Prioritizing adoption barriers of platforms based on blockchain technology from balanced scorecard perspectives in healthcare industry: a structural approach

Since the advent of blockchain technology (BT), extensive research has explored using this technology in non-financial cases. The healthcare industry is one of the non-financial sectors that BT has significantly impacted. In this paper, for the first time, barriers to implement BT-based platforms from a balanced scorecard perspective in the healthcare sector are introduced, and these barriers are prioritized using a structural approach based on the weighted influence non-linear gauge system. Unlike other structural models such as decision-making trial and evaluation laboratory (DEMATEL), in this approach, both strength and influence intensity of components are considered in the ranking process. The proposed approach is applied in networks that have a hierarchical structure and intertwined components. The performance of the proposed approach is evaluated using the ranking of BT-based platform adoption barriers in the healthcare industry in Iran. The results show that financial issues, security issues, lack of expertise and knowledge, and uncertain government policies are the most important barriers to BT adoption in the healthcare industry.