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Designing and Adapting Services to Create Value Outside a Hospital Using Blockchain Architecture: Care Delivery in Patient Ecosystem

机译:设计和调整服务来创造价值外医院使用区块链架构:在病人保健生态系统

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摘要

As healthcare systems develop innovative services to create value for patients outside the hospital or clinical care facility, they face a major challenge. They need a communication architecture to support the sharing of information among the healthcare providers, patients, and external partners to fulfill the value created. The current electronic medical record systems of hospitals do not extend to many of these external partners unless they are part of the provider network. This paper proposes theuse of blockchain architecture to address this challenge. By modeling service innovations used to create value as a set of service exchanges among providers, patients, and partners, the providers decide when blockchain architecture may complement their own extended EMR system in fulfilling the value they create to address patient needs. The authors use gamification to improve patient adherence to treatment plans designed to fulfill the value created and adapt the value created to reflect the changing patient ecosystem. The paper concludes with discussion and directions for future research.
机译:随着医疗系统开发创新服务为患者创造价值以外的医院或临床护理设施,他们面临着一个专业挑战。支持之间的信息共享卫生保健提供者,病人,和外部合作伙伴履行创造的价值。目前的电子医疗记录系统医院不扩展到许多这样的外部合作伙伴,除非他们是提供者的一部分网络。体系结构来解决这一挑战。建模服务创新来创造价值作为一组服务提供者之间的交流,病人,和合作伙伴,提供者决定什么时候区块链架构可能补充自己扩展EMR系统在实现他们的价值创造满足病人的需求。游戏化改善病人的依从性治疗计划旨在实现价值创建并适应创造的价值来反映改变病人的生态系统。结论与讨论和说明未来的研究。

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