Research issues for privacy and security of electronic health services

With the prevalence of information and communication technologies, Electronic Health Services (EHS) are commonly used by patients, doctors, and other healthcare professionals to decrease healthcare costs and provide efficient healthcare processes. However, using EHS increases the concerns regarding...

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Bibliographic Details
Published in:Future generation computer systems 2017-03, Vol.68, p.1-13
Main Authors: Yüksel, Buket, Küpçü, Alptekin, Özkasap, Öznur
Format: Article
Language:English
Subjects:
Cryptography
E-health
Electronic health services
Privacy
Security
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Summary:With the prevalence of information and communication technologies, Electronic Health Services (EHS) are commonly used by patients, doctors, and other healthcare professionals to decrease healthcare costs and provide efficient healthcare processes. However, using EHS increases the concerns regarding security, privacy, and integrity of healthcare data. Several solutions have been proposed to address these issues in EHS. In this survey, we categorize and evaluate state-of-the-art electronic health system research based on their architecture, as well as services including access control, emergency access, sharing, searching, and anonymity methods by considering their cryptographic approaches. Our survey differs from previous EHS related surveys in being method-based such that the proposed services are classified based on their methods and compared with other solutions. We provide performance comparisons and state commonly used methods for each category. We also identify relevant open problems and provide future research directions. •We present a survey of state-of-the-art electronic health services (EHS) research focusing on the security, privacy, and integrity aspects.•We categorize state-of-the-art studies according to their architecture, access control, emergency cases, sharing, search, and anonymity techniques.•We consider components, characteristics, and challenges of e-health services.•We systematically analyze and evaluate the systems with a method-based approach, and lay out a comprehensive survey of cryptographic approaches of EHS.•We identify relevant open problems and provide future research directions for enhancing security and privacy of EHS.
ISSN:0167-739X
1872-7115
DOI:10.1016/j.future.2016.08.011