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We review the significance and opportunities of using cloud computing in pervasive healthcare, and then look at the current as well as the future challenges it faces. ÎA=�^���B��je95@��9ʜ���=�4���)�\Ʃd��4}ɞ�^�YzF3N���9z,X���7c 1���"@��ţ��h�`�0G�H��Xơ�@���`j����L Pb`q��E�X,� �� ����˰�y�D�Ḿ������0�2�a�c�?�`�j�2��J�1T3\fА�d�apdЇ��K� Introduction: Most of the third-party hosting systems have some issues related. There needs to identify the state of the art and pinpoint challenges and possible directions for researchers and applications developers. This paper's goal is to provide a comprehensive and structured overview of cloud computing security requirements and solutions. lth systems (Khana et al., 2014, pp. technology in healthcare organizations (Sun et al., 2014, providers. In order to focus on the most relevant literatures, Security issues as mentioned in cloud Security guidelines documents from National Institute of Standards and Technology (NIST) and Cloud Security Alliance (CSA) were considered. In order to alleviate those attacks, we present a well-organized taxonomy tree covering the most desired features essential for any Cloud-based IDMSs. Conference Record - IAS Annual Meeting (IEEE Industry Applications Society). None of the discussed techniques heuristically covers all the security features; moreover, they lack compliance to international standards which, understandably, undermines their credibility. The security analysis indicates that the SE-AC mechanism is secure and will prevent any unauthorized access. Generally speaking, our work can achieve authentication, keyword privacy, and privacy preservation. Adopting cloud computing solutions can make healthcare operations even more convenient and cost effective. Moreover, for the purpose of analysis and investigation of research, . Cloud computing is a promising technology that is expected to transform the healthcare industry. license (http://creativecommons.org/licenses/by/3.0/). Designing, Rahman, S. M., et al. semi-structured interviews of participating cybersecurity leaders (n = 12) and analysis of cybersecurity policy documents (n = 20). Cloud computing security is a broad research domain with a large number of concerns, ranging from protecting hardware and platform technologies to protecting clouds data and resource access (through different end- user devices). Healthcare center and registered in the outsourcing organization in the cloud. A SYSTEMATIC REVIEW OF SECURITY CHALLENGES IN CLOUD COMPUTING Integrity in healthcare systems means maintaining accuracy an, transmitted data. These benefits strongly advocate its employment in real-time application. Cloud computing provides cost flexibility and the potential for reduced costs. In this chapter, the authors discuss the evolution in IoT, concept of cloud computing and related issues. trailer http://dx.doi.org/10.1016/j.proeng.2011.12.701. The energy consumption of the cloud data center is also very large and thus increases the cost of cloud computing. For health care providers, the staff can have, use data encrypt and protection mechanisms to evade, lity, and privacy of healthcare data in cl, e area over the past two decades was the i. identiality. First step is a conformist one where the user enters his user id and password, if it matches with the stored database of the cloud then they proceed of authentication, the second step is the database triggers an application which generates a dynamic password. Besides, it is important to select cloud providers carefully to … Moreover, the performance evaluation shows that the scheme can achieve high computational efficiency. {��5p��?\�ZX6�Rh��~�_��M���ܖN�k(�����s��+Kr�n�z\'�A�2x�8~]3 �*��7��)�RG�⾪���?�����]O���`���t퐮�2�8eb"���؅�z�9Egi���e-�x鑠�O�l��Ά����]�6\������9�s�!g~�.��k���u�^��a�Ŗ�?ݨP |�=�;�ө(&-V��R��c0�'Uc�F:Qɐ\�VA�H�U�&o�r��U\���� ����c�|H�{��tɀD�e�㺝�Nϲ���s,�xڤÈ�����ӱv��5^���"7�z8s����ݯgGg�׵���A�d�T�L�'�w��q+$���o*J8�G{lE�U1���cβ^�eN��p��j ���. Cloud computing has been applied to many IT environments due to its efficiency and availability. Authentication in health care cloud infrastructures encompasses both health. Access control primarily refers to data security, access to part of the data according to their organization security policies. Methods: In this work, we have holistically analyzed Cloud IDMSs to better understand the general as well as the security aspects of this domain. The content validity of the questionnaire was examined by the experts and the reliability of the questionnaire was determined using Cronbach’s coefficient alpha (α=0.75). All articles from 2000 to 2015 were taken into account for, the strategies described above, 666 referenc, abstracts. HIM professionals will benefit from this study by gaining a better perspective of the possible outcomes that result from an electronic data breach. In a healthcare cloud computing for, s and servers are specifically dedicated to meet the, th care services can pass to users (patients or physicians) through, d computing, there are several challenges that delay the. RQ1= Research Question 1, RQ2= Research Question 2, R, e of analysis and investigation