Review Article

Application of Blockchain and Internet of Things in Healthcare and Medical Sector: Applications, Challenges, and Future Perspectives

Table 7

Various proposed frameworks for healthcare based on Blockchain and IoT

ReferenceApplication of BlockchainType of Blockchain usedAdvantagesLimitationsSimulation parameters usedFuture work

[61]Managing medical records and other dataPrivate and public BlockchainTo reduce the various attacks, such as DOS, modification of data, mining attack and storage attack, in the healthcare systemBlockchain technology is resource-constrained, so it is not suitable for many IoT devices. There are some more issues in Blockchain technology-related costs; it requires high bandwidth and more computational powerTo explore more security issues, and implementation is done to provide some real work
[40]Patient Monitoring/Electronic Health Record (ERH)Blockchain integrated with IoT overcomes the security issues that are faced by healthcare applicationsMany issues are not considered yet such as mining incentives, and there are some specific Blockchain attacks, which halt the entire system
[43]Drug traceabilityTo overcome the issue of privacy and authentication of data, increase the flexibility of the systemThe drug traceability scenario, which is shown in this paper, is complexTraceability data authenticity and privacyTo make the system more prone to DoS attacks while comparing with the traditional system
[44]Drug traceabilityPublic BlockchainThe integration of IoT with Blockchain makes the drug supply chain system more secure and reliable and avoids any drug fraud by tracking each drug in the supply chainImplementation is not donePrivacy, limiting theft and diversion
[45]Drug traceabilityImproves the efficiency of data exchangeInformation infrastructure breakdown, information delays, and transparency of drug supply chainAnalysis of the regulatory impact and system simulation test is done in the future
[46]Drug traceabilityDetects fake medicines in of supply chainThe consumption of unauthorized and Ingenium medicines not to be eliminated in this systemResistance against single point of failure, counterfeit medicine detection, diverted medicine detection, medicine shortage detection, ease of operations, involvement of stakeholders, transparency, privacy, security, immutabilityThis particular framework can be implemented in many domains like courier consignment tracking, election management
[53]Patient Monitoring/Electronic Health Record (ERH)Private BlockchainThe system secures the data and uses the patient’s data in a more relevant formTime is the main aspect, but there is some delay while verifying each block in the Blockchain. Maintaining the security of each node is also the main challengeSpeed, privacy, transparency, traceability, availability, confidentialityImplementation is done using the Ethereum Blockchain; to explore more implementation parts use hyperledger
[59]Managing medical records and other dataPublicIt ensures the patient that any illegal activity cannot be done. It focuses on the transparency of records and the security of dataTransaction time is a very important aspect of healthcare applications. This framework does not focus on transaction timeNumber of nodes in a CRN, grid facet, transmission range data size or users request, simulation timeThis framework experiments with the illegal activities done on IoT devices but does not experiment with the cost required during the communication. So, in the future experiment on the cost required in communication is to be done
[62]Managing medical records and other dataPublicThe interoperability trust model for healthcare IoTIdentification of patterns of symptoms, which are obtained from wearable devices cannot be doneScalability, data integrity, mutual authentication, trustworthiness, privacyArtificial intelligence and deep learning technology are used in training states to authenticate and identify the pattern to enhance the framework
[60]Managing medical records and other dataVariation of the Blockchain is used in personal health care and external Blockchain for record managementAn uplifting of society with accurate and efficient healthcareImplementation is not doneTo implement the framework and to check whether the framework is secure or not
[54]Patient Monitoring/Electronic Health Record (ERH)Cannot prefer any particular BlockchainTry to remove the obstacles and give a more secure networkImplementation is not doneTo test the performance of the framework, implementation is necessary in the future
[57]Managing medical records and other dataMedical devices Blockchain consultation BlockchainPaper works on the security issuesIt cannot cover all the security aspects of IoT. It cannot consider the attacks in IoTTo make a more secure framework of health monitoring, this proposed framework has to implement more functionality based on attacks
[51]Patient Monitoring/Electronic Health Record (ERH)Public BlockchainHealthcare devices that read the vital signs of patients and share that information with the authorized doctors and hospitals in a secure Blockchain networkLack of communication between the server and devicesEnergy consumption and efficiencyInteroperability is also an essential aspect of the healthcare system to check the interoperability performance of the system with different IoT frameworks