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© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Internet of Things (IoT) and blockchains are enabling technologies for modern healthcare applications, offering the improved monitoring of patient health and higher data integrity guarantees. However, in rural settings, communication reliability can pose a challenge that constrains real-time data usage. Additionally, the limited computation and communication resources of IoT sensors also means that they may not participate directly in blockchain transactions, reducing trust. This paper proposes a solution to these challenges, enabling the use of blockchain-based IoT healthcare devices in low-bandwidth rural areas. This integrated system, named hybrid channel healthcare chain (HC2), uses two communication channels: short-range communication for device authorisation and bulk data transfer, and long-range the radio for light-weight monitoring and event notifications. Both channels leverage the same cryptographic identity information, and through the use of a cloud-based digital twin, the IoT device is able to sign its own transactions, without disclosing the key to said twin. Patient data are encrypted end to end between the IoT device and data store, with the blockchain providing a reliable record of the data lifecycle. We contribute a model, analytic evaluation and proof of concept for the HC2 system that demonstrates its suitability for the stated scenarios by reducing the number of long-range radio packets needed by 87× compared to a conventional approach.

Details

Title
Blockchain-Enabled IoT for Rural Healthcare: Hybrid-Channel Communication with Digital Twinning
Author
Kerrison, Steve 1   VIAFID ORCID Logo  ; Jusak, Jusak 1   VIAFID ORCID Logo  ; Huang, Tao 2   VIAFID ORCID Logo 

 School of Science and Technology, James Cook University, Singapore 387380, Singapore; [email protected] 
 College of Science and Engineering, James Cook University, Smithfield, Cairns, QLD 4878, Australia; [email protected] 
First page
2128
Publication year
2023
Publication date
2023
Publisher
MDPI AG
e-ISSN
20799292
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2812387016
Copyright
© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.