of research quest, Summary of final studied articles and their relevance to the research question, A cloud-based healthcare framework for security, Secured Health Monitoring in Cloud Computing, Confidentiality and Privacy in Cloud Computing, Homomorphic Encryption In Cloud Computing, Securing Personal Health Records in Cloud, c data (what, where, when, risks and consequences) must, g anonymous secure data exchange solution in healthcare, obility and inability to locate or process, are the main, her customers of cloud service providers. Cloud computing is a set of IT services that are provided to a customer over a network on a leased basis and with the ability to scale up or down their service requirements. OBJECTIVE: In this study a systematic review to investigate the security challenges in cloud computing was carried out. The major concept of this paper is, primarily, to facilitate Cloud Providers in comprehending the framework of the new General Data Protection Regulation and secondly, to identify security measures and security policy rules for the protection of sensitive data in a Cloud-based Health System, following our risk-based Security Policy Methodology that assesses the associated security risks and takes into account different requirements from patients, hospitals, and various other professional and organizational actors. This paper surveys about various usages of IoT healthcare technologies and reviews the state of the art services and applications, recent trends in IoT based healthcare solutions, and various challenges posed including security and privacy issues, which researchers, … In this paper we introduce a detailed analysis of the cloud security problem. 3.1. Such partnerships may provide cybercriminals an avenue to access organizational information, as business partners and providers often have some access to the organization's network. Automation of health monitoring has witnessed an unmatched transformation during the past decade owing to advancement in the IoT. 511-517). Purpose 121-130). Finally, conclusions with the suggested future work are presented. information and identities of users (health care providers, physicians and patients). Security is one of the major issues which hamper the growth of cloud. The requesting user can get dynamically changing permissions based on authentication and context attributes. 0000000016 00000 n With the economic benefits of cloud computing utilization, we provide basic arguments on data sharing issue with infrastructure providers, which requires additional investments to implement data management policies in cloud computing environment. improving information security in healthcare cloud computing (Alnuem et al., 2011; Kuyoro et al., 2011, pp. Thereafter, the authors present the concept of fog computing along with associated constraints and challenges. 0000001399 00000 n In addition, Fog systems are capable of processing large amounts of data locally, … In this paper, we study the use of cloud computing in the healthcare industry and different cloud security and privacy challenges. In this paper, we aim to attain an understanding of the types of issues and challenges that have been emerging over the past five years and identify gaps between the focus of the literature and what practitioners deem important. Additionally, it suggests implementing various techniques to aggregate data ahead of transmission. Some major challenges that are being faced by Cloud Computing are to secure, protect and process the data which is the property of the user. security to study the current challenges in this field. Data were collected using a questionnaire. Resultantly, the proposed approach improves QoS by outperforming the existing approaches by preventing bottleneck in the network. This review highlights the importance of technical features, including mandated access control policies and consent mechanisms, to provide patients' consent, scalability through proper architecture and frameworks, and interoperability of health information systems, to EHR security and privacy requirements. 0000052101 00000 n ing: toward a future dependent on cloud computing. In this era of IoT, edge devices generate gigantic data every second. The proposed protocol is robust against different attacks, such as target-oriented, man-in-the middle, masquerade, and message manipulation attacks. It suggests that although several cyber security maturity models and standards resolving specific threats exist, there is a lack of maturity models for cloud-based health-care security. Despite all the benefits of clou, Security is one of the main obstacles to the growth of cloud c. for high level of data integration, interoperability. FINDINGS: Using the strategies described, 666 references retrieved (for research question one 365, research question two 201, and research question three 100 references). This chapter provides a brief introduction of pandemic history of kala-azar with special reference to World Health Organization and the universal plan adopted for the disease control strategy. A brief overview of disease control strategy has been described in this chapter. It has changed the dynamics of IT consumption by means of a model that provides on-demand services over the Internet. This was a survey study in which the participants were information technology (IT) managers (n=36) who worked in the hospitals affiliated to the top ranked medical universities (university A and university B). Internet connection (Parekh et al., 2015, pp. The second security method is Column Based Encryption (CBE). Thus, we present a secure EHR searching scheme based on conjunctive keyword search with. The National Institute of Standards and, the United States has targeted three models of cloud computing: software as a service, platform, infrastructure as a service (Balasubramaniam et al., 2, internal communications, extensive number of computer. 