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2 Delphi 52 (2019)
How Blockchain-Based Solutions Impact the Healthcare Sector

handle is hein.journals/delphi2 and id is 58 raw text is: 52 | Startup Digest How Blockchain-based Solutions Impact the Healthcare Sector Anna Laesser* The Startup Digest section introduces startups and grassroots initiatives from around the world that push the boundaries ofemerging technologies. Most conversations around emerg- ing technologies are stuck in silos and are quite hyped, making it hard to understand their actual impact on businesses, society and governance. The Startup Digests aim to demystify what is happening on the ground by establishing a discourse via case studies and interviews with startups and grassroots initiatives. Each edition will take a critical look on how these movements apply emerging technologies to achieve a specific purpose -facilitating a dis- course that makes the (new) thinking, the approach and potential impact become more tan- gible. This edition takes a closer look at how blockchain-based solutions affect the healthcare in- dustry. Three case studies have been selected to exemplify how blockchain can potentially transform healthcare supply chain, patient data management, and access to health care. Each case study will be critically analysed to identify the potentials, challenges and risks. 1. Introduction The healthcare industry is transforming. New and more efficient healthcare record systems are being developed, artificial intelligence and big data is be- ing utilised to improve medical examinations and predict disease, wearable devices are integrated to track a patient's health and discussions around high- ly controversial genetic engineering are being held.' However, the digitalization of healthcare faces a com- mon challenge: moving data between multiple stake- holders within a health supply chain. The incorrupt- ible distributed ledger technology, known as Blockchain, could offer a way to redesign the infor mation architecture and potentially enable data in- tegrity, transparency and security - as well as new business models.2 According to a study commis- sioned by IBM, around 16% of healthcare executives are determined to implement blockchain solutions this year, while around 56% expected to adopt blockchain by the year 2020.' This Startup Digest consists of three case studies that will reveal the diversity of blockchain-based ap- proaches in healthcare and how they are being used to rethink data access, data ownership and analytics. To reflect the buzz in this novel field, the selected projects are in different levels of development, name- ly a blockchain technology company (1), a research project supported by the MIT Media Lab (2), and an early stage startup (3). The following section will analyse the context, potential and risks of each blockchain-based solution and draw some conclu- sions. The three case studies are: 1) Guardtime Health: A blockchain system for a con- nected healthcare supply chain (Estonia, Nether lands, United Kingdom; blockchain technology company) DOI: 10.21552/delphi/2019/1/11 Anna Laesser, Co-founder at Impact Hub Berlin. For correspon- dence: <anna.aesser@impacthub.berlin> 1 David Roberts, '10 ways digital could transform healthcare' (2018)<https://www.ey.com/en-gl/digital/0-ways-digital-could -transform-healthcare> accessed 1 March 2019. 2 Lisk Academy, 'Blockchain inHealthcare' (2018)<https://lisk.io/ academy/blockchain-basics/use-cases/blockchain-healthcare> ac- cessed 1 March 2019. 3 Constantin Yukhymenko, 'What are the use cases for blockchain tech inhealthcare?' (2018) <https://www.quora.com/What-are -the-use-cases-for-blockchain-tech-in-healthcare/answer/ Constantin-Yukhymenko> >accessed1IMarch 2019. Delphi 1|2019

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