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Table 11 Selective codes representing concerns about blockchain-based HIE

From: Benefits and concerns associated with blockchain-based health information exchange (HIE): a qualitative study from physicians' perspectives

Selective codes (themes)

Constructs involved

Definition

Individual-related issues

Lack of knowledge about blockchain technology + lack of trust in blockchain technology

The extent to which physicians may not be familiar and aware of blockchain platforms and may not trust in the reliability of this technology

Technology-related issues

Complicated system + Blockchain model types

The extent to which developing the right type of blockchain architecture compatible with healthcare would be challenging, and that blockchain model may not be easy to use for HIE purposes

Organizational-related issues

Feasibility issues + selection decision + implementation issues

The extent to which healthcare organizations believe that blockchain projects may not be feasible, selecting blockchain-platform is challenging, and the required resources may not be available for a successful rollout

Market-related issues

Network effects + lack of collaboration among various stakeholders + regulatory issues

The extent to which regulations may not support blockchain applications, the healthcare market may not be receptive, and stakeholders may not fully participate in blockchain projects