Skip to main content
Top
Published in: Journal of Medical Systems 6/2016

01-06-2016 | Systems-Level Quality Improvement

Data Privacy in Cloud-assisted Healthcare Systems: State of the Art and Future Challenges

Authors: Anam Sajid, Haider Abbas

Published in: Journal of Medical Systems | Issue 6/2016

Login to get access

Abstract

The widespread deployment and utility of Wireless Body Area Networks (WBAN’s) in healthcare systems required new technologies like Internet of Things (IoT) and cloud computing, that are able to deal with the storage and processing limitations of WBAN’s. This amalgamation of WBAN-based healthcare systems to cloud-based healthcare systems gave rise to serious privacy concerns to the sensitive healthcare data. Hence, there is a need for the proactive identification and effective mitigation mechanisms for these patient’s data privacy concerns that pose continuous threats to the integrity and stability of the healthcare environment. For this purpose, a systematic literature review has been conducted that presents a clear picture of the privacy concerns of patient’s data in cloud-assisted healthcare systems and analyzed the mechanisms that are recently proposed by the research community. The methodology used for conducting the review was based on Kitchenham guidelines. Results from the review show that most of the patient’s data privacy techniques do not fully address the privacy concerns and therefore require more efforts. The summary presented in this paper would help in setting research directions for the techniques and mechanisms that are needed to address the patient’s data privacy concerns in a balanced and light-weight manner by considering all the aspects and limitations of the cloud-assisted healthcare systems.
Literature
2.
go back to reference Othman, S., Bahattab, A., Trad, A., and Youssef, H., Secure data transmission protocol for medical wireless sensor networks. AINA ’14 Proc. 2014 I.E. 28th Int. Conf. Adv. Inform. Networking Appl. 649–656, 2014. doi:10.1109/AINA.2014.80. Othman, S., Bahattab, A., Trad, A., and Youssef, H., Secure data transmission protocol for medical wireless sensor networks. AINA ’14 Proc. 2014 I.E. 28th Int. Conf. Adv. Inform. Networking Appl. 649–656, 2014. doi:10.​1109/​AINA.​2014.​80.
4.
5.
go back to reference Wooten, R., Klink, R., Sinek, F., Bai, Y., and Sharma, M., Design and implementation of a secure healthcare social cloud system. 2012 12Th IEEE/ACM Int. Symp. Cluster, Cloud Grid Comput. (Ccgrid 2012). 805–810, 2012. doi:10.1109/CCGrid.2012.131. Wooten, R., Klink, R., Sinek, F., Bai, Y., and Sharma, M., Design and implementation of a secure healthcare social cloud system. 2012 12Th IEEE/ACM Int. Symp. Cluster, Cloud Grid Comput. (Ccgrid 2012). 805–810, 2012. doi:10.​1109/​CCGrid.​2012.​131.
8.
go back to reference Kitchenham, B., Pearl Brereton, O., Budgen, D., Turner, M., Bailey, J., and Linkman, S., Systematic literature reviews in software engineering—a systematic literature review. Inform. Software Technol. 51(1):7–15, 2009. doi:10.1016/j.infsof.2008.09.009.CrossRef Kitchenham, B., Pearl Brereton, O., Budgen, D., Turner, M., Bailey, J., and Linkman, S., Systematic literature reviews in software engineering—a systematic literature review. Inform. Software Technol. 51(1):7–15, 2009. doi:10.​1016/​j.​infsof.​2008.​09.​009.CrossRef
9.
go back to reference Shen, Q., Liang, X., Shen, X., Lin, X., and Luo, H., Exploiting geo-distributed clouds for a e-health monitoring system with minimum service delay and privacy preservation. IEEE J. Biomed. Health Inform. 18(2):430–439, 2014. doi:10.1109/JBHI.2013.2292829.CrossRefPubMed Shen, Q., Liang, X., Shen, X., Lin, X., and Luo, H., Exploiting geo-distributed clouds for a e-health monitoring system with minimum service delay and privacy preservation. IEEE J. Biomed. Health Inform. 18(2):430–439, 2014. doi:10.​1109/​JBHI.​2013.​2292829.CrossRefPubMed
