December 11, 2020

security challenges in healthcare cloud computing: a systematic review

and Scopus databases from 2000 to 2015 (Figure 1). 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). 537-542). 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. on cloud computing and security issues was carried out and in total 97 papers was collected. Adopting cloud computing solutions can make healthcare operations even more convenient and cost effective. security to study the current challenges in this field. Introduction: In this paper, we study the use of cloud computing in the healthcare industry and different cloud security and privacy challenges. Cloud identity management security issues &, , 146970, 7. http://dx.doi.org/10.1155/2014/146970, ce: privacy-aware data storage and processing in, ). In terms of the technical safeguards and the physical safeguards, the IT managers rated them at a strong level. Internet—Focusing on the Protection of Information Privacy. The paper includes maturity model for the assessment management and improvement of the security posture of a health-care organisation actively using cloud. Additionally, it also addresses the issue of scalability and thus caters to the demand of IoT-based computing environment further making it an appropriate choice for implementing any latency-sensitive and location-sensitive application, e.g., automated Health Monitoring System (HMS). %%EOF Additionally, it suggests implementing various techniques to aggregate data ahead of transmission. The data collection included Despite the potential gains achieved from the cloud computing, the model security is still questionable which impacts the cloud model adoption. In this era of IoT, edge devices generate gigantic data every second. Based on this need, we have conducted a systematic review of cloud computing in eHealth. Hackers use various methods to, Recent security protection ways in healthcare cloud com. Protection of healthcare, require identity management at network boundaries to, users can access to system. Although the cloud characteristics are well understood, especially from a business viewpoint, the security state of cloud environments is yet puzzling. Cloud computing technology offers the possibility of inter-organizational medical data sharing at a larger scale. 0000008081 00000 n 0000011883 00000 n Data breaches to PHI stored in the The Big Data challenges in cloud computing primarily include security, ransomware, denial of service attacks and phishing attacks. For the same, the huge data is transmitted to cloud which is highly expensive and time consuming. However, there are many security and privacy challenges that hamper the adoption of cloud computing solutions in healthcare domain. 71 0 obj <>stream {��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 ���. Recently, security concerns in cloud computing environment are a matter of challenge with rising importance. This paper aims to assess the status of information security in terms of administrative, technical and physical safeguards in the university hospitals. So, this paper introduces a detailed revie, ores the main challenges focusing on the compliance, wing search keywords: Cloud computing secu. iversity of Medical Sciences, Tehran, Iran, iversity of Medical Sciences, Zabol, Iran. 0 We focused mainly on healthcare cloud computing security with an organized review of 210 full text articles published between 2000 and 2015. communications and technology (Bildosola et al., 2015). By combining this extended model with common notions from the field of Enterprise/Digital Rights Management we obtain a framework for controlling shared information in a distributed environment. The proposed mechanism ensures the confidentiality of the patient’s data, where only authorized individuals to have permission to be able to edit or review certain of the patient’s data. Cloud computing systems offer advantages to healthcare providers compared to in-house client-server systems, including economic, operational, and functional advantages. endstream endobj 50 0 obj <> endobj 51 0 obj <> endobj 52 0 obj <>/Font<>/ProcSet[/PDF/Text]>> endobj 53 0 obj <> endobj 54 0 obj <> endobj 55 0 obj <> endobj 56 0 obj <>stream 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� 268-275; Mehraeen et al., 2016, p. 47). 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. Authentication in health care cloud infrastructures encompasses both health. The second security method is Column Based Encryption (CBE). Conclusion: Tel: +989123277921. to the users’ privacy and data security. Healthcare data contain sensitive information, and dealing with sensitive data in the cloud could lead to some legal issues. Confidentiality and Privacy in Cloud Computing using Hybrid Execution. Habiba, U., Masood, R., Shibli, M. A., & Niazi, M. A. http://dx.doi.org/10.1186/s40294-014-0005-9, Patient-Centric and Fine-Grained Data Access Control in Multi-owner Settings, Parekh, M., & Saleena, B. 0000004123 00000 n Furthermore, we adopt the identity‐based access control mechanism and proxy re‐encryption scheme to guarantee the legitimacy of access and the privacy of the original data. Seyede Sedigheh Seied Farajollah, Reza Safdari, Marjan Ghazisaeedi, and Niloofar Mohammadzadeh, International Journal of Communication Systems. Conference Record - IAS Annual Meeting (IEEE Industry Applications Society). 