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Security Engineering of Patient-Centered Health Care Information Systems in Peer-to-Peer Environments: Systematic Review

Yari, Imrana Abdullahi; Dehling, Tobias; Kluge, Felix; Geck, Juergen; Sunyaev, Ali; Eskofier, Bjoern

Background: Patient-centered health care information systems (PHSs) enable patients to take control and become knowledgeable about their own health, preferably in a secure environment. Current and emerging PHSs use either a centralized database, peer-to-peer (P2P) technology, or distributed ledger technology for PHS deployment. The evolving COVID-19 decentralized Bluetooth-based tracing systems are examples of disease-centric P2P PHSs. Although using P2P technology for the provision of PHSs can be flexible, scalable, resilient to a single point of failure, and inexpensive for patients, the use of health information on P2P networks poses major security issues as users must manage information security largely by themselves. Objective: This study aims to identify the inherent security issues for PHS deployment in P2P networks and how they can be overcome. In addition, this study reviews different P2P architectures and proposes a suitable architecture for P2P PHS deployment. Methods: A systematic literature review was conducted following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) reporting guidelines. Thematic analysis was used for data analysis. ... mehr

DOI: 10.2196/24460
Zugehörige Institution(en) am KIT Institut für Angewandte Informatik und Formale Beschreibungsverfahren (AIFB)
Kompetenzzentrum für angewandte Sicherheitstechnologie (KASTEL)
Publikationstyp Zeitschriftenaufsatz
Publikationsdatum 15.11.2021
Sprache Englisch
Identifikator ISSN: 1438-8871, 1439-4456
KITopen-ID: 1000140088
HGF-Programm 46.23.01 (POF IV, LK 01) Methods for Engineering Secure Systems
Erschienen in Journal of Medical Internet Research
Verlag JMIR Publications
Band 23
Heft 11
Seiten e24460
Schlagwörter patient-centered; health care; information infrastructures; decentralization; mobile health; peer-to-peer; COVID-19 proximity trackers; edge computing; security; vulnerabilities; attacks; threats; mobile phone
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