Objective. Telehealth and telemedicine systems aim to deliver remote healthcare services to mitigate the spread of COVID-9. Also, they can help to manage scarce healthcare resources to control the massive burden of COVID-19 patients in hospitals. However, a large portion of today's telehealth and telemedicine systems are centralized and fall short of providing necessary information security and privacy, operational transparency, health records immutability, and traceability to detect frauds related to patients’ insurance claims and physician credentials. Methods. The current study has explored the potential opportunities and adaptability challenges for blockchain technology in telehealth and telemedicine sector. It has explored the key role that blockchain technology can play to provide necessary information security and privacy, operational transparency, health records immutability, and traceability to detect frauds related to patients’ insurance claims and physician credentials. Results. Blockchain technology can improve telehealth and telemedicine services by offering remote healthcare services in a manner that is decentralized, tamper-proof, transparent, traceable, reliable, trustful, and secure. It enables health professionals to accurately identify frauds related to physician educational credentials and medical testing kits commonly used for home-based diagnosis. Conclusions. Wide deployment of blockchain in telehealth and telemedicine technology is still in its infancy. Several challenges and research problems need to be resolved to enable the widespread adoption of blockchain technology in telehealth and telemedicine systems.

客观的。远程医疗和远程医疗系统旨在提供远程医疗服务，以减轻 COVID-9 的传播。此外，它们还可以帮助管理稀缺的医疗资源，以控制医院中 COVID-19 患者的巨大负担。然而，当今的远程医疗和远程医疗系统很大一部分都是集中式的，无法提供必要的信息安全和隐私、操作透明度、健康记录不变性以及可追溯性，以检测与患者保险索赔和医生凭证相关的欺诈行为。方法。目前的研究探讨了区块链技术在远程医疗和远程医疗领域的潜在机遇和适应性挑战。它探索了区块链技术在提供必要的信息安全和隐私、操作透明度、健康记录不变性以及可追溯性以检测与患者保险索赔和医生凭证相关的欺诈行为方面可以发挥的关键作用。结果。区块链技术可以通过去中心化、防篡改、透明、可追溯、可靠、可信和安全的方式提供远程医疗服务，从而改善远程医疗和远程医疗服务。它使卫生专业人员能够准确识别与医生教育证书和常用于家庭诊断的医疗检测套件相关的欺诈行为。结论。区块链在远程医疗和远程医疗技术中的广泛部署仍处于起步阶段。需要解决一些挑战和研究问题，才能使区块链技术在远程医疗和远程医疗系统中得到广泛采用。