Healthcare supply chains are complex structures spanning across multiple organizational and geographical boundaries, providing critical backbone to services vital for everyday life. The inherent complexity of such systems can introduce impurities including inaccurate information, lack of transparency and limited data provenance. Counterfeit drugs is one consequence of such limitations within existing supply chains which not only has serious adverse impact on human health but also causes severe economic loss to the healthcare industry. Consequently, existing studies have emphasized the need for a robust, end-to-end track and trace system for pharmaceutical supply chains. Therein, an end-to-end product tracking system across the pharmaceutical supply chain is paramount to ensuring product safety and eliminating counterfeits. Most existing track and trace systems are centralized leading to data privacy, transparency and authenticity issues in healthcare supply chains. In this article, we present an Ethereum blockchain-based approach leveraging smart contracts and decentralized off-chain storage for efficient product traceability in the healthcare supply chain. The smart contract guarantees data provenance, eliminates the need for intermediaries and provides a secure, immutable history of transactions to all stakeholders. We present the system architecture and detailed algorithms that govern the working principles of our proposed solution. We perform testing and validation, and present cost and security analysis of the system to evaluate its effectiveness to enhance traceability within pharmaceutical supply chains.

The year 2020 has witnessed unprecedented levels of demand for COVID-19 medical equipment and supplies. However, most of today’s systems, methods, and technologies leveraged for handling the forward supply chain of COVID-19 medical equipment and the waste that results from them after usage are inefficient. They fall short in providing traceability, reliability, operational transparency, security, and trust features. Also, they are centralized that can cause a single point of failure problem. In this paper, we propose a decentralized blockchain-based solution to automate forward supply chain processes for the COVID-19 medical equipment and enable information exchange among all the stakeholders involved in their waste management in a manner that is fully secure, transparent, traceable, and trustworthy. We integrate the Ethereum blockchain with decentralized storage of interplanetary file systems (IPFS) to securely fetch, store, and share the data related to the forward supply chain of COVID-19 medical equipment and their waste management. We develop algorithms to define interaction rules regarding COVID-19 waste handling and penalties to be imposed on the stakeholders in case of violations. We present system design along with its full implementation details. We evaluate the performance of the proposed solution using cost analysis to show its affordability. We present the security analysis to verify the reliability of the smart contracts, and discuss our solution from the generalization and applicability point of view. Furthermore, we outline the limitations of our solution in form of open challenges that can act as future research directions. We make our smart contracts code publicly available on GitHub.

Personal health records (PHRs) are valuable assets to individuals because they enable them to integrate and manage their medical data. A PHR is an electronic application through which patients can manage their health information. Giving patients control over their medical data offers an advantageous realignment of the doctor-patient dynamic. However, today’s PHR management systems fall short of giving reliable, traceable, trustful, and secure patients control over their medical data, which poses serious threats to their authenticity and accuracy. Moreover, most of the current approaches and systems leveraged for managing PHR are centralized that not only make medical data sharing difficult but also pose a risk of single point of failure problem. In this paper, we propose Ethereum blockchain-based smart contracts to give patients control over their data in a manner that is decentralized, immutable, transparent, traceable, trustful, and secure. The proposed system employs decentralized storage of interplanetary file systems (IPFS) and trusted reputation-based re-encryption oracles to securely fetch, store, and share patients’ medical data. We present algorithms along with their full implementation details. We evaluate the proposed smart contracts using two important performance metrics, such as cost and correctness. Furthermore, we provide security analysis and discuss the generalization aspects of our solution. We outline the limitations of the proposed approach. We make the smart contract source code publicly available on Github.

There is a growing awareness that artificial intelligence (AI) has been used in the analysis of complicated and big data to provide outputs without human input in various health care contexts, such as bioinformatics, genomics, and image analysis. Although this technology can provide opportunities in diagnosis and treatment processes, there still may be challenges and pitfalls related to various safety concerns. To shed light on such opportunities and challenges, this article reviews AI in health care along with its implication for safety. To provide safer technology through AI, this study shows that safe design, safety reserves, safe fail, and procedural safeguards are key strategies, whereas cost, risk, and uncertainty should be identified for all potential technical systems. It is also suggested that clear guidance and protocols should be identified and shared with all stakeholders to develop and adopt safer AI applications in the health care context.

Metaverse has the potential to reshape and transform the way people interact and perform their daily tasks. A metaverse is a virtual, digital, and three-dimensional universe formed by integrating different cutting-edge technologies and virtual places. In this article, we discuss how the metaverse can be utilized in healthcare. We provide insightful discussions on the concept of the metaverse and its main enabling technologies. We explore and discuss the potential applications of the metaverse in healthcare, such as telemedicine and telehealth, medical education and training, medical marketing, healthcare supply chain, healthcare facilities, and fitness and wellness. We present the key challenges hindering the widespread adoption of the metaverse in healthcare. Finally, we recommend future research directions.