19.
go back to reference Liu, X., Lu, R., Ma, J., Chen, L., and Qin, B., Privacy-preserving patient-centric clinical decision support system on naive Bayesian classification. IEEE J. Biomed. Health Inform. 20(2):655–668, 2015. doi:10.1109/jbhi.2015.2407157.CrossRef Liu, X., Lu, R., Ma, J., Chen, L., and Qin, B., Privacy-preserving patient-centric clinical decision support system on naive Bayesian classification. IEEE J. Biomed. Health Inform. 20(2):655–668, 2015. doi:10.​1109/​jbhi.​2015.​2407157.CrossRef
20.
go back to reference Zhou, J., Cao, Z., Dong, X., Xiong, N., and Vasilakos, A., 4S: A secure and privacy-preserving key management scheme for cloud-assisted wireless body area network in m-healthcare social networks. Inf. Sci. 314:255–276, 2015. doi:10.1016/j.ins.2014.09.003.CrossRef Zhou, J., Cao, Z., Dong, X., Xiong, N., and Vasilakos, A., 4S: A secure and privacy-preserving key management scheme for cloud-assisted wireless body area network in m-healthcare social networks. Inf. Sci. 314:255–276, 2015. doi:10.​1016/​j.​ins.​2014.​09.​003.CrossRef
21.
go back to reference Sujansky, W., and Kunz, D., A standard-based model for the sharing of patient-generated health information with electronic health records. Personal Ubiquitous Comput. 19(1):9–25, 2014. doi:10.1007/s00779-014-0806-z.CrossRef Sujansky, W., and Kunz, D., A standard-based model for the sharing of patient-generated health information with electronic health records. Personal Ubiquitous Comput. 19(1):9–25, 2014. doi:10.​1007/​s00779-014-0806-z.CrossRef
22.
go back to reference Yu, H., Lai, H., Chen, K., Chou, H., Wu, J., Dorjgochoo, S., et al., A sharable cloud-based pancreaticoduodenectomy collaborative database for physicians: Emphasis on security and clinical rule supporting. Comput. Methods Programs Biomed. 111(2):488–497, 2013. doi:10.1016/j.cmpb.2013.04.019.CrossRefPubMed Yu, H., Lai, H., Chen, K., Chou, H., Wu, J., Dorjgochoo, S., et al., A sharable cloud-based pancreaticoduodenectomy collaborative database for physicians: Emphasis on security and clinical rule supporting. Comput. Methods Programs Biomed. 111(2):488–497, 2013. doi:10.​1016/​j.​cmpb.​2013.​04.​019.CrossRefPubMed
23.
go back to reference Zhou, J., Lin, X., Dong, X., and Cao, Z., PSMPA: Patient self-controllable and multi-level privacy-preserving cooperative authentication in distributed m-healthcare cloud computing system. IEEE Trans. Parallel Distrib. Syst. 26(6):1693–1703, 2015. doi:10.1109/tpds.2014.2314119.CrossRef Zhou, J., Lin, X., Dong, X., and Cao, Z., PSMPA: Patient self-controllable and multi-level privacy-preserving cooperative authentication in distributed m-healthcare cloud computing system. IEEE Trans. Parallel Distrib. Syst. 26(6):1693–1703, 2015. doi:10.​1109/​tpds.​2014.​2314119.CrossRef
24.
go back to reference Sawand, A., Djahel, S., Zhang, Z., and Na¨ıt-Abdesselam, F., Multidisciplinary Approaches to achieving efficient and trustworthy eHealth monitoring systems. IEEE/CIC ICCC 2014 Symp. Privacy Sec. In Commun 187–192, doi:10.1109/ICCChina.2014.7008269. Sawand, A., Djahel, S., Zhang, Z., and Na¨ıt-Abdesselam, F., Multidisciplinary Approaches to achieving efficient and trustworthy eHealth monitoring systems. IEEE/CIC ICCC 2014 Symp. Privacy Sec. In Commun 187–192, doi:10.​1109/​ICCChina.​2014.​7008269.
25.
go back to reference Wang, C., Zhang, B., Ren, K., M. Roveda, J., Wen Chen, C., and Xu, Z., A privacy-aware cloud-assisted healthcare monitoring system via compressive sensing. IEEE INFOCOM 2014 - IEEE Conf. Comput. Communi. 2130–2138, 2014. doi:10.1109/INFOCOM.2014.6848155. Wang, C., Zhang, B., Ren, K., M. Roveda, J., Wen Chen, C., and Xu, Z., A privacy-aware cloud-assisted healthcare monitoring system via compressive sensing. IEEE INFOCOM 2014 - IEEE Conf. Comput. Communi. 2130–2138, 2014. doi:10.​1109/​INFOCOM.​2014.​6848155.