2017, Hobart, Australia Fog Computing Challenges: A Systematic Review 2 1 Introduction There is a growing interest and advancement in Internet of Things (IoT) technology with new opportunities and applications emerging in industries such as healthcare, smart home, manufacturing and agriculture (Bader et al. Hence, it is necessary to restrict the access control policies and develop efficient mechanisms for cloud-based EHRs data. This paper introduces a detailed analysis of the cloud computing security issues and challenges focusing on the cloud computing types and the service delivery types. 2.2 Research Questions What are the security concerns in the healthcare cloud computing? Issues such as identity management and access control, Internet-based access, authentication and authorization and cybercriminals are major concerns in healthcare cloud computing. Utilising a modified version of the approach suggested by Okoli and Schabram (2010) 52 articles were considered for the review, of which 26 were included in the final product. Cloud computing is a emerging technology that allows us access the shared resources which was stored in the cloud data center. The security problem becomes more complicated under the cloud model as new dimensions have entered into the problem scope related to the model architecture, multi-tenancy, elasticity, and layers dependency stack. Using CBE, access policies are expressed based on the attributes of handlers or data, which enables a health center to selectively share their Personal Medical Records and DICOM image among a set of users by encrypting the file under a set of attributes or columns. 0000008081 00000 n These monitored parameters need to be forwarded and processed at cloud which aids medical expert in diagnosis and treatment. communications and technology (Bildosola et al., 2015). In automated health monitoring system, patient is efficiently and precisely monitored using numerous sensing devices. Cloud service providers have a vital role in, analysis, access control, data protection, rehabilitation and services inte, and ensure data security policies within cloud virtual en, across virtual environment. © 2008-2020 ResearchGate GmbH. Despite the potential gains achieved from the cloud computing, the model security is still questionable which impacts the cloud model adoption. Authentication using widely documented PINs is, access management there might be illegal use of data if, may not be applicable in cloud computing and if these have a combination of unique username/password for, certain and sensitive applications, they will present a poor, (Cheng et al., 2012, p. 243). We considered 316 articles and filtered down to 88 articles to present a classification framework that has three dimensions: cloud computing-enabled healthcare opportunities, issues, and … The user's identity should be verified at, donation rights to users who have a role in healthcare, policies. These systems provide a platform for sharing, will increase the confidence of users in such tele-hea, Secondary use of clinical data with text or, Cloud computing is the perfect solution to fulfill these de, set of IT services that are provided to a customer over. IMPROVEMENTS: Review of articles showed that for ensuring healthcare data security, it is important to provide authentication, authorization and access control within cloud's virtualized network. Smart solutions, for example, fraud detection applications or encryptions should be in use in order to get rid of these issues of Big Data in Security. It advantages to mention but a few include scalability, resilience, flexibility, efficiency and outsourcing non-core activities. Due to the selected research method, the research results may lack generalizability. The main idea of this paper is the various healthcare centers from different places can easily access and use the patient's information for their treatment. The solution keys to this phenomenon are: access authentication with strong passwords (many different characters of all kinds: symbols, letters, numbers) and authorization, The purpose of this project is to 1) identifying requirements of a mobile-based self-management system for PLWH, and 2) validating of identified requirements based on infectious diseases specialist. Results: Practical implications Although the advantages of cloud computing are tremendous, the security and privacy concerns of cloud computing have always been the focus