Background: There are implementation issues related to building a decentralized identity management application in real-world clinical settings.
Clinical experts, clinical administrators, clinicians, patients, organizational and regulatory experts, and ethics and social-context experts raised issues on trust, transparency, digital divide, and the health-related digital autonomy.
Experts proposed six recommendations that could address most of the identified issues:
(1) Design interfaces based on patient preferences
(2) ensure testing with diverse populations
(3) ensure compliance with existing policies
(4) present potential positive outcomes to top management
(5) maintain clinical workflow
(6) increase the public’s awareness of blockchain
Findings raise awareness on CORES issues that should be considered when designing, developing, and deploying blockchain for healthcare. Findings also provide additional insights into the development of MediLinker from prototype to MVP for clinical testing.
