Addressing Security Challenges in Cloud Computing for Healthcare Systems: A Comprehensive Survey
Keywords:
Mobile cloud Computing, Healthcare, Challenges, Cloud Computing, healthcare professionals (HCPs), personal digital assistants (PDAs)Abstract
Mobile cloud computing (MCC) emerges as an innovative technology revolutionizing mobile web services by combining the domains of mobile computing, cloud computing, and wireless networks. In the healthcare sector, MCC plays a pivotal role in transforming medical services, offering novel facilities and services to patients and caregivers alike. The adoption of MCC by healthcare professionals (HCPs) has led to a surge in medical software applications designed for these platforms, consequently enhancing medical services while reducing costs and fostering competition among healthcare providers. The integration of MCC has proven beneficial for HCPs, aiding them in making informed decisions and providing improved patient care. Utilizing cloud computing services, MCC makes it easier to address the continuously expanding demands of the healthcare sector. However, this advancement has not been without challenges. Constraints related to network bandwidth and mobile device capacity have introduced concerns regarding energy consumption and latency delays. Numerous factors influence the performance of MCC systems, necessitating a comprehensive investigation to optimize their efficiency. Furthermore, addressing security and privacy issues associated with MCC in healthcare is of paramount importance. Despite its significant role in cloud computing, the domain lacks an in-depth study of these concerns. This study aims to bridge the gap by conducting a systematic analysis of 43 relevant papers published between 2010 and 2022 in reputable national and international journals, including Springer and IEEE. Through this study, we endeavor to explore the challenges faced by mobile cloud computing in healthcare and propose strategies to enhance healthcare services in the cloud environment.
References
Sanaei Z, Abolfazli S, Gani A, Buyya R. Heterogeneity in Mobile Cloud Computing: Taxonomy and Open Challenges. IEEE Commun Surv Tutor. 2014; 16(1): 369–392. Available online at: www.researchgate.net.
Khan A, Ahirwar K. Mobile Cloud Computing as a Future of Mobile Multimedia Database. International Journal of Computer Science and Communication (IJCSC). 2011 Jan–Jun; 2(1): 219–221.
Zhang S, Yan H, Chen X. Research on Key Technologies of Cloud Computing. International Conference on Medical Physics and Biomedical Engineering, Physics Proceeding. 2012; 33: 1791–1797.
Islam MD. Problems and prospects of the information services based on the mobile phone in Bangladesh. Int J Libr Inf Sci. 2012; 3(6): 104–114.
Fernando N, Seng WL, Wenny R. Mobile Cloud Computing: A Survey. Future Gener Comput Syst. 2013; 29(1): 84–10. Available online at: http://www.sciencedirect.com/science/article/pii/S0167739X12001318.
Nkosi MT, Mekuria F. Cloud computing for enhanced mobile health applications. Proceedings of the 2010 IEEE 2nd International Conference on Cloud Computing Technology and Science (CloudCom); 2010 Nov 30–Dec 3; Indianapolis, USA. New York, NY: IEEE; 2010.
Wei Tse Tang, Chiu Ming Hu, Chien Yeh Hsu. A mobile phone based homecare management system on the cloud. Proceedings of the 3rd International Conference on Biomedical and Informatics (BMEI). 2010; 6: 24–42.
Hoang DB, Chen L. Mobile cloud for assistive healthcare (MoCAsH). In 2010 IEEE Asia-pacific services computing conference. 2010 Dec 6; 325–332.
Carlos Oberdan Rolim, Fernando Luiz Koch, Carlos Becker Westphall, Jorge Werner, Armando Fracalossi, Giovanni Schmitt Salvador. A cloud computing solution for patient's data collection in health care institutions. Proceedings of the 2nd International Conference on eHealth, Telemedicine, and Social Medicine; 2010 Feb 10–16; New York, NY. IEEE; 2010.
Koufi V, Malamateniou F, Vassilacopoulos G. Ubiquitous access to cloud emergency medical services. Proceedings of the 2010 10th IEEE International Conference on Information Technology and Applications in Biomedicine (ITAB); 2010 Nov 3–5; Corfu, Greece. New York, NY. IEEE; 2010.
Rao GS, Sundararaman K, Parthasarathi J. Dhatri-A Pervasive Cloud initiative for primary healthcare services. In 2010 IEEE 14th International Conference on Intelligence in Next Generation Networks. 2010 Oct 11; 1–6.
Jiunn-Woei (Allen) Lian, David Yen, Yen-Ting Wang. An exploratory study to understand the critical factors affecting the decision to adopt cloud computing in Taiwan hospital. Int J Inf Manag. 2013 Jan; 34: 28–36.
Pragya Gupta, Sudha Gupta. Mobile Cloud Computing: The Future of Cloud. Int J Adv Res Electr Electron Instrum Eng. 2012 Sep; 1(3): 134–145.
Khaled Ahmed Nagaty. Mobile health care on a secured hybrid cloud. J Sel Areas Health Inf (JSHI). 2014; 4(2): 1–9.
Weiwen Zhang, Yonggang Wen, Dapeng Oliver Wu. Energy-efficient Scheduling Policy for Collaborative Execution in Mobile Cloud Computing. Proceedings IEEE INFOCOM. 2013; 190–194.
