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Evaluating preparedness in using blockchains for electronic health record systems

Seyyed Mahdi Hosseini Sarkhosh (Department of Industrial Engineering, University of Garmsar, Garmsar, Iran)
Peyman Akhavan (Department of Industrial Engineering, Qom University of Technology, Tehran, Iran)

The Electronic Library

ISSN: 0264-0473

Article publication date: 4 January 2023

Issue publication date: 2 February 2023




An emerging technology in the primary stages of its life cycle is the blockchain. This research paper aims to evaluate the preparedness of hospitals in using blockchain technology in their electronic health record (EHR) systems.


In the initial stage, 15 criteria relating to preparedness in using blockchain in EHR systems were identified from the literature and divided into five criteria, namely, technological, legal, financial, environmental and organizational. Then, 17 experts from various specialized fields were invited to form expert panels. After validating the criteria identified by the expert panels, the weights of the criteria were determined through the fuzzy best-worst multicriteria decision-making method. Following that, the preparedness of ten selected hospitals in Tehran to use blockchain in their EHR systems was assessed via the weighted aggregated sum product assessment method. Finally, using sensitivity analysis and examining different scenarios, the robustness of the results of the proposed approach was validated.


According to expert judgments, the legal criterion (32%) was deemed the most important factor in the preparedness to use blockchain in EHR systems followed by technological (28%), financial (17%), organizational (13%) and environmental (9%) criteria. A sensitivity analysis showed that the proposed approach offers good strength and robustness in evaluating the selected hospitals.


This study can be useful in developing knowledge in the field of technology management for evaluating blockchain implementation in the health-care industry using a novel, coherent and robust approach. In addition, the proposed approach provides comprehensive insight for decision-makers on assessing preparedness in deploying blockchain technology in EHR systems.



Hosseini Sarkhosh, S.M. and Akhavan, P. (2023), "Evaluating preparedness in using blockchains for electronic health record systems", The Electronic Library, Vol. 41 No. 1, pp. 87-110.



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