Collaborative ehealth is a paradigm that allows a patient to be treated simultaneously by multiple healthcare service providers through the sharing of the patient’s health data stored in the cloud. However, the use of a third-party for data storag...
Collaborative ehealth is a paradigm that allows a patient to be treated simultaneously by multiple healthcare service providers through the sharing of the patient’s health data stored in the cloud. However, the use of a third-party for data storage presents several concerns. In particular, privacy and security concerns have become the biggest challenges in collaborative ehealth systems. Attribute Based Encryption (ABE) which provides fine-grained access control is envisioned to guarantee security and data privacy during health data sharing
in collaborative ehealth systems. In ABE, an access policy is defined and included either in a data user’s secret key or a ciphertext, and decryption is only successful if the access policy is satisfied by an attribute set.
A critical analysis of the related literature reveals that the existing schemes for secure sharing of health data in collaborative ehealth systems can be enhanced in terms of expressiveness, revocation, security, and usability. With regard to expressiveness, the existing schemes rely on access structures that are either monotonic or restrictive and inefficient. With regard to security and attribute/user revocation, the existing ABE schemes insecurely or inefficiently revoke access rights from compromised or obsolete data users. And, regarding
usability, we consider computational efficiency and unboundedness.
Thus, in this thesis, we present two (2) contributions to address the stated limitations for secure and efficient sharing of health data in collaborative ehealth systems.
First, we propose, design and evaluate an expressive access control scheme with revocation for secure and efficient sharing of health data in collaborative ehealth systems. The aim of the proposed scheme is to achieve expressiveness, immediate attribute/user revocation, efficiency, and security. We leverage OBDD for expressiveness and efficiency. The attribute group concept in which each group has a unique key that changes when a group member is revoked of an attribute is used for immediate and efficient attribute/user revocation. For security, we bind decryption keys to user identities. Extensive security and performance analysis of the scheme shows that the proposed access control is expressive, secure, revocable and optimally efficient.
The second contribution is the design and evaluation of CESCR scheme for efficient and secure sharing of health data in collaborative ehealth systems. The CESCR scheme extends the idea of the first scheme specifically for improved usability. The usability improvement is in terms of unboundedness and improved computational efficiency. For unboundedness, we limit the attribute elements in ciphertexts of CESCR scheme to only those associated with group keys. For improved efficiency, the CESCR scheme securely outsources the
computationally demanding attribute operations in encryption and decryption to the cloud with no need for a dummy attribute. A comprehensive security analysis of the CESCR scheme shows that the scheme preserves data confidentiality, and it is resistant to collusion and forward/backward attacks. The performance analysis in terms of storage and computation cost shows that the CESCR scheme is more efficient in comparison with the most related scheme. In general, the CESCR scheme has properties of being expressive, efficient,
unbounded, revocable and secure.