28.
go back to reference Zhang, K., Yang, K., Liang, X., Su, Z., Shen, X., and Luo, H., Security and privacy for mobile healthcare networks: from a quality of protection perspective. IEEE Wireless Commun 22(4):104–112, 2015. doi:10.1109/mwc.2015.7224734.CrossRef Zhang, K., Yang, K., Liang, X., Su, Z., Shen, X., and Luo, H., Security and privacy for mobile healthcare networks: from a quality of protection perspective. IEEE Wireless Commun 22(4):104–112, 2015. doi:10.​1109/​mwc.​2015.​7224734.CrossRef
29.
go back to reference Liu, C., Lin, F., Chiang, D., Chen, T., Chen, C., and Lin, H. et al., Secure PHR access control scheme for healthcare application clouds. 2013 42Nd Int. Conf. Parallel Process. 1067–1076, 2013. doi: 10.1109/icpp.2013.127. Liu, C., Lin, F., Chiang, D., Chen, T., Chen, C., and Lin, H. et al., Secure PHR access control scheme for healthcare application clouds. 2013 42Nd Int. Conf. Parallel Process. 1067–1076, 2013. doi: 10.​1109/​icpp.​2013.​127.
30.
31.
go back to reference Narayan, S., Gagné, M., and Safavi-Naini, R., Privacy preserving EHR system using attribute-based infrastructure. Proc. 2010 ACM Workshop Cloud Comput. Sec. Workshop - CCSW ’10. 47-52, 2010. doi:10.1145/1866835.1866845 Narayan, S., Gagné, M., and Safavi-Naini, R., Privacy preserving EHR system using attribute-based infrastructure. Proc. 2010 ACM Workshop Cloud Comput. Sec. Workshop - CCSW ’10. 47-52, 2010. doi:10.​1145/​1866835.​1866845
32.
go back to reference Aljumah, F., Leung, R., Pourzandi, M., and Debbabi, M., Emergency mobile access to personal health records stored on an untrusted cloud. Health Inform. Sci. 30–41, 2013. doi:10.1007/978-3-642-37899-7_3. Aljumah, F., Leung, R., Pourzandi, M., and Debbabi, M., Emergency mobile access to personal health records stored on an untrusted cloud. Health Inform. Sci. 30–41, 2013. doi:10.​1007/​978-3-642-37899-7_​3.
33.
go back to reference Huang, J., Sharaf, M., and Huang, C., A hierarchical framework for secure and scalable ehr sharing and access control in multi-cloud. 2012 41St Int. Conf. Parallel Process. Workshops. 279–287, 2012. doi: 10.1109/icppw.2012.42. Huang, J., Sharaf, M., and Huang, C., A hierarchical framework for secure and scalable ehr sharing and access control in multi-cloud. 2012 41St Int. Conf. Parallel Process. Workshops. 279–287, 2012. doi: 10.​1109/​icppw.​2012.​42.
34.
35.
go back to reference Narayan, S., Gagné, M., and Safavi-Naini, R., Privacy preserving EHR system using attribute-based infrastructure. Proc. 2010 ACM Workshop Cloud Comput. Sec. Workshop - CCSW ’10. 47–52, 2010. doi:10.1145/1866835.1866845. Narayan, S., Gagné, M., and Safavi-Naini, R., Privacy preserving EHR system using attribute-based infrastructure. Proc. 2010 ACM Workshop Cloud Comput. Sec. Workshop - CCSW ’10. 47–52, 2010. doi:10.​1145/​1866835.​1866845.
36.
37.
go back to reference Yu, Z., Thomborson, C., Wang, C., Wang, J., and Li, R., A cloud-based watermarking method for health data security. 2012 Int. Conf. High Perform. Comput. Simulation (HPCS. 642–647, 2012. doi: 10.1109/hpcsim.2012.6266986. Yu, Z., Thomborson, C., Wang, C., Wang, J., and Li, R., A cloud-based watermarking method for health data security. 2012 Int. Conf. High Perform. Comput. Simulation (HPCS. 642–647, 2012. doi: 10.​1109/​hpcsim.​2012.​6266986.
38.
go back to reference Alabdulatif, A., Khalil, I., and Mai, V., Protection of electronic health records (EHRs) in cloud. 2013 35Th Ann. Int. Conf. IEEE Eng. Med. Biol. Soc. (EMBC). 4191–4194, 2013. doi: 10.1109/embc.2013.6610469. Alabdulatif, A., Khalil, I., and Mai, V., Protection of electronic health records (EHRs) in cloud. 2013 35Th Ann. Int. Conf. IEEE Eng. Med. Biol. Soc. (EMBC). 4191–4194, 2013. doi: 10.​1109/​embc.​2013.​6610469.
39.
40.
