AltF4

Seguro Medico

A platform that provides immutable medical records and financial assistance facility for patients(crowdfunding)

🤔 Inspiration

With the advancement of technology and medical science, not every patient can afford the costly medical facilities. According to a CarePayment Research Survey, it was quite clearly found that almost 64% of all the patients in America either avoids or delays any medical care because of the high cost. Business Wire

And these statistics are even worse for many other underdeveloped countries like India. Low on cost, high on quality of care, and with a wide range of treatments available — the Indian healthcare system draws over 1.3 million patients from abroad each year. The sector is expected to generate $3 billion by the end of 2013. In Harvard Business Review’s November issue, a study by authors Vijay Govindarajan and Ravi Ramamurti gave private hospitals in India a thumbs-up for “delivering world-class health care, affordably”. Yet, 99% of India’s population cannot afford these services, shows World Bank data. Each year, 39 million people are pushed into poverty by out-of-pocket payments for healthcare, with households on average devoting 5.8% of their expenditures to medical care, the data reveals. Hindustan times Report

😖 Pain points

A 33-year-old software engineer working in the private sector lost her savings of eight years in a day when her father, 65, underwent a liver transplant in a private hospital. “Not only did my savings go, but I also had to borrow money from the family to foot the bill. The procedure and hospitalization cost almost Rs 30 lakh, and she had to continue spending Rs 10,000 each month for medicines, follow-up consultations, and diagnostics,”.Each round of chemotherapy and radiation costs her almost Rs 1 lakh, but she didn’t consider AIIMS because the radiotherapy machine there is booked for the next seven months. Hindustan times Report

😯 Rise in the current problem during this pandemic

Financial distress has been one of the biggest impacts of the COVID 19-induced lockdown.
According to India Today.”Consumables like PPE kits, masks, face shields, and gloves which used to take up around 10% of the hospital bill, have now increased to 50% and this has left many struggling to pay hospital bills.”
Private hospitals in India are overcharging for safety gear in the absence of government regulation - Saima Furqan’s 60-year-old uncle was admitted to Sir Ganga Ram Hospital in Delhi with Covid-19 in April. After 30 days in the private hospital, the family was given a 122-page bill and charged Rs 16,14,596. What struck Furqan in the bill is that the family was charged a flat rate of Rs 10,000 per day for the personal protective equipment, commonly known as PPE, worn by medical staff treating her uncle. The family paid Rs 2.9 lakh for PPE alone, which is 18% of their total bill.
Private players
Differences across hospitals
Discrepancies in pricing
Price regulation

This all has become a major issue dropping Indian citizens into financial conditions like taking loans and so many to go below the poverty line.

✅ What it does

Seguro Medico provides immutable management and access of medical records and financial assistance to patients.

If observed carefully, it can quite clearly be seen that the major hurdle that prevents the patients to be in control of the complete insurance or donation amount is the long list of third parties as well as the central authorities in control. And that is exactly the two major issues that Seguro Medico effectively solves.
First of all, this is a decentralized application and therefore eradicates any control of central authorities over the medical funds or donation amounts. This ensures the utmost security from any tamper with medical data that might take place in traditional systems.
Secondly, Seguro Medico implements a smart contract. This contract not only operates independently but also keeps an immutable record of the participants withdrawing or donating funds while maintaining a control system that limits the accessibility of participants in the network from certain features. Thus, smart contracts in Seguro Medico ensures reliability and trust in the system since there is no chance of any mishaps with medical funds due to Human bias.
Finally, each and every transaction that takes place on this application, along with its timestamp, is stored with utmost safety on the Blockchain. Thus ensuring complete immutability of the data.

🌟 Features

Admin can add patients.
Admin can add doctors.
Admin can assign doctor to patients
Doctor can add medical records to assigned patients.
Medical records of a patient have a complete history.

🛠️ How we built it

React : For designing our dynamic web app
Bootstrap : For styling and making our app responsive
Solidity: For implementing the smart contract
Matic : Deployment of smart contract
Truffle : A world-class development environment, testing framework and asset pipeline for blockchains
Portis: Making Decentralized Applications accessible to mainstream users and authentication using gmail.

🔎 Use Cases

For storing their medical records and on the blockchain.
Donation for patients (only patients handle their donation funds)

❌ Challenges we ran into

Integrating Portis Wallet.
Connecting blockchain with react app.
Making dynamic easy to use interfaces.
Working in teams remotely.
During the period of Hackathon, Portis wallet servers were facing severe downtime so we had to shift to metamask overnight.

🏆 Accomplishments that I'm proud of

Able to build a working platform with great teamwork in such a short time.
Being able to provide help to patients in need of financial help.

📚 What we learned

Learned how to divide tasks as a team and be accountable for it, setting report time.
How to integrate portis wallet.
How to learn and implement new tech hacks quickly.

💹 Market Opportunity

The healthcare market can increase three-fold to Rs 8.6 trillion (US$ 133.44 billion) by 2022.
Indian medical tourism market is growing at 18 per cent y-o-y and is expected to reach US$ 9 billion by 2020. There is a significant scope for enhancing healthcare services considering that healthcare spending as a percentage of Gross Domestic Product (GDP) is rising. The Government’s expenditure on healthcare sector has grown to 1.6 per cent of the GDP in FY20BE from 1.3 per cent in FY16.
Health insurance is gaining momentum in India. Gross direct premium income underwritten by health insurance grew 17.16 per cent y-o-y to Rs 51,637.84 crore (US$ 7.39 billion) in FY20
Cited from IBEF

⚡ What's next for Seguro Medico

We are planning to reach hospitals and patients who could benefit from each other. Hospitals by getting their medical records data on blockchain and patients by getting access to immutable and unforged medical records asap.

✨ Found Interesting, run it locally in just few line of code.

Run these commands

git clone git@github.com:HAC-2020/AltF4.git
cd AltF4
cd client
npm install 
npm start

👨🏻‍💻 Tech Stack

Truffle
Solidity
Node
React
Bootstrap
Portis
Web 3
Ethereum
Matic Network

Screenshots of our app

Click here to see live demo

Click here to see our presentation slides

Click here to see our working video

Future modifications:

Patient Dashboard: Patients can see their medical records along with managing funds that have been donated to them.
Open to suggestions ;p