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Development and Evaluation of a Smart Contract–Enabled Blockchain System for Home Care Service Innovation: Mixed Methods Study

机译:开发和评估支持智能合同的家庭护理服务的区块链系统创新:混合方法研究

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Background In the home care industry, the assignment and tracking of care services are controlled by care centers that are centralized in nature and prone to inefficient information transmission. A lack of trust among the involved parties, information opaqueness, and large manual manipulation result in lower process efficiency. Objective This study aimed to explore and demonstrate the application of blockchain and smart contract technologies to innovate/renovate home care services for harvesting the desired blockchain benefits of process transparency, traceability, and interoperability. Methods An object-oriented analysis/design combined with a unified modeling language tool was used to construct the architecture of the proposed home care service system. System feasibility was evaluated via an implementation test, and a questionnaire survey was performed to collect opinions from home care service respondents knowledgeable about blockchain and smart contracts. Results According to the comparative analysis results, the proposed design outperformed the existing system in terms of traceability, system efficiency, and process automation. Moreover, for the questionnaire survey, the quantitative analysis results showed that the proposed blockchain-based system had significantly (P.001) higher mean scores (when compared with the existing system) in terms of important factors, including timeliness, workflow efficiency, automatic notifications, insurance functionality, and auditable traceability. In summary, blockchain-based home care service participants will be able to enjoy improved efficiency, better transparency, and higher levels of process automation. Conclusions Blockchain and smart contracts can provide valuable benefits to the home care service industry via distributed data management and process automation. The proposed system enhances user experiences by mitigating human intervention and improving service interoperability, transparency/traceability, and real-time response to home care service events. Efforts in exploring and integrating blockchain-based home care services with emerging technologies, such as the internet of things and artificial intelligence, are expected to provide further benefits and therefore are subject to future research.
机译:背景技术在家庭护理行业中,护理服务的分配和跟踪由护理中心控制,这些中心是集中在自然界和易于效率的信息传播中。缺乏缔约方,信息不透明和大型手动操作的信任较低的过程效率。目的本研究旨在探索并展示区块链和智能合同技术在创新/翻新家庭护理服务中的应用,以收获工艺透明度,可追溯性和互操作性的所需区块区。方法使用面向对象的分析/设计与统一建模语言工具组合使用来构建所提出的家庭护理服务系统的架构。通过实施测试评估了系统可行性,并进行了调查调查,从家庭护理服务受访者收集了关于区块链和智能合同的受访者的意见。结果根据比较分析结果,所提出的设计在可追溯性,系统效率和过程自动化方面表现出现有系统。此外,对于调查问卷调查,定量分析结果表明,在重要因素方面,所提出的基于区块链的系统具有显着性(P <.001)的平均分数(与现有系统相比),包括及时性,工作流程效率,自动通知,保险功能和可审计可追溯性。总之,基于区块链的家庭护理服务参与者将能够提高效率,更好的透明度和更高水平的过程自动化。结论区块链和智能合同可以通过分布式数据管理和过程自动化为家庭护理服务行业提供有价值的益处。建议的系统通过减轻人为干预和改善服务互操作性,透明度/可追溯性以及对家庭护理服务事件的实时响应来增强用户体验。预计将探索和整合基于区块链的家庭护理服务,例如物联网和人工智能等互联网,预计将提供进一步的益处,因此需要进行未来的研究。

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