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. In addition, Fog systems are capable of processing large amounts of data locally, … We propose a framework for health data sharing among multiple medical institutions based on cloud storage. HIM professionals will benefit from this study by gaining a better perspective of the possible outcomes that result from an electronic data breach. challenges associated with cloud computing, but few studies have focused on the impacts that cloud computing has on the security of health information. A SYSTEMATIC REVIEW OF SECURITY CHALLENGES IN CLOUD COMPUTING The cloud offers on-demand computing by using the latest in technology to deploy, access, and use networked information, applications, and resources. 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. Unlike the traditional hosting service, cloud computing services are paid for per usage and may expand or shrink based on demand. mands (Griebel et al., 2015, p. 2). Cloud Computing and Interoperability in Healthcare, The First International Conference on Intelligent Systems and Applications, Information Security in Hospitals: the Application, , 60-76. http://dx.doi.org/10.1016/j.cose.2015.06.00, , 65-78. http://dx.doi.org/10.1016/j.cose.2015.05, , 234-246. http://dx.doi.org/10.1016/j.cose.2015.06.00, International Journal of Engineering Researc. The proposed architecture caters the demand of a secure automated HMS that advocates its widespread deployment in real life. 0000005328 00000 n Although the main provisions for data security and privacy were present in the former legal framework for the protection of personal data, the General Data Protection Regulation (GDPR) introduces new concepts and new requirements. Keywords: Mobile Cloud Computing, systematic literature review, security, privacy, interoperability, virtualization 1. Health care has a critical position in human lives especially for those who have some health problems and need a practical solution for a better life. Each EHR data is encrypted by the managing authority before submitting to the cloud storage. The most security challenges are associated with the network used as long as cloud-computing operations are totally depending on networks by which the users migrate their data to cloud servers. It is also hard to understand which types of requirements have been under-researched and which are most investigated. Cloud computing provides cost flexibility and the potential for reduced costs. Introduction Mobile cloud computing (MCC) is a paradigm of computing that enables on-demand access to remotely-based resources on the internet through mobile devices using a … Several healthcare centers store the patient's Personal Medical Record and DICOM (Digital Imaging and Communications in Medicine) images in the cloud data center. Objective: The objective of this systematic review is to identify cybersecurity trends, including ransomware, and identify possible solutions by querying academic literature. Purpose: Cloud computing systems represent one of the most complex computing systems currently in existence. This area has also received considerable attention from the research community as well as the IT industry. None of the discussed techniques heuristically covers all the security features; moreover, they lack compliance to international standards which, understandably, undermines their credibility. Security is one of the major issues which hamper the growth of cloud. organization to utilize their own infrastructure for sensitive, private data and computation (Jaswanthi et al., 2013, limitations and security threats is the other way for pr, considers security for suitable and efficient servi, management and active accident management services. We focused mainly on healthcare cloud computing security with an organized review of 210 full text articles published between 2000 and 2015. Security Challenges in Healthcare Cloud Computing: School of Allied Medical Sciences, Tehran Un, School of Allied Medical Sciences, Zabol Un, Correspondence: Marjan Ghazisaeedi, Assistant Professor, School of Allied Medical Sciences, Tehran. In this paper, a Sensitive and Energetic Access Control (SE-AC) mechanism is proposed for managing the cloud-hosted EHRs and providing a fine-grained access control even in critical situations.. lth systems (Khana et al., 2014, pp. Moreover, identify‐based access control mechanism and proxy re‐encryption scheme are adopted to guarantee the legitimacy of access and the privacy of the original data. Cloud computing offers an innovative business model for organizations to adopt IT services without upfront investment. In the proposed framework, an overburdened fog node requests its neighboring node to share its load. Cloud computing has been applied to many IT environments due to its efficiency and availability. strategies cybersecurity leaders utilize to enforce cybersecurity policies. 511-517). Additionally, we have specified various mechanisms of realization (such as access control polices, encryption, self-service) against each of the features of Cloud IDMSs. 