WELL-AI Platform: A SMART Blockchain Solution for Eliminating Bad Medical Debt – A Systematic Literature Review

Inas Al Khatib and Malick Ndiaye
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Inas Al Khatib: American University of Sharjah, UAE
Malick Ndiaye: American University of Sharjah, UAE

International Journal of Service Science, Management, Engineering, and Technology (IJSSMET), 2025, vol. 16, issue 1, 1-55

Abstract: Bad medical debt negatively impacts individuals' physical and mental well-being, can discourage future care-seeking, and is increasingly viewed as a social determinant of health. Addressing this issue by linking the healthcare sector with humanitarian efforts presents a significant global challenge, requiring innovative solutions. This paper aims to synthesize existing literature on the topic. Using the Scopus database, a systematic review of literature was conducted from 1990 to 2024, employing the PRISMA framework. Thematic analysis was applied to organize and interpret the findings. Reviewing 958 papers, including 318 key sources, revealed a pressing need for a SMART blockchain healthcare platform. Such a platform would securely connect beneficiaries with philanthropists, facilitate data sharing, and align donor requirements with beneficiary criteria. Employing decentralized autonomous organization frameworks and smart contracts ensures transparency, efficiency, and accountability through automated and secure processes.

Date: 2025
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