go back to reference Huang, M., Chen, Y., Chen, B., Liu, J., Rho, S., and Ji, W., A semi-supervised privacy-preserving clustering algorithm for healthcare. Peer-To-Peer Network. Appl. 1–12, 2015. doi:10.1007/s12083-015-0356-9. Huang, M., Chen, Y., Chen, B., Liu, J., Rho, S., and Ji, W., A semi-supervised privacy-preserving clustering algorithm for healthcare. Peer-To-Peer Network. Appl. 1–12, 2015. doi:10.​1007/​s12083-015-0356-9.
41.
go back to reference Rahman, S., Masud, M., Hossain, M., Alelaiwi, A., Hassan, M., and Alamri, A., Privacy preserving secure data exchange in mobile P2P cloud healthcare environment. Peer-To-Peer Network. Appl. 1–16, 2015. doi:10.1007/s12083-015-0334-2. Rahman, S., Masud, M., Hossain, M., Alelaiwi, A., Hassan, M., and Alamri, A., Privacy preserving secure data exchange in mobile P2P cloud healthcare environment. Peer-To-Peer Network. Appl. 1–16, 2015. doi:10.​1007/​s12083-015-0334-2.
42.
45.
go back to reference Jafari, M., Safavi-Naini, R., and Sheppard, N., A rights management approach to protection of privacy in a cloud of electronic health records. Proc. 11Th Ann. ACM Workshop Digit. Rights Manag. - DRM ’11. 23–30, 2011. doi:10.1145/2046631.2046637. Jafari, M., Safavi-Naini, R., and Sheppard, N., A rights management approach to protection of privacy in a cloud of electronic health records. Proc. 11Th Ann. ACM Workshop Digit. Rights Manag. - DRM ’11. 23–30, 2011. doi:10.​1145/​2046631.​2046637.
46.
go back to reference Lam, P., Mitchell, J., Scedrov, A., Sundaram, S., and Wang, F., Declarative privacy policy. Proc. 2Nd ACM SIGHIT Symp. Int. Health Inform. - IHI ’12. 323–332, 2012. doi:10.1145/2110363.2110401. Lam, P., Mitchell, J., Scedrov, A., Sundaram, S., and Wang, F., Declarative privacy policy. Proc. 2Nd ACM SIGHIT Symp. Int. Health Inform. - IHI ’12. 323–332, 2012. doi:10.​1145/​2110363.​2110401.
47.
go back to reference Mohanty, M., Atrey, P., and Ooi, W., Secure cloud-based medical data visualization. Proc. 20Th ACM Int. Conf. Multimed. - MM ’12. 1105–1108, 2012. doi:10.1145/2393347.2396394. Mohanty, M., Atrey, P., and Ooi, W., Secure cloud-based medical data visualization. Proc. 20Th ACM Int. Conf. Multimed. - MM ’12. 1105–1108, 2012. doi:10.​1145/​2393347.​2396394.
48.
go back to reference Sanz-Requena, R., Mañas-García, A., Cabrera-Ayala, J., and García-Martí, G., A cloud-based radiological portal for the patients: IT contributing to position the patient as the central axis of the 21 st century healthcare cycles. Proc. First Int. Workshop Tech. Legal Aspects Data Privacy. 54–57, 2015. Retrieved from http://dl.acm.org/citation.cfm?id=2821479. Sanz-Requena, R., Mañas-García, A., Cabrera-Ayala, J., and García-Martí, G., A cloud-based radiological portal for the patients: IT contributing to position the patient as the central axis of the 21 st century healthcare cycles. Proc. First Int. Workshop Tech. Legal Aspects Data Privacy. 54–57, 2015. Retrieved from http://​dl.​acm.​org/​citation.​cfm?​id=​2821479.
49.
go back to reference Francis, T., Madiajagan, M., and Kumar, V., Privacy issues and techniques in E-Health systems. Proc. 2015 ACM SIGMIS Conf. Comput. People Res. - SIGMIS-CPR ’15. 113115, 2015. doi:10.1145/2751957.2751981. Francis, T., Madiajagan, M., and Kumar, V., Privacy issues and techniques in E-Health systems. Proc. 2015 ACM SIGMIS Conf. Comput. People Res. - SIGMIS-CPR ’15. 113115, 2015. doi:10.​1145/​2751957.​2751981.
50.
go back to reference Balinsky, H., and Mohammad, N., Fine grained access of interactive personal health records. Proc. 2015 ACM Symp. Doc. Eng. - DocEng ’15. 207–210, 2015. doi:10.1145/2682571.2797098. Balinsky, H., and Mohammad, N., Fine grained access of interactive personal health records. Proc. 2015 ACM Symp. Doc. Eng. - DocEng ’15. 207–210, 2015. doi:10.​1145/​2682571.​2797098.
51.
