<p>With the increasing breaches and security threats that endanger health data, ensuring patients’ privacy is essential. To that end, the research community has proposed a wide variety of privacy-preserving approaches based on cryptography, hashing, or ledger technologies for alleviating health data vulnerability. To establish a comprehensive understanding of health data privacy risks, as well as the benefits and limitations of existing privacy-preserving approaches, we perform a detailed review of existing work and identify 10 distinct privacy concerns occurring in a health data lifecycle. Furthermore, we classify existing approaches based on their applicability to particular privacy concerns occurring at a particular lifecycle stage. Finally, we propose a taxonomy of techniques used for privacy preservation in healthcare and triangulate those techniques with the lifecycle stages and concerns. Our review indicates heavy usage of cryptographic techniques in this domain. However, we have also found that healthcare systems have special requirements that require novel cryptographic techniques and security schemes to address special needs. Therefore, we identify several future research directions to mitigate the security challenges for privacy preservation in health data management.</p>

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A survey on privacy of health data lifecycle: a taxonomy, review, and future directions

  • Sunanda Bose,
  • Dusica Marijan

摘要

With the increasing breaches and security threats that endanger health data, ensuring patients’ privacy is essential. To that end, the research community has proposed a wide variety of privacy-preserving approaches based on cryptography, hashing, or ledger technologies for alleviating health data vulnerability. To establish a comprehensive understanding of health data privacy risks, as well as the benefits and limitations of existing privacy-preserving approaches, we perform a detailed review of existing work and identify 10 distinct privacy concerns occurring in a health data lifecycle. Furthermore, we classify existing approaches based on their applicability to particular privacy concerns occurring at a particular lifecycle stage. Finally, we propose a taxonomy of techniques used for privacy preservation in healthcare and triangulate those techniques with the lifecycle stages and concerns. Our review indicates heavy usage of cryptographic techniques in this domain. However, we have also found that healthcare systems have special requirements that require novel cryptographic techniques and security schemes to address special needs. Therefore, we identify several future research directions to mitigate the security challenges for privacy preservation in health data management.