Comparative Analysis of Blockchain Hashing Algorithms for Efficient Healthcare Monitoring Systems


Authors : M. Rajathi; Dr. K. Mohan Kumar

Volume/Issue : Volume 11 - 2026, Issue 1 - January


Google Scholar : https://tinyurl.com/5yhsj9zt

Scribd : https://tinyurl.com/382es4ku

DOI : https://doi.org/10.38124/ijisrt/26jan1080

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Blockchain technology has emerged as a transformative solution for enhancing security, transparency, and data integrity in healthcare monitoring systems. Central to blockchain’s functionality are hashing algorithms, which ensure data immutability and secure transaction verification. This study presents a comparative analysis of various blockchain hashing algorithms, evaluating their efficiency, security features, computational complexity, and suitability for healthcare monitoring applications. By examining algorithms such as SHA-256, SHA-3, Blake2, and others, the research aims to identify the optimal hashing mechanism that balances performance with robust security requirements in healthcare contexts. The analysis considers factors including speed, resistance to cryptographic attacks, energy consumption, and scalability. Results highlight the trade-offs inherent in selecting hashing algorithms for healthcare monitoring, where real- time data processing and patient privacy are critical. This paper contributes to advancing blockchain adoption in healthcare by guiding the selection of hashing algorithms tailored to the unique demands of healthcare monitoring systems.

Keywords : Blockchain, Hashing Algorithms, Healthcare Monitoring Systems, Data Security, Cryptographic Hash Functions, SHA-256.

References :

