期刊文章%@ 1438-8871 %I JMIR出版物%V 23 %N卡塔尔世界杯8强波胆分析 10 %P 28613 %T区块链在医疗领域的应用:叙事评论%谢阿，张毅%阿，王嘉耀%阿，刘宏林%阿，刘鹏冉%阿，霍松香%阿，段彤彤%阿，董玉玉%阿，鲁哲%阿，林%阿，叶哲伟%+华中科技大学同济医学院协和医院骨科外科，武汉解放大道1277号，430022,86 17771413685，yezhewei@hust.edu.cn %K区块链%K智能医疗保健%K医疗保健%K健康数据%K审查%K COVID-19 %K电子健康记录%D 2021 %7 28.10.2021 %9审查%J J Med Internet Res %G英文%X背景:区块链作为一种分布式技术，已经引起了医疗行业利益相关者越来越多的关注。尽管以前的研究从技术、商业或患者护理的角度分析了血脑屏障0的应用，但很少有研究关注血脑屏障1在医疗保健中的实际用例场景。特别是新冠肺炎疫情的爆发，为区块链在医疗实践中的应用带来了一些新的思路。目的:本文旨在对区块链技术在卫生保健中的当前和预期应用进行系统综述，并对未来的研究方向进行展望。除了区块链的框架结构和应用场景外，还讨论了它与医疗保健领域其他新兴技术的集成。方法:我们搜索数据库，如PubMed、EMBASE、Scopus、IEEE和施普林格，使用与区块链和医疗保健相关的词汇组合。然后将可能相关的论文进行比较，以确定它们的相关性，并独立审查是否纳入。通过文献综述，我们总结了使用区块链技术的主要医疗场景。 Results: We found a total of 1647 relevant studies, 60 of which were unique studies that were included in this review. These studies report a variety of uses for blockchain and their emphasis differs. According to the different technical characteristics and application scenarios of blockchain, we summarize some medical scenarios closely related to blockchain from the perspective of technical classification. Moreover, potential challenges are mentioned, including the confidentiality of privacy, the efficiency of the system, security issues, and regulatory policy. Conclusions: Blockchain technology can improve health care services in a decentralized, tamper-proof, transparent, and secure manner. With the development of this technology and its integration with other emerging technologies, blockchain has the potential to offer long-term benefits. Not only can it be a mechanism to secure electronic health records, but blockchain also provides a powerful tool that can empower users to control their own health data, enabling a foolproof health data history and establishing medical responsibility. %M 34533470 %R 10.2196/28613 %U //www.mybigtv.com/2021/10/e28613 %U https://doi.org/10.2196/28613 %U http://www.ncbi.nlm.nih.gov/pubmed/34533470