The top-down approach

Let us assume the example of hospitals, doctors and health institutions. They store large amounts of data and patient information, but so far they have been stored centrally and individually. A blockchain could ensure that the data is decentralized and thus accessible to all institutions concerned.

The problem with this cryptosoft is that it will ultimately be implemented at the local level

In an architecture meeting, the cryptosoft blockchain can be mentioned as an alternative, but in most cases it will be left with a proposal that has not been implemented like this: The decision to organize data via the blockchain would have to be made at the strategic or industry level instead. A decision that ultimately has to be taken top-down and does not work with a bottom-up approach. The network effect puts the bottom-up approach through its paces, unlike nice-to-have technologies or technologies that are complementary rather than subsidiary.

The network of institutions in itself would have to agree to put the patient first and store data in such a way that they can always be retrieved in his favour when needed. This approach contradicts the conventional egocentric architecture of data storage. In principle, it must be determined in which way the so-called Electronic Health Records (EHR) are stored.
The organizational structure would have to break away from its process orientation in order to be able to accept patient orientation.

The complexity of the challenge

One of the most difficult questions that (not only) the Healtcare sector has to face is the question of the beginning. Especially in this example field, which is subject to strict regulation and bears a great deal of responsibility, data storage is an enormously important task. If, in extreme cases, data can lead to other decisions, e.g. by a doctor, when he rescues a patient, then it must be stored in a very stable system and retrievable at any time. This prevents new technologies or prototypes from being quickly tested in a real environment.

9. November 2018