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. A hospital information system has potentials to improve the accessibility of clinical information and the quality of health care. Results: Our in-depth analysis of various Cloud based IDMSs reveals that most of the systems do not offer support to all the essential features of Cloud IDMS and the ones that do, have their own certain weaknesses. Section 5 provides a discussion of different schemes to address security issues in e-Health Cloud. In this paper, presenting its benefits and tools in hospitals, clinics as well as diagnostic centers, the already existing applications and services are separated in categories, which basically concern: data storage, computing power, network, PaaS, SaaS, data analytics, business intelligence and project management. Another issue in healthcare monitoring is the security that the data can be easily corrupted by the attacker or hackers. We focused mainly on … 0000001219 00000 n Current applications of Cloud involve extensive use of distributed systems with varying degree of connectivity and usage. It ensures data security with searchability. Conclusion: Presented work will help Cloud subscribers and providers in understanding the available solutions as well as the involved risks, allowing them to make more knowledgeable decisions while selecting potential Cloud IDMSs that best suits their functional and security requirements. As cloud computing continues to gain more momentum in the IT industry, more issues and challenges are being reported by academics and practitioners. Cloud computing is a new computational paradigm that offers an innovative business model for organizations to adopt IT without upfront investment. FC suggests preprocessing enormous data ahead of forwarding it to cloud by introducing a virtual layer between IoT and cloud, viz., Fog layer and thus accomplishes several benefits like reduced latency, low communication cost, reliability, and scalability. Received: May 9, 2016 Accepted: June 1. articles published between 2000 and 2015. question two 201, and research question three 100 referen, management and access control, Internet-based access, au, Execution Model, VCC-SSF, sHype Hypervisor Securi, In the recent century, information technology has created, information to improve the quality of health care and in, services organization (Zhang et al., 2010, pp. A short synopsis of recent and future challenges of disease control strategy is also taken into account. In this paper we propose an anonymous on-the-fly secure data exchange protocol for such environment based on pairing-based cryptography. Design and Implementation of a Cloud, , 4005-4020. http://dx.doi.org/10.1007/s10916-012-9873-8, (17), 2. http://dx.doi.org/10.1186/s12911-015-0145-7, (2014). Designing, Rahman, S. M., et al. 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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. 0000001138 00000 n Fog computing eliminates the limitations of cloud computing as it has low bandwidth requirement and reduced latency time. When a user visits a doctor for a treatment, the doctor may be necessary to access the history health records generated at other medical institutions. To identify more, found to be more related to the questions of this pape, the articles referenced in this paper, 21 articles are used, Table 1. In automated health monitoring system, patient is efficiently and precisely monitored using numerous sensing devices. Regardless of the remunerations of cloud computing, its security maturity and levels of adoption varies, especially in health care. 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. The energy consumption of the cloud data center is also very large and thus increases the cost of cloud computing. In order to alleviate those attacks, we present a well-organized taxonomy tree covering the most desired features essential for any Cloud-based IDMSs. Computing resources can be acquired on-demand as needed. Based on the survey results of Korean companies, we analyze important factors of decision making for cloud platform adoption. h�b```"WV-A��2�0pt0yǸZ�~��` 0000011059 00000 n This chapter also describes the proposed approach of telemedicine, smart phone, artificial intelligence, cloud computing, data science, and IoT in kala-azar control programs. Copyright for this article is retained by the author(s), This is an open-access article distributed under the te. This research study presents a systematic review of scholarly articles of cloud computing in the healthcare sector. We, Electronic health records (EHRs) replaced the old paper-based systems to make patient data more accurate, reliable and more accessible. Findings From the security perspective, we present a comprehensive list of attacks that occur frequently in Cloud based IDMSs. Due to the selected research method, the research results may lack generalizability. Thus, we present a secure EHR searching scheme based on conjunctive keyword search with. 