QR코드

DOI QR Code

Pediatricians' perception of factors concerning the clinical application of blockchain technology to pediatric health care: a questionnaire survey

  • Yong Sauk Hau (Department of Business Administration, School of Business, Yeungnam University) ;
  • Min Cheol Chang (Medical Management Research Center, Yeungnam University) ;
  • Jae Chan Park (Department of Business Administration, School of Business, Yeungnam University) ;
  • Young Joo Lee (National Information Society Agency) ;
  • Seong Su Kim (National Information Society Agency) ;
  • Jae Min Lee (Medical Management Research Center, Yeungnam University)
  • Received : 2022.03.03
  • Accepted : 2022.05.26
  • Published : 2023.04.30

Abstract

Background: Interest in digital medical information has increased because it allows doctors to easily access a patient's medical records and provide appropriate medical care. Blockchain technology ensures data safety, reliability, integrity, and transparency by distributing medical data to all users over a peer-to-peer network. This study attempted to assess pediatricians' thoughts and attitudes toward introducing blockchain technology into the medical field. Methods: This study used a questionnaire survey to examine the thoughts and attitudes of 30- to 60-year-old pediatricians regarding the introduction of blockchain technology into the medical field. Responses to each item were recorded on a scale ranging from 1 (never agree) to 7 (completely agree). Results: The scores for the intentions and expectations of using blockchain technology were 4.0 to 4.6. Pediatricians from tertiary hospitals responded more positively (4.5-4.9) to the idea of using blockchain technology for hospital work relative to the general population (4.3-4.7). However, pediatricians working in primary and secondary hospitals had a slightly negative view of the application of blockchain technology to hospital work (p=0.018). Conclusion: When introducing the medical records of related pediatric and adolescent patients using blockchain technology in the future, it would be better to conduct a pilot project that prioritizes pediatricians in tertiary hospitals. The cost, policy, and market participants' perceptions are essential factors to consider when introducing technology in the medical field.

Keywords

Acknowledgement

This work was supported by a 2021 Yeungnam University Research Grant.

References

  1. Jiang S, Cao J, Wu H, Yang Y, Ma M, He J. BlocHIE: a blockchain-based platform for healthcare information exchange [Internet]. In: Institute of Electrical and Electronics Engineers (IEEE). Proceedings of 2018 IEEE International Conference on Smart Computing, SMARTCOMP 2018. Taormina, Italy: IEEE Inc; 2018 [cited 2022 Mar 31]. https://doi.org/10.1109/SMARTCOMP.2018.00073.
  2. Hau YS, Lee JM, Park J, Chang MC. Attitudes toward blockchain technology in managing medical information: survey study. J Med Internet Res 2019;21:e15870.
  3. Radanovic I, Likic R. Opportunities for use of blockchain technology in medicine. Appl Health Econ Health Policy 2018;16:583-90. https://doi.org/10.1007/s40258-018-0412-8
  4. Bashir I. Mastering blockchain: distributed ledger technology, decentralization and smart contracts explained. 2nd ed. Birmingham: Packt Publishing; 2018.
  5. Krawiec RJ, Housman D, White M, Filipova M, Quarre F, Barr D, et al. Blockchain: opportunities for health care [Internet]. New York: Deloitte; 2016 [cited 2022 Mar 31]. https://www2.deloitte.com/content/dam/Deloitte/us/Documents/public-sector/us-blockchain-opportunities-for-health-care.pdf.
  6. Kho W. Blockchain revolution in healthcare: the era of patient-centered dental information system. Int J Oral Biol 2018;43:1-3. https://doi.org/10.11620/IJOB.2018.43.1.001
  7. Pirtle C, Ehrenfeld J. Blockchain for healthcare: the next generation of medical records? J Med Syst 2018;42:172.
  8. Cichosz SL, Stausholm MN, Kronborg T, Vestergaard P, Hejlesen O. How to use blockchain for diabetes health care data and access management: an operational concept. J Diabetes Sci Technol 2019;13:248-53. https://doi.org/10.1177/1932296818790281
  9. Tung JK, Nambudiri VE. Beyond Bitcoin: potential applications of blockchain technology in dermatology. Br J Dermatol 2018;179:1013-4. https://doi.org/10.1111/bjd.16922
  10. Chang MC, Hau YS, Park JC, Lee JM. The application of blockchain technology in stroke rehabilitation. Am J Phys Med Rehabil 2019;98:e74.
  11. Davis FD. Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly 1989;13:319-40. https://doi.org/10.2307/249008
  12. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process 1991;50:179-211. https://doi.org/10.1016/0749-5978(91)90020-T
  13. Mediblock. [MediBloc] Reinventing the medical experience [Internet]. Seoul: Mediblock; 2018 [cited 2022 Mar 31]. https://youtu.be/c4MUhQ_KfAw.
  14. Venkatesh V, Morris MG, Davis GB, Davis FD. User acceptance of information technology: toward a unified view. Mis Quarterly 2003;27:425-78. https://doi.org/10.2307/30036540
  15. Min D, Kim JH. Is power powerful? Power, confidence, and goal pursuit. Int Res J Mark 2013;30:265-75. https://doi.org/10.1016/j.ijresmar.2012.12.001
  16. Choi HJ. Application of blockchain in the healthcare industry. KHIDI Brief 2017;236:1-26.
  17. Kim H, Park S, Ahn Y. Clinical research networks for rare diseases. PHWR 2018;11:34-8.
  18. Champoux JE. Organizational behavior integrating individuals, groups, and organizations. 4th ed. New York: Routledge; 2010.
  19. Vroom VH. Work and motivation. San Francisco: Jossey-Bass Publishers; 1995.
  20. Kaufman L, Holland J, Weinberg S, Rosenbloom ST. Medical record keeping in the summer camp setting. Appl Clin Inform 2016;7:1154-67. https://doi.org/10.4338/ACI-2016-06-RA-0098
  21. Choi EH, Park SE, Kim YJ, Jo DS, Kim YK, Eun BW, et al. Recommended immunization schedule for children and adolescents: Committee on Infectious Diseases of the Korean Pediatric Society, 2018. Korean J Pediatr 2019;62:252-6. https://doi.org/10.3345/kjp.2019.00227
  22. Kim C, Park O, Kim M, Kim M, Lee S, Jung H. A study on registration data analysis of national immunization registry information system. J Korea Inst Inf Commun Eng 2015;19:1151-6.
  23. Mann DM, Chen J, Chunara R, Testa PA, Nov O. COVID-19 transforms health care through telemedicine: evidence from the field. J Am Med Inform Assoc 2020;27:1132-5. https://doi.org/10.1093/jamia/ocaa072