  1. Sinaga, J. S. G., Sitorus, N., & Samosir, S. L. (2024). Analisis Kinerja Algoritma Hash pada Keamanan Data: Perbandingan Antara SHA-256, SHA-3, dan Blake2. Jurnal Quancom: Jurnal Quantum Komputer, 2(2), 9–16. https://doi.org/10.62375/jqc.v2i2.432
  2. Chowdhury, R. H., Yammanur, V., Bhuiyan, T., & Al Masum, A. (2024). Exploring the integration of blockchain technology in healthcare monitoring systems for enhanced security and data integrity of patient information. World Journal of Advanced Engineering Technology and Sciences, 13(2), 297–310. https://doi.org/10.30574/wjaets.2024.13.2.0570
  3. Vinayasree, P., & Reddy, A. M. (2024). A Scalable, Secure, and Efficient Framework for Sharing Electronic Health Records Using Permissioned Blockchain Technology. International Journal of Computational and Experimental Science and Engineering, 10(4). https://doi.org/10.22399/ijcesen.535
  4. Hanif, F., Waheed, U., Shams, R., & Shareef, A. S. (2023). GAHBT: Genetic-Based Hashing Algorithm for Managing and Validating Health Data Integrity in Blockchain Technology. Blockchain in Healthcare Today, 6(2). https://doi.org/10.30953/bhty.v6.244
  5. Alruwaill, M. N., Mohanty, S. P., & Kougianos, E. (2025). hChain 4.0: A Permissioned Blockchain Framework for Secure, Privacy-Preserving, and Scalable EHR Management. 1–6. https://doi.org/10.1109/satc65530.2025.11137324
  6. Bhartwal, T., Singh, Y. V., Singh, S. K., & Chauhan, S. S. (2025). A hybrid blockchain approach for healthcare data management: H-TPI and H-ADSP algorithm. 857–861. https://doi.org/10.1201/9781003593034-134
  7. Chandika, H. P., & Kumar, K. R. (2025). ESMIoTHD: ENHANCED BLOCKCHAIN SECURITY AND MANAGEMENT FOR IOT-BASED HEALTHCARE DATA, A ROBUST FRAMEWORK FOR TRUST AND INTEGRITY. Journal of Mechanics of Continua and Mathematical Sciences, 20(1). https://doi.org/10.26782/jmcms.2025.01.00003
  8. Zhang, R., Xue, R., & Liu, L. (2021). Security and Privacy for Healthcare Blockchains. IEEE Transactions on Services Computing, 01, 1. https://doi.org/10.1109/TSC.2021.3085913
  9. Chen, Z., & Gu, J. (2023). HAE: A Hybrid Cryptographic Algorithm for Blockchain Medical Scenario Applications. Applied Sciences. https://doi.org/10.3390/app132212163
  10. Thantharate, P., & Thantharate, A. (2023). ZeroTrustBlock: Enhancing Security, Privacy, and Interoperability of Sensitive Data through ZeroTrust Permissioned Blockchain. Big Data and Cognitive Computing. https://doi.org/10.3390/bdcc7040165
  11. Hu, J., Huang, K., Bian, G., & Cai, Y. (2023). Redact-Chain for Health: A Scheme Based on Redactable Blockchain for Managing Shared Healthcare Data. Electronics. https://doi.org/10.3390/electronics12204240
  12. Sharmin, S., Arefin, M. S., Dhar, P. K., Sultana, Z., & Akter, S. (2025). A Scalable and Privacy-Preserving Hybrid Blockchain Architecture for Secure Healthcare Data Management. International Journal of Advanced Computer Science and Applications, 16(8). https://doi.org/10.14569/ijacsa.2025.0160895
  13. Shrimali, B., Surati, S., & Trivedi, H. (2023). MediBlock: A Blockchain-based Architecture for Secure Healthcare System. 750–755. https://doi.org/10.1109/InCACCT57535.2023.10141848
  14. Jafar, U., & Hussain, H. A. (2024). Enhancing Cybersecurity in Healthcare Using Blockchain and IoMT-Integrated Framework for Mitigating Emerging Risks. 144–149. https://doi.org/10.1109/istt63363.2024.10750568
  15. Chelladurai, U., & Pandian, S. (2021). HARE: A new Hash-based Authenticated Reliable and Efficient Modified Merkle Tree Data Structure to Ensure Integrity of Data in the Healthcare Systems. Journal of Ambient Intelligence and Humanized Computing, 1–15. https://doi.org/10.1007/S12652-021-03085-0
  16. Ghanimi, H. M. A., Bolivar, R. P. M., Figueroa Figueroa, A. T., Ray, S., Dadheech, P., & Sengan, S. (n.d.). Merkle-Damgård hash functions and blockchains: Securing electronic health records. Journal of Discrete Mathematical Sciences and Cryptography. https://doi.org/10.47974/jdmsc-1878
  17. Chakravarthy, D. P., Gopi, R., Murugan, S., & Joseph, E. (2025). Enhancing confidentiality and access control in electronic health record systems using a hybrid hashing blockchain framework. Dental Science Reports, 15(1). https://doi.org/10.1038/s41598-025-13831-5
  18. Raj, A., & Prakash, S. (2022). A Privacy-Preserving Authentic Healthcare Monitoring System Using Blockchain. International Journal of Software Science and Computational Intelligence, 14(1), 1–23. https://doi.org/10.4018/ijssci.310942
  19. Aruna, A. S., & Senthilselvi, A. (2024). A Novel Approach to Enhance Data Integrity in Blockchain using Cryptographic Hashing. 1–4. https://doi.org/10.1109/icait61638.2024.10690597
  20. Slatnia, S., Kazar, O., & Barka, E. (2023). Blockchain for medical security data: a review and perspectives. 1–6. https://doi.org/10.1109/ICAECCS56710.2023.10104749
  21. Arul, P., & Renuka, S. (2023). Securing Healthcare Data in Blockchain Using TSE Algorithm. Indian Journal of Science and Technology. https://doi.org/10.17485/ijst/v16i43.1815
  22. Sevin, A., & Mohammed, A. A. O. (2024). Comparative Study of Blockchain Hashing Algorithms with a Proposal for HashLEA. Applied Sciences, 14(24), 11967. https://doi.org/10.3390/app142411967
  23. Goel, A., & Neduncheliyan, S. (2023). An intelligent blockchain strategy for decentralised healthcare framework. Peer-to-Peer Networking and Applications, 16(2), 846–857. https://doi.org/10.1007/s12083-022-01429-x
  24. Fu, J., Qiao, S., Huang, Y., Si, X., Li, B., & Yuan, C. (2020). A Study on the Optimization of Blockchain Hashing Algorithm Based on PRCA. Security and Communication Networks, 2020, 1–12. https://doi.org/10.1155/2020/8876317
  25. Amanat, A., Rizwan, M., Maple, C., Bin Zikria, Y., Almadhor, A., & Kim, S. W. (2022). Blockchain and cloud computing-based secure electronic healthcare records storage and sharing. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.938707
  26. Ali, A., Rahim, H. A., Pasha, M. F., Dowsley, R., Masud, M., Ali, J., & Baz, M. (2021). Security, Privacy, and Reliability in Digital Healthcare Systems Using Blockchain. Electronics, 10(16), 2034. https://doi.org/10.3390/ELECTRONICS10162034
  27. Abu-Alhaija, M., Al-Baik, O., Hussein, A. H., & Abdeljaber, H. A. M. (2024). Optimizing blockchain for healthcare IoT: a practical guide to navigating scalability, privacy, and efficiency trade-offs. Indonesian Journal of Electrical Engineering and Computer Science, 35(3), 1773. https://doi.org/10.11591/ijeecs.v35.i3.pp1773-1785
  28. Shanthapriya, R., & Vaithianathan, V. (2020). Block-healthnet: security based healthcare system using block-chain technology. Security Journal, 1–19. https://doi.org/10.1057/S41284-020-00265-Z
  29. Kanagasankari, S., & Vallinayagi, V. (2022). comparative analysis of consensus algorithms in the health care sector using block chain technology. International Journal of Health Sciences. https://doi.org/10.53730/ijhs.v6ns1.7863
  30. Chelladurai, U., & Pandian, S. (2021). A novel blockchain based electronic health record automation system for healthcare. Journal of Ambient Intelligence and Humanized Computing, 1–11. https://doi.org/10.1007/S12652-021-03163-3
  31. Cánovas, I. T. (2023). Blockchain-Based Secure and Energy-Efficient Healthcare IoT Using Novel QIRWS-BWO and SAES Techniques (pp. 379–392). https://doi.org/10.1007/978-981-19-9379-4_28
  32. Sosu, R. N. A., Quist-Aphetsi, K., & Nana, L. (2019). A Decentralized Cryptographic Blockchain Approach for Health Information System. 120–1204. https://doi.org/10.1109/ICCMA.2019.00027