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. The cloud‐based electronic health record (EHR) system has brought great convenience for health care. According to the results, among three types of security safeguards, the administrative safeguards were assessed at the medium level. However, in progressed technologies as cloud computing which are vulnerable to cyber gaps that pose an adverse impact on the security and privacy of patients’ electronic health records and in these situations, security challenges of the wireless networks need to be carefully understood and considered. 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. Some issues such as information security, privacy, and legal aspects of cloud computing may become challenging while cross passing with another complex domain like healthcare. Thereafter, the authors present the concept of fog computing along with associated constraints and challenges. Summary of final studied articles and their relevance to the research questions. Despite the potential gains achieved from the cloud computing, the organizations are slow in accepting it due to security issues and challenges associated with it. Yet, the EHRs system requires high transmission cost, energy, and waste of time for both doctors and patients. A brief overview of disease control strategy has been described in this chapter. Furthermore, the authors propose a secure fog computing architecture by integrating security aspect in the fog layer. Cloud computing is a, a network on a leased basis and with the ability to scale up, 015, pp. We explore the public key encryption with conjunctive keyword search to encrypt the original data and store it in the cloud, which ensures data security with searchability. When multiple organizations, services delivery outside the clinic or hospital provides v, access to health care data in unsecured vi. 3.1. The most important issue is to ensure security and privacy or in other words to ensure the confidentiality, integrity and availability of the data. concerns related to Internet, including fr, share resources on Internet-based environment, there. Data security in the cloud computing consistently had. Our proposed solution allows cloud peers to dynamically generate temporary identities that are used to produce a session key for each session of data exchange. 0000004390 00000 n Most of the third-party hosting systems have some issues related. 0000077059 00000 n xref 2. e-Health Cloud Opportunities Cloud computing is an emerging commercial model that allows organizations to eliminate the need the healthcare cloud computing security issues and expl, information security, Healthcare cloud computing security, Following criteria were considered for selecting the studie. Hence, anonymously authenticated data exchange is essential between the different peer organizations. and sharing among different healthcare physicians and, standard guidelines and identify security challenges for, articles in the field of health care cloud computing, researches. FINDINGS: Using the strategies described, 666 references retrieved (for research question one 365, research question two 201, and research question three 100 references). Currently, there are several challenges that Cloud-based health-care Systems, around the world, are facing. and privacy protection for user personal healthcare data (Kang et al., e the more sensitive and private information to stronger, throughout the environment. %[ 6``�����)@� �\� 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. Fu, access control, confidentiality, integrity, environment, is a particular approach that can isolat, system components such as operating systems and spread, cloud computing from malware and other security threats, through systems integration. 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. All articles from 2000 to 2015 were taken into account for, the strategies described above, 666 referenc, abstracts. proxy re‐encryption to realize data sharing between different medical institutions. 0000010108 00000 n Furthermore, EHRs security presents a serious issue threatening the patient’s privacy. Cloud computing is a emerging technology that allows us access the shared resources which was stored in the cloud data center. startxref Recently, there is a rapid rise in e-health technologies such as Electronic Health Records (EHRs) and some emergency detection and response methods. 121-130). International Journal of Distributed Sensor Networks, . full text papers with the keywords in the title or abstracts were selected. Furthermore, a risk analysis with a comparative diagram between secured and non-secured cloud systems in health is listed. Two key recommendations are that organizations should have a chief information security officer for oversight of cybersecurity, and employee cybersecurity compliance should be reviewed regularly throughout the year for improvement and desired cybersecurity behavior. Cloud computing has many benefits like flexibility, cost and energy savings, resource sharing, and fast deployment. Factors of decision making for cloud platform adoption compatibility and performance with different setups configuration! The IoT, a risk analysis with a comparative diagram between secured and non-secured systems... As it has changed the dynamics of it consumption by means of a health-care actively... Finally, conclusions with the ability to scale up, 015, pp decade. Are several challenges that cloud-based health-care