scholarly journals A reliable authentication scheme of personal health records in cloud computing

2021 ◽  
Author(s):  
Chia-Hui Liu ◽  
Tzer-Long Chen ◽  
Chien-Yun Chang ◽  
Zhen-Yu Wu

AbstractA patient-centered personal health records system has been actively promoted in recent years. Its purpose is to maintain long-term personal records and health improvement plans. It combines a cloud computing environment to build a personal health records system to quickly collect personal information and transfer it to the back end for storage for future access. However, in a cloud environment, the message transmission process is more open. Therefore, a lack of an authority security mechanism for the users of such an architecture will result in distrust and doubt by the users. This adversely affects the implementation and quality of long-term health plans. To protect the crucial privacy of the users from malicious attacks or theft, it is necessary to ensure that the users have different authority to access their personal health records under the cloud computing environment and manage the openness of their authority to other users. A secured identify authentication mechanism can ensure that only legitimate users can log in to the system and obtain system service resources through verification. For a personal health records system in the cloud computing environment, this study proposes a secure and reliable user authentication mechanism allowing relevant users access to the user’s PHR in the cloud based on their authority. The proposed authentication method uses a password combined with a smart card, allowing the owner and authorized users to log in to the system and access the relevant personal records. In this study, an authentication method based on bilinear pairing was used to verify the identity of users and to effectively prevent malicious intrusion and theft.

2014 ◽  
Vol 11 (13) ◽  
pp. 121-127 ◽  
Author(s):  
Danwei Chen ◽  
Linling Chen ◽  
Xiaowei Fan ◽  
Liwen He ◽  
Su Pan ◽  
...  

2018 ◽  
Author(s):  
Elisavet Andrikopoulou ◽  
Philip James Scott ◽  
Helena Herrera

BACKGROUND The National Health Service (NHS) England spent £15.5 billion on medication in 2015. More than a third of patients affected by at least one long-term condition do not adhere to their drug regime. Many interventions have been trialed to improve medication adherence. One promising innovation is the electronic personal health record. OBJECTIVE This systematic literature review aims to identify the important design features of personal health records to improve medication adherence for patients with long-term conditions. METHODS This protocol follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocol (PRISMA-P 2015) statement. The following databases will be searched for relevant articles: PubMed, Science Direct, BioMed Central, Cumulative Index to Nursing and Allied Health Literature, Cochrane Database of Systematic Reviews, and the Cochrane Central Register of Controlled Trials. Studies published in the last fifteen years, in English, will be included if the participants are adults who were treated outside the hospital, have the ability to self-administer their medication, and have at least one long-term condition. The review will exclude commercial or political sources and papers without references. Papers that research pediatrics, pregnant, or terminally ill patients will also be excluded, since their medication management is typically more complex. RESULTS One reviewer will screen the included studies, extract the relevant data, and assess the quality of evidence utilizing the Grading of Recommendations Assessment, Development, and Evaluation system and the risk of bias using the Cochrane RevMan tool. The second reviewer will assess the quality of 25% of the included studies to assess interrater agreement. Any disagreement will be solved by a third reviewer. Only studies of high and moderate quality will be included for narrative synthesis. CONCLUSIONS NHS policy assumes that increasing usage of personal health records by citizens will reduce demand on health care services. There is limited evidence, however, that the use of health apps can improve patient outcomes, and, to our knowledge, this is the first systematic literature review aiming to identify important design features of the personal health record which may improve medication adherence in the adult population with long-term conditions. CLINICALTRIAL PROSPERO CRD42017060542; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=60542 (Archived by WebCite at http://www.webcitation.org/6zeuWXxVh) REGISTERED REPORT IDENTIFIER RR1-10.2196/9778


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