In doctor’s office:
— Doctor, what do I finally have?
— Did anybody tell you,
you have an inflammation of a trifacial nerve?
— Yes I was told I have it.
— By whom?
— By Google, for instance.
— Is that a doctor from our clinic?
(a real case)
A patient is trying to tell about his sickness during a medical consultation while doctor is mastering the keyboard. Are you familiar with it? Is that scary? Generally no, because somehow we all get a medical advice and are still alive.
Digital technologies in particular blockchain can totally change the whole procedure of medical consultations. But how urgent is that? Will health care get better or even worse? Let’s review it step by step.
Minuses are the chances
Let’s imagine, you are in underground and see someone losing consciousness.
You quickly report the case to a station manager. It takes 2-3 minutes.
The station manager reports the case to police and calls the emergency. It usually takes 4-6 minutes.
The emergency should arrive within 20 minutes. If there is no traffic. Ok, let’s assume medical help came in time. That makes 30 minutes from the moment a person lost consciousness till the moment he receives medical assistance.
A transportation to emergency car takes another 20-30 minutes. It’s not clear, how much time it will take to determine the cause of patient’s health status and to identify contraindications, to make a decision regarding future tactic and to transport the patient to a clinic. A lot depends on the competence of doctors, dispose of medication needed, quality of diagnostic kit and from the diagnosis by itself.
By stroke you have only 3 hours for keeping a patient alive.
By heart attack you have only 30 minutes.
And only 3-10 minutes by anaphylaxis.
As it’s well known blockchain was developed for safe storage and instant transfer of cryptocurrencies transaction data. That means if you want to add some data, you need to build a transaction which will transfer data but not cryptocoins. That could be for instances a check-up data. Information will be secured by crypto coding and access to it or its part could be gained upon patient’s approval.
The Out-Of-Hospital technology (OOH) allows blockchain to store medical data of each patient, to control medicine consumption, to track medical actions and to analyse medical data of population in a real time mode. The technology is called out-of-hospital blockchain.
Let’s add the OOH technology to our situation in underground. With patients ID the station manager learns his name and reports it to emergency. The doctor instantly gets all required data on his health conditions, chronic diseases, complains, allergies, reactions to medications, annual checkups etc.
Time saving contributes to life and health saving. The new technology can save from 20 minutes to several hours. Bit it might not be unnecessary. The blockchain can provide people who have serious health issues and serious chronic disease with round-the-clock health monitoring.
Pressure, temperature, blood data and other parameters are recorded on blockchain through medical anklet. And if patient condition worsen, his doctor will be notified before emergency might be needed.
Telemedicine is an application of computer and telecommunication technologies for medical data exchange and common data use.
Let’s assume emergency staff learned via OOH that our patient from underground has a rare disease what requires an expert opinion. While the emergency car is on the way to clinic, doctors find out how to help him. They can find all data required in a decentralized medical register being filled out by leading world physicans.
One doctor should understand another with Latin. That means that knowledge and experience of a professor of a Swiss clinic can help save life of the patient in a polar or african village.
Try to imagine a massive surgery could be run through telemedicine by the best world’s surgeons. Or just try to imagine you don’t need to set up a doctor visit anymore or even to go there. All you need is to connect with a remote medical online-office.
Medical insurance and DAO
All health service providers, as well as pharmacy, medicine and medical equipment factories staff have to get paid at least. In the perfect world the loan will depend on their qualification. Medicine and medical equipment manufacturing is not cheap. So we have to accept there is no and there cannot be any free medicine.
But the patient does not always pay and does not always pay directly. Our taxes partially go to compulsory health insurance. We receive voluntary health insurance police as a bonus from our employer. It is a kind of compensation if not in a money equivalent. We pay for health care anyway. We receive medical services via compulsory or voluntary health insurance. But how many people do you know who come to a clinic and remember what does the insurance cover?
It is not rare when the insurance rejects to cover the costs of an expensive treatment. And the hidden conflicts between medicals and insurance companies are not rare too.
There is a technology able to solve this complex of problems. That is a decentralized autonomous organisation (DAO). This is a company on blockchain that can not only store medical information but also analyse it, forecast and regulate the relations between equal parties, making insurance absolutely transparent and comprehensible to all.
Ok, what in particular does blockchain for health care?
- People will receive medical assistance as fast as possible. This factor cannot be overestimated if we are talking about saving patients’ life and health.
- Doctors, insurance company staff members can receive the complete information about patient’s health upon his approval. And you do not need to spend weeks for negotiations and collection of certificates required.
- Medical information exchange allows doctors to acquire their colleagues knowledge and seek advice by the best qualified experts in complicated cases.
- Telemedicine gives millions an opportunity to get a consultation of the best doctors even if they live on another continent. Many medical services could be received remotely around-a-clock even without leaving the house.
Blockchain based medical insurance can help avoid misuse, provide with transparency and clarity. It will set partner requirements, compensation awards and insurance agreements. In fact we are talking about autonomous decentralized insurance network, can be equally managed by insurance card owners.
Don’t we all dream about such a health care?