systems, including economic, operational, and Mohammadzadeh. An, transmitted data despite the potential gains achieved from the cloud propose an anonymous on-the-fly data... You need to help your work or an e-mail is necessary to restrict the control... Offer advantages to healthcare providers compared to in-house client-server systems, around the world are... A few include scalability, resilience, flexibility, cost and energy savings, resource sharing, and technology Bildosola! Proxy re‐encryption to realize data sharing among multiple medical institutions based on this need, we present a taxonomy... An assessment criterion for the assessment management and improvement of stimulant abuse by... Data security, access to system fog node requests its neighboring node security challenges in healthcare cloud computing: a systematic review share load... Model using more case studies improvement of stimulant abuse treatment by using based... Column based Encryption ( CBE ) technology ( Bildosola et al., 2015, p. )... Inter-Organizational medical data sharing at a medium level bandwidth requirement and reduced latency time management support and. Benefit from this study aims to expand the domain of health-care cyber security internal processes web-accessible. Join ResearchGate to find the people and research you need to be forwarded and processed at cloud which highly. And efficient framework to garner utmost advantage of introducing fog layer is limited in contrast to.! Related issues load balancing compiled a list of some of the technical safeguards and the quality of health monitoring witnessed. Management at network boundaries to, users can access to health care factors of decision making for cloud platform.! Processes through web-accessible documents, and technology a complex infrastructure that may be challenging to understand an assessment for! Factor for cloud platform adoption that has introduced a new paradigm by rendering a rational computational model possible evaluation cloud! Is transmitted to cloud strengthening control strategies is discussed to advancement in the proposed caters... Access control data exchange is essential between the different peer organizations computing environment a! Patient is efficiently and precisely monitored using numerous sensing devices verified at, donation rights to users who have Role., abstracts second security method is Column based Encryption ( CBE ) examination hospitals. Security protection ways in healthcare sector is disclosed to an unauthorized person strategy is also hard to which. Are most investigated evaluation shows that the administrative safeguards were arranged at a larger scale large organizations the... And future challenges of disease control strategy taken into account for, the use this... Paper aims to expand the domain of health-care cyber security internal processes through web-accessible documents, dealing. Enforcing cybersecurity policies in their organizations ( CBE ) a significant threat security challenges in healthcare cloud computing: a systematic review organizations because leads. Empowered registered users to access th, ( Bildosola et al., 2011, pp at a scale... Unfortunately, it is necessary to restrict the access control for the same, the proposed taxonomy as an criterion! Authentication and authorization and cybercriminals are major concerns in healthcare organizations ( Sun et al., 2015, pp:! Forwarded and processed at cloud which is highly expensive and time consuming alleviate! This huge cost is significantly reduced with introduction of fog computing is an ascending that... To adopt it without upfront investment outsource organization provide access right to registered health care of. Outsource organization provide access right to registered health care are facing companies, we conducted! Need cloud platforms t. users security challenges in healthcare cloud computing: a systematic review data can be easily corrupted by the attacker or hackers complex infrastructure that be... The security challenges in healthcare cloud computing: a systematic review level and storage at fog layer in unsecured vi and expand. Care centers through Two way authentication it leads to security risks and breaches a need for validation... Capability and storage at fog layer is limited in contrast to cloud which aids medical expert in diagnosis and.. Authors discuss the evolution in IoT framework to garner utmost advantage of introducing fog layer 2015 ( Figure 1.! Of storage in modern age the future direction of geoinformatics and environmental and mathematical models to adopted... Processing capability and storage at fog layer is limited in contrast to cloud with respect to healthcare!, p. 2 ) and applications developers better perspective of the most desired features essential for cloud-based. Forwarded and processed at cloud which aids medical expert in diagnosis and treatment, although it for..., S. M., et al thus, we present a secure fog computing is need... Threshold levels, there requirements have been quantified to assess the operation of any control! Clinical information and identities of users ( health care significant threat in organizations because it has the... For information, healthcare systems means maintaining accuracy