Pankaj Deep Kaur, Inderveer Chana. Cloud based intelligent system for delivering health care as a service. Computer Methods Prog Biomed. 2013; 113: 346–359.
Huang Q, Yue W, He Y, Yang Y. Secure identity-based data sharing and profile matching for mobile healthcare social networks in cloud computing. IEEE Access. 2018 Jul 4; 6: 36584–94.
Liu F, Rijnboutt E, Routsis D, Venekamp N, Fulgencio H, Rezai M, van der Helm A. What challenges have to be faced when using the cloud for e-health services? In 2013 IEEE 15th International Conference on e-Health Networking, Applications and Services (Healthcom 2013). 2013 Oct 9; 465–470.
Abu Khousa E, Mohamed N, Al-Jaroodi J. e-health cloud: Opportunities and challenges. Future Internet. 2012; 4(3): 621–645.
Zhang Q, Cheng L, Boutaba R. Cloud computing: state-of-the-art and research challenges. J Internet Serv Appl. 2010; 1(1): 7–18.
Nkosi MT, Mekuria F. Cloud computing for enhanced mobile health applications. Proceedings of the 2nd IEEE International Conference on Cloud Computing Technology and Science. 2011; 629–633.
Black AD, Car J, Pagliari C, Anandan C, Cresswell K, Bokun T, McKinstry B, Procter R, Majeed A, Sheikh A. The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med. 2011 Jan 18; 8(1): e1000387.
Yue-Shan Chang, Chih-Tien Fan, Win-Tsung Lo, Wan-Chun Hung, Shyan-Ming Yuan. Mobile cloud-based depression diagnosis using an ontology and a Bayesian network. Future Gener Comput Syst. 2015 Feb; 43(C): 87–98.
Zhang R, Liu L. Security models and requirements for healthcare application clouds. In Cloud Computing (CLOUD), 2010 IEEE 3rd International Conference on. 2010; 268–275.
Fan L, Lo O, Buchanan W, Ekonomou E, Thummler C, Uthmani O, Lawson A, Sharif T, Sheridan C. Spoc: Protecting patient privacy for e-health services in the cloud. In eTELEMED 2012, the 4th International Conference on eHealth, Telemedicine, and Social Medicine. 2012; 98–104.
Ertaul L, Singhal S, Saldamli G. Security Challenges in Cloud Computing. In Security and Management. 2010 Jul; 36–42.
Hanen J, Kechaou Z, Ayed MB. An enhanced healthcare system in mobile cloud computing environment. Vietnam J Comput Sci. 2016 Nov; 3(4): 267–77.
van’t Noordende G. Security in the Dutch electronic patient record system. In Proceedings of the 2nd annual workshop on Security and privacy in medical and home-care systems, ACM. 2010; 21–32.
Al-Issa Y, Ottom MA, Tamrawi A. eHealth cloud security challenges: A survey. J Healthc Eng. 2019; 2019: 7516035.
Dashti W, Qureshi A, Jahangeer A, Zafar A. Security challenges over cloud environment from service provider prospective. Cloud computing and data science. 2020 Apr 30; 12–20.
Tabrizchi H, Kuchaki Rafsanjani M. A survey on security challenges in cloud computing: issues, threats, and solutions. J Supercomput. 2020 Dec; 76(12): 9493–532.
Wu B, Wang C, Yao H. Security analysis and secure channel-free certificateless searchable public key authenticated encryption for a cloud-based Internet of things. PloS one. 2020 Apr 9; 15(4): e0230722.
Ogiela L, Ogiela MR, Ko H. Intelligent data management and security in cloud computing. Sensors. 2020 Jun 18; 20(12): 3458.
Tariq MI, Ahmed S, Memon NA, Tayyaba S, Ashraf MW, Nazir M, et al. Prioritization of Information Security Controls through Fuzzy AHP for Cloud Computing Networks and Wireless Sensor Networks. Sensors (Basel, Switzerland). 2020; 20(5): 1310.
Shakil KA, Zareen FJ, Alam M, Jabin S. BAMHealthCloud: A biometric authentication and data management system for healthcare data in cloud. J King Saud Univ-Comput Inf Sci. 2020; 32(1): 57–64.
Giri S, Shakya S. Cloud Computing and Data Security Challenges: A Nepal Case. International Journal of Engineering Trends and Technology (IJETT). 2019; 67(3): 146–150.
Modi KJ, Kapadia N. Securing healthcare information over cloud using hybrid approach. In: Panigrahi C, Pujari A, Misra S, Pati B, Li KC. (eds). Progress in advanced computing and intelligent engineering. Advances in Intelligent Systems and Computing. Vol. 714. Springer, Singapore. 2019.
Amalarethinam G, Rajakumari S. A survey on security challenges in cloud computing. J Phys Sci. 2019; 24(1): 133–141.
Bazm M-M, Lacoste M, Südholt M, Menaud J-M., Isolation in cloud computing infrastructures: new security challenges. Ann Telecommun. 2019; 74(3): 197–209.
Stergiou C, Psannis KE, Gupta BB, Ishibashi Y. Security, privacy & efficiency of sustainable cloud computing for big data & IoT. Sustain Comput: Inform Syst. 2018 Sep 1; 19: 174–84.
