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Open Access
CC BY 4.0 · ACI open 2022; 06(01): e22-e33
DOI: 10.1055/s-0042-1749192
Original Article

Qualitative Study of Participant Impressions as Simulated Patients of MediLinker—A Blockchain-Based Identity Verification Application

Authors

  • John Robert Bautista

    1   School of Information, The University of Texas at Austin, Austin, Texas, United States

  • Muhammad Usman

    2   Department of Electrical and Computer Engineering, The University of Texas at Austin, Austin, Texas, United States

  • Daniel Toshio Harrell

    3   Dell Medical School, The University of Texas at Austin, Austin, Texas, United States

  • Ishav Desai

    3   Dell Medical School, The University of Texas at Austin, Austin, Texas, United States

  • Cole Holan

    3   Dell Medical School, The University of Texas at Austin, Austin, Texas, United States

  • Cody Cowley

    3   Dell Medical School, The University of Texas at Austin, Austin, Texas, United States

  • Jeremiah Alexander

    3   Dell Medical School, The University of Texas at Austin, Austin, Texas, United States

  • Ladd Hanson

    4   Information Technology Services, The University of Texas at Austin, Austin, Texas, United States

  • Eric T. Meyer

    1   School of Information, The University of Texas at Austin, Austin, Texas, United States

  • Anjum Khurshid

    3   Dell Medical School, The University of Texas at Austin, Austin, Texas, United States

Funding The authors would like to thank the University of Texas Blockchain Initiative for providing partial funding for this work. Bautista acknowledges the support of the Bullard and Boyvey Fellowships of the School of Information, the University of Texas at Austin.
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Abstract

Objective In this study, we obtained participants' views on using MediLinker—a blockchain-based identity verification and personal health information management application. We also gathered their views about the use of blockchain technology for controlling and managing personal health information, especially in the context of a global health crisis such as a pandemic.

Methods Online semistructured interviews were conducted with 29 simulated patients (i.e., avatars) who used MediLinker between February and May 2020. Interview data were analyzed qualitatively using a phenomenological approach to thematic analysis.

Results Most of the participants noted that they do not know what blockchain is nor understand how it works. Nonetheless, in the context of the study, they trust blockchain as a technology that can enhance data protection and privacy of their personal health information. Participants noted that MediLinker is a useful application that allows patients to easily input, share, and revoke personal health information. As a proof-of-concept application, participants also noted several issues and recommendations that can serve as points of improvement when developing subsequent versions of MediLinker. In the context of using MediLinker as part of a telemedicine system during a pandemic, participants noted that it facilitates social distancing, makes clinical transactions efficient and convenient, and enhances identity verification.

Conclusion In general, the findings lay the foundation for a user-centered approach in developing future iterations of MediLinker and other patient-facing blockchain-based health information technologies. Also, the findings provide important insights into how people perceive blockchain-based health information technologies, especially during a pandemic.

Keywords

blockchain - COVID-19 - identity management - personal health information - proof of concept - usability

Author Contributions

A.K. and D.T.H. conceptualized the study and obtained funding. J.R.B., D.T.H., E.T.M., L.H., and A.K. designed the study. J.R.B., M.U., D.T.H., I.D., J.A., C.C., L.H., and C.H. collected data. J.R.B., M.U., and D.T.H. performed data analysis. J.R.B., M.U., E.T.M., and A.K. wrote and edited the manuscript. All authors approved the final version of the manuscript.


Protection of Human and Animal Subjects

The study was performed in compliance with the World Medical Association Declaration of Helsinki on Ethical Principles for Medical Research Involving Human Subjects. Participants provided written and verbal consent prior to interviews. The study received an exempt approval from the Institutional Review Board of MediLinker.


Supplementary Material



Publikationsverlauf

Eingereicht: 17. Februar 2021

Angenommen: 22. Januar 2022

Artikel online veröffentlicht:
27. Juni 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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