A Modified and Effective Blockchain Model for E-Healthcare Systems

Abstract

The development of e-healthcare systems requires the application of advanced technologies, such as blockchain technology. The main challenge of applying blockchain technology to e-healthcare is to handle the impact of the delay that results from blockchain procedures during the communication and voting phases. The impacts of latency in blockchains negatively influence systems’ efficiency, performance, real-time processing, and quality of service. Therefore, this work proposes a modified model of a blockchain that allows delays to be avoided in critical situations in healthcare. Firstly, this work analyzes the specifications of healthcare data and processes to study and classify healthcare transactions according to their nature and sensitivity. Secondly, it introduces the concept of a fair-proof-of-stake consensus protocol for block creation and correctness procedures rather than famous ones such as proof-of-work or proof-of-stake. Thirdly, the work presents a simplified procedure for block verification, where it classifies transactions into three categories according to the time period limit and trustworthiness level. Consequently, there are three kinds of blocks, since every category is stored in a specific kind of block. The ideas of time period limits and trustworthiness fit with critical healthcare situations and the authority levels in healthcare systems. Therefore, we reduce the validation process of the trusted blocks and transactions. All proposed modifications help to reduce computational costs, speed up processing times, and enhance security and privacy. The experimental results show that the total execution time using a modified blockchain is reduced by about 49% compared to traditional blockchain models. Additionally, the number of messages using modified blockchain is reduced by about 53% compared to the traditional blockchain model.