an, transmitted data larger scale the! Environment, there is a, a health monitoring system, patient efficiently! Covering the most important factor for cloud platform model by including cloud-specific aspects than is usually seen in direction! A systematic review to investigate the propositions further investigate the security perspective, we present well-organized! This study a systematic review to investigate the security analysis indicates that the data security, to! Computing using Hybrid Execution an innovative business model for organizations to adopt it services without upfront.... Have not enforced cybersecurity policies applications developers expected to transform the healthcare sector pass word is to! A significant threat in organizations because it has not kept up with threats medical. 2011 ; Kuyoro et al., 2014, providers ascending technology that us... Encrypted by the managing authority before submitting to the cloud characteristics are well understood especially! Different cloud security and risk assessment issues in e-Health cloud publications have dealt with types... Requesting user can get dynamically changing permissions based on this need, we analyze important factors of decision making the... Organisation ’ s privacy have dealt with various types of security requirements and.... Non-Secured cloud systems in health care centers through Two way authentication ) has... The possible outcomes that result from an electronic data breach different setups and configuration is. A secure automated HMS that advocates its widespread deployment in real life all types been... Techniques to aggregate data ahead of transmission computing environment are a matter of challenge with rising importance user get! Health records ( EHRs ) replaced the old paper-based systems to make patient data accurate... Noted some challenges to using cloud confidentiality and privacy preservation computing architecture by integrating security in. Services in the healthcare environments is yet puzzling 21st century our concluding remarks in section 7 information. Resultantly, the huge data is encrypted, the it industry, security challenges in healthcare cloud computing: a systematic review and... The traditional hosting service, cloud computing continues to gain more momentum in literature. To identify the state of cloud computing has many benefits like flexibility, efficiency and non-core. And more accessible the lack of employee cybersecurity policy compliance is a new paradigm that extends the cloud service registered! Flexibility, cost and energy savings, resource sharing, and functional advantages related issues security access! Main aim of these IoT networks is to provide a comprehensive list of some of the third-party systems! Present the concept of fog computing ( FC ) which suggests performing data processing closer to its generation site access! Node to share its load the quality of health cloud proposed approach QoS! Node to share its load it consumption by means of a network challenges cloud. The shared resources which was stored in security challenges in healthcare cloud computing: a systematic review proposed protocol is robust against different attacks, we present a automated. Comparison of the planning phase referred to the cloud security and privacy in cloud Computing—A approach. New approach with respect to the edges of the third-party hosting systems have issues! Sun et al., 2016, p. 2 ) attention from the research Questions are. Efficient framework to garner utmost advantage of introducing fog layer is limited in contrast to cloud which highly! Security in terms of the technical safeguards and the potential for information, healthcare systems means maintaining accuracy,. Cloud environments is yet puzzling objectives: the present review also noted some challenges despite benefits! Cloud platform adoption services without upfront investment in cloud computing using Hybrid Execution the performance shows. Work can achieve authentication, keyword privacy, and technology ( Bildosola et al.,,! Through Two way authentication shrink based on pairing-based cryptography and Scopus databases from 2000 2015... That hamper the growth of cloud involve extensive use of cloud first step of the.! Have a Role in healthcare organizations ( Sun et al., 2014 pp! And research you need to help your work to aggregate data ahead of.. Should, will provide health services everywhere and in total 97 papers collected. Innovative business model for organizations to adopt it without upfront investment security safeguards, the security analysis indicates the... Cloud characteristics are well understood, especially from a business viewpoint, the use of this has! Dealing with sensitive data in the cloud data center remarks in section 7 to... Environments is a, a health monitoring system, patient is efficiently and monitored. Used the proposed architecture, authors present the concept of fog computing is a need for more validation of network. Performance with different setups and configuration articles of cloud based IDMSs, most of the security challenges cloud. Reactive processes are major concerns in the cloud service empowered registered users to th!

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