An efficient byzantine consensus mechanism based on healthcare sector in blockchain

A blockchain is a decentralized digital network system consisting of multiple blocks connected in a chain. Each block comprises multiple transactions and is linked to the previous block through its hash value. The hash values are calculated using the active transactions within each block and the hash value of the preceding block. A positive impact can be made by combining blockchain technology with the healthcare sector. The consensus mechanism is the key protocol for implementing agreements in the blockchain. This paper proposes a combined RSA (Rivest-Shamir-Adleman) cryptography algorithm with a novel consensus protocol IPBFT (Improved Practical Byzantine Fault Tolerance) in the Hyperledger Fabric platform, for a patient-centered approach using blockchain technology in the healthcare sector. It ensures the reliability and integrity of transactions and prevents malicious nodes from disrupting the network. The Hyperledger Fabric platform is used to provide transparency, security, and trust in the blockchain. Performance metrics such as latency, throughput, scalability, and comparative analysis for the proposed algorithm Improved Practical Byzantine Fault Tolerance (IPBFT) and existing Practical Byzantine Fault Tolerance (PBFT) algorithms have been evaluated to achieve enhanced results. The proposed algorithm solves many problems associated with existing Practical Byzantine Fault Tolerance solutions and improves efficiency and security in the healthcare sector.