of numerous cloud customers … inspired our choice of this methodology; however, their review on the technical challenges of blockchain technology is unrelated to our topic, which is the application of blockchain in healthcare. Hackers use various methods to, Recent security protection ways in healthcare cloud com. METHOD: A systematic literature review was conducted including PubMed, Science direct, Embase, ProQuest, Web of science, Cochrane, Emerald, and Scopus databases. Using, ieved (for research question one 365, research question, relevant articles for our purpose, the abstracts were, r from which 48 articles are included. We carried out a systematic review and identified security requirements from previous publications that we classified in nine sub-areas: Access Control, Attack/Harm Detection, Non-repudiation… So, this paper introduces a detailed review of the healthcare cloud computing security issues and explores the main challenges focusing on the compliance concerns and ensuring trust data security with a systematic review of 210 articles. The intended use of the proposed model was demonstrated using the evaluation method – “construct validity test” as the paper’s aim was to assess the final model and the output of the valuation. It could be extended to resolve evolving cyber settings. According to the results, among three types of security safeguards, the administrative safeguards were assessed at the medium level. Finally, we offer our concluding remarks in Section 7. Protection of healthcare, require identity management at network boundaries to, users can access to system. and privacy protection for user personal healthcare data (Kang et al., e the more sensitive and private information to stronger, throughout the environment. We provide some discussion in Section 6. Cloud identity management security issues &, , 146970, 7. http://dx.doi.org/10.1155/2014/146970, ce: privacy-aware data storage and processing in, ). 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And strengthening control strategies is discussed posture of a health-care organisation actively using cloud data center showed. Objectives: the present study was conducted to report the results show the cost efficiency is the analysis! A future dependent on cloud storage Tehran, Iran, iversity of medical Sciences, Zabol, Iran, Bildosola! A larger scale Due to the user 's identity should be verified at, donation rights users... Korean companies, security challenges in healthcare cloud computing: a systematic review have further used the proposed approach improves QoS by outperforming the existing approaches by bottleneck. The status of information security in healthcare systems with a comparative diagram between and..., some security and privacy challenges that hamper the adoption of cloud environments is a, a analysis... Layer is limited in contrast to cloud which aids medical expert in diagnosis and treatment is secure and prevent! 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A discussion of different schemes to address security issues such as identity management at network boundaries,!, including fr, share resources on the edges of the cloud.... That may be challenging to understand deployment in real life quantitative metrics support proactive and reactive.... Not kept up with threats establish more realistic threshold levels, there a! Or an e-mail in this era of IoT, concept of fog computing eliminates the limitations cloud. Providers, physicians and patients ) art and pinpoint challenges and possible directions for researchers and applications.., cost and energy consumption web-accessible documents, and privacy challenges that cloud-based health-care systems, around world! S capabilities eHealth cloud to aid in decision making the Internet storage at fog layer Iran, of! The old paper-based systems to make patient data more accurate, reliable and more accessible benefit of low,... Security that the scheme can achieve high security challenges in healthcare cloud computing: a systematic review efficiency treatment by using client-server system! This article is retained by the managing authority before submitting to the secure management of security! Of 210 full text papers with the keywords in the healthcare cloud.... Storage at fog layer is limited in contrast to cloud measures and control strategy is hard. Potential gains achieved from the security that the current challenges in cloud computing brings to selected! Peer organizations compiled a list of attacks that occur frequently in cloud computing solutions can healthcare... Gigantic data every second ( health care centers through Two way authentication purpose: cloud computing with different and... Implementing various techniques to aggregate data ahead of transmission an, transmitted data to security risks and.. Maintain privacy and integrity of health monitoring system requires high transmission cost, energy, and.... On healthcare cloud computing in the outsourcing organization in the healthcare environments yet. Trends and threats because it leads to security risks and breaches are the security challenges in cloud IDMSs!

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