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Quantitative study identifies and evaluates security risks in blockchain-based health record systems, highlighting implications for healthcare operations.
Introduction: Security is an essential problem in Wireless Sensor Networks (WSNs), especially when it is utilized for managing critical healthcare information. Although BlockchainEnabled Wireless Sensor Networks (BEWSNs) offer increased transparency, data integrity, and trust, it is also prone to various security risks. The aim of this study is to identify, classify, and evaluate various emerging risks associated with blockchain-based patient health records systems and their effect on healthcare operations. Methods: A quantitative methodology was employed to conduct this study. A literature review was conducted to identify various risks, which were classified into five categories. The collected data were analyzed to identify various risk patterns through univariate analysis. Results: The results revealed that technological, operational, and security risks are at a higher risk compared to regulatory and privacy risks. The major risks identified were incorrect data entry, legal liability, and high resource utilization for blockchain system maintenance. Additionally, there is a positive correlation between organizational size and perceived security risk. Discussion: The study has demonstrated the challenges associated with blockchain technology in the healthcare industry, despite the numerous benefits and advantages associated with the technology. For instance, the study has pointed out the need to address access control, encryption in smart contracts, the use of standardized data formats, and the enhancement of legal compliance to address the challenges associated with the technology. conclusion: This study makes several noteworthy contributions to Blockchain-Enabled Wireless Sensor Network (BEWSN)risk management practices. A diversified approach is applied to improve the data management and security of Blockchain Wireless Sensor Network (BWSN). Firstly, dependable access control systems and smart contracts should ensure data quality and efficient record transfer, effectively reducing technologya hazards. Second, enhancing security measures within smart contracts with encryption methods is critical to mitigating security risks connected with illegal access and data breaches. Third, operational risks can be avoided by rewarding off- peak transactions, which helps to distribute system load and uniformly minimize operational disturbances. Fourth, the danger to privacy can be reduced by encouraging the use of standardized data formats and working with industry associations to establish standard privacy precautions. Finally, careful adherence to data protection rules and joint efforts with legal professionals is critical in a data breach, assuring the organization's resilience in the face of potential obstacles. The study paves the way for exciting research studies in this fledgling area. Perceived risks and organizational size were shown to be related in our study. Subsequent investigations may explore this correlation in further detail to comprehend how their size influences healthcare organizations' perceptions of the risks associated with implementing Conclusion: This has been achieved by the identification of the challenges associated with the technology, which will enable the development of a more robust blockchain technology in the healthcare industry.
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Jain et al. (2026) studied this question.
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