Designing Personalized Integrated Healthcare Monitoring System through Blockchain and IoT
Gunawan Wang, Aldian Nurcahyo
Abstract
Personalised Integrated Healthcare Monitoring System (PIHMS) has received major attention from the healthcare industry. With large population and strong growth of Indonesian middle class, PIHMS is certainly a big market for major healthcare providers. Although Indonesia has strong growth of middle-class, ironically, it is not supported with adequate physician ratio. Indonesian Ministry of Health (MoH) reported in 2020 the ratio of physicians per 1.000 patients is 0,62, far below WHO standard. As consequence, many Indonesian patients prefer to go abroad to have better healthcare services. The article supports the government's initiative to develop PIHM design by implementing IoT devices and blockchain networks. The use of PIHMS is essential to reach large patients that spread in remote areas, that suits to Indonesian condition. The article proposes PIHM based on blockchain solution (MedDApp) that enables to utilise IoT devices to carry out remote monitoring and medical consultation. The article examines the use of blockchain architecture to support developing data interchange between patients, healthcare providers and third parties such insurances and ministry of health (MoH). Data gatherings from respective stakeholders from Data and Information Centre division (Pusdatin), MoH and state-own hospitals to support developing smart health care architecture (MedDApp). The MedDApp design is expected to provide secure access between patients with healthcare professionals and third parties (national insurance companies and researchers in MoH). The outcome of the article is expected to be used as a reference for major healthcare providers to provide better services for their large patients.