33. Islam, S., Ameedeen, M. A., Rahman, Md. A., Ajra, H., & Ismail, Z. (2023). Healthcare-Chain: Blockchain-Enabled Decentralized Trustworthy System in Healthcare Management Industry 4.0 with Cyber Safeguard. Computers, 12(2), 46. https://doi.org/10.3390/computers12020046

Blockchain technology has emerged as a transformative solution for enhancing security, transparency, and data integrity in healthcare monitoring systems. Central to blockchain’s functionality are hashing algorithms, which ensure data immutability and secure transaction verification. This study presents a comparative analysis of various blockchain hashing algorithms, evaluating their efficiency, security features, computational complexity, and suitability for healthcare monitoring applications. By examining algorithms such as SHA-256, SHA-3, Blake2, and others, the research aims to identify the optimal hashing mechanism that balances performance with robust security requirements in healthcare contexts. The analysis considers factors including speed, resistance to cryptographic attacks, energy consumption, and scalability. Results highlight the trade-offs inherent in selecting hashing algorithms for healthcare monitoring, where real- time data processing and patient privacy are critical. This paper contributes to advancing blockchain adoption in healthcare by guiding the selection of hashing algorithms tailored to the unique demands of healthcare monitoring systems.

Keywords : Blockchain, Hashing Algorithms, Healthcare Monitoring Systems, Data Security, Cryptographic Hash Functions, SHA-256.

Never miss an update from Papermashup

Get notified about the latest tutorials and downloads.

Subscribe by Email

Get alerts directly into your inbox after each post and stay updated.
Subscribe
OR

Subscribe by RSS

Add our RSS to your feedreader to get regular updates from us.
Subscribe