go back to reference Hei, X., and Lin, S., Multi-part file encryption for electronic health records cloud. Proc. 4Th ACM Mobihoc Workshop Pervasive Wireless Healthcare - Mobilehealth ’14. 31–36, 2014. doi:10.1145/2633651.2637473. Hei, X., and Lin, S., Multi-part file encryption for electronic health records cloud. Proc. 4Th ACM Mobihoc Workshop Pervasive Wireless Healthcare - Mobilehealth ’14. 31–36, 2014. doi:10.​1145/​2633651.​2637473.
52.
go back to reference Mohandas, A., and S, S., Privacy preserving content disclosure for enabling sharing of electronic health records in cloud computing. Proc. 7Th ACM India Comput. Conf. - COMPUTE ’14. article no. 7, 2014. doi:10.1145/2675744.2675753. Mohandas, A., and S, S., Privacy preserving content disclosure for enabling sharing of electronic health records in cloud computing. Proc. 7Th ACM India Comput. Conf. - COMPUTE ’14. article no. 7, 2014. doi:10.​1145/​2675744.​2675753.
55.
go back to reference Li, M., Yu, S., Zheng, Y., Ren, K., and Lou, W., Scalable and secure sharing of personal health records in cloud computing using attribute-based encryption. IEEE Trans. Parallel Distrib. Syst. 24(1):131–143, 2013. doi:10.1109/tpds.2012.97.CrossRef Li, M., Yu, S., Zheng, Y., Ren, K., and Lou, W., Scalable and secure sharing of personal health records in cloud computing using attribute-based encryption. IEEE Trans. Parallel Distrib. Syst. 24(1):131–143, 2013. doi:10.​1109/​tpds.​2012.​97.CrossRef
56.
go back to reference Li, M., Yu, S., Ren, K., and Lou, W., Securing personal health records in cloud computing: patient-centric and fine-grained data access control in multi-owner settings. Lecture Notes Inst. Comput. Sci. Soc. Inform. Telecommun. Eng. 89–106, 2010. doi:10.1007/978-3-642-16161-2_6. Li, M., Yu, S., Ren, K., and Lou, W., Securing personal health records in cloud computing: patient-centric and fine-grained data access control in multi-owner settings. Lecture Notes Inst. Comput. Sci. Soc. Inform. Telecommun. Eng. 89–106, 2010. doi:10.​1007/​978-3-642-16161-2_​6.
57.
go back to reference Castiglione, A., Pizzolante, R., De Santis, A., Carpentieri, B., Castiglione, A., and Palmieri, F., Cloud-based adaptive compression and secure management services for 3D healthcare data. Futur. Gener. Comput. Syst. 43–44:120–134, 2015. doi:10.1016/j.future.2014.07.001.CrossRef Castiglione, A., Pizzolante, R., De Santis, A., Carpentieri, B., Castiglione, A., and Palmieri, F., Cloud-based adaptive compression and secure management services for 3D healthcare data. Futur. Gener. Comput. Syst. 43–44:120–134, 2015. doi:10.​1016/​j.​future.​2014.​07.​001.CrossRef
62.
go back to reference Mishra, D., Mukhopadhyay, S., Kumari, S., Khan, M., and Chaturvedi, A., Security enhancement of a biometric based authentication scheme for telecare medicine information systems with nonce. J. Med. Syst. 38(5), 2014. doi: 10.1007/s10916-014-0041-1. Mishra, D., Mukhopadhyay, S., Kumari, S., Khan, M., and Chaturvedi, A., Security enhancement of a biometric based authentication scheme for telecare medicine information systems with nonce. J. Med. Syst. 38(5), 2014. doi: 10.​1007/​s10916-014-0041-1.
63.
65.
go back to reference Ali, A., and Khan, F., Energy-efficient cluster-based security mechanism for intra-WBAN and inter-WBAN communications for healthcare applications. EURASIP J. Wirel. Commun. Netw. 2013(1):216, 2013. doi:10.1186/1687-1499-2013-216.CrossRef Ali, A., and Khan, F., Energy-efficient cluster-based security mechanism for intra-WBAN and inter-WBAN communications for healthcare applications. EURASIP J. Wirel. Commun. Netw. 2013(1):216, 2013. doi:10.​1186/​1687-1499-2013-216.CrossRef
Metadata
Title
Data Privacy in Cloud-assisted Healthcare Systems: State of the Art and Future Challenges
Authors
Anam Sajid
Haider Abbas
Publication date
01-06-2016
Publisher
Springer US
Published in
Journal of Medical Systems / Issue 6/2016
Print ISSN: 0148-5598
Electronic ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-016-0509-2

Other articles of this Issue 6/2016

Journal of Medical Systems 6/2016 Go to the issue