The rapid evolution of blockchain technology within healthcare presents unparalleled opportunities for advancements, including enhanced patient data security, decentralized systems for trustless operations, and transparent supply chain management. However, as blockchain reshapes the healthcare landscape, it demands a robust ethical framework that guides its design and implementation. "Ethics of Blockchain by Design" emphasizes embedding ethical principles at the heart of blockchain innovation, fostering public trust, equity, and long-term societal benefits. This paper also proposes a set of best practices guidelines on ethics of blockchain by design.
References
1.
Kuo TT, Kim HE, Ohno-Machado L. Blockchain distributed ledger technologies for biomedical and health care applications. Journal of the American Medical Informatics Association. 2017;24(6):1211–20.
2.
Engelhardt M. Hitching healthcare to the blockchain: the promise and the challenges. Blockchain Healthc Today. 2017;1–10.
3.
Zwitter A, Boisse-Despiaux M. Blockchain for humanitarian action and development aid. Journal of International Humanitarian Action. 2018;3(1).
4.
Shah S, Filippi D, P. Blockchain and data privacy: the role of trust and transparency in ethical data handling. J Inform Technol Ethics. 2020;(1):75–88.
5.
Dagher GG, Mohler J, Milojkovic M, Marella PB. Ancile: Privacy-preserving framework for access control and interoperability of electronic health records using blockchain technology. Sustainable Cities and Society. 2018;39:283–97.
6.
Kumar S, Smith R, Liao J. Privacy-preserving health information exchange with blockchain technology. Health Inform J. 2018;(4):352–68.
7.
Werbach K. The blockchain and the new architecture of trust. 2018;
8.
Ramachandran, PhD M. S3EF-HBCAs: Secure and Sustainable Software Engineering Framework for Healthcare Blockchain Applications. Blockchain in Healthcare Today. 2023;6(2).
9.
Facta Universitatis. (1):169–93.
10.
England S.
11.
PUBLIC LAW 104-191, 104th Congress [Internet]. Assistant Secretary for Planning and Evaluation. 1996;
12.
Voigt P, Dem Bussche V, A. The EU general data protection regulation (GDPR): a practical guide. 2017;
13.
Zyskind G, Nathan O, Pentland A “Sandy.” Decentralizing Privacy: Using Blockchain to Protect Personal Data. 2015 IEEE Security and Privacy Workshops. IEEE; 2015. p. 180–4.
14.
Finck M. Blockchain and the general data protection regulation: can distributed ledgers be squared with European Data Protection Law? Eur Data Protect Law Rev. 2019;(1):38–68.
15.
McGhin T, Choo KKR, Liu CZ, He D. Blockchain in healthcare applications: Research challenges and opportunities. Journal of Network and Computer Applications. 2019;135:62–75.
16.
Anthes G. Estonia. Communications of the ACM. 2015;58(6):18–20.
17.
Haque A, Milstein A, Fei-Fei L. Illuminating the dark spaces of healthcare with AI and blockchain: ethics and efficacy. J Health Ethics. 2021;(2):45–61.
18.
Ramachandran M.
19.
Lindman J, Tuunainen VK, Rossi M. Opportunities and Risks of Blockchain Technologies: A Research Agenda. Proceedings of the Annual Hawaii International Conference on System Sciences. Hawaii International Conference on System Sciences; 2017.
20.
Ramachandran M. AI and blockchain framework for healthcare applications. Facta Univ Ser Electr Energ. 2024;(1):169–93.
21.
Raval S. Decentralized applications: Harnessing Bitcoin’s blockchain technology. 2016;
22.
Tsanidis C. Ethical frameworks for blockchain governance. Technol Soc. 2019;(3):49–63.
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