Demographics.

Blockchain technology is widely used in almost every domain of life nowadays including healthcare sector. Although there are existing frameworks to govern healthcare data but they have certain limitations in effectiveness of data governance to ensure security and privacy. This study aimed to evaluate effectiveness of health care data governance frameworks, examining security and privacy concerns and limitations within the existing frameworks of ISO Standards, GDPR, and HIPAA. In this study quantitative research approach was followed. A sample of 250 participants from Islamabad, Lahore and Karachi based healthcare experts, IT specialist, blockchain research and developer, administrator was selected. The collected data was analyzed though frequencies and descriptive statistical tests with the help of SPSS. The results revealed un-satisfaction for data governance frameworks, i.e., ISO standards, GDPR, and HIPAA in terms of security concerns, i.e., data encryption, access controls, audit trails, interoperability and standards, smart contracts for compliance, data integrity, regulatory compliance monitoring and privacy concerns, i.e., consent management, anonymization and pseudonymization, data minimization. The participants agreed that there is a need of integration of reliable data governance framework in health care data management. Various personalized governance techniques, targeted security upgrades, and continuous improvement in the specific customized data governance framework has been presented based on the findings of the study. An implementation of blockchain-based systems is recommended in order to ensure and expand the security and privacy of healthcare data management.