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A cross domain access control model for medical consortium based on DBSCAN and penalty function
Chuanjia Yao1,2,3, Rong Jiang1,2,3, Bin Wu4
1Institute of Intelligence Applications, Yunnan University of Finance and Economics, Kunming, 650021, China.
BMC Medical Informatics and Decision Making
|September 16, 2024
Summary
This study introduces a blockchain system to audit doctor access logs, detecting and penalizing abnormal cross-domain access to protect sensitive patient data within medical consortia.
Area of Science:
- Health Informatics
- Cybersecurity
- Blockchain Technology
Background:
- Cross-domain access to patient medical information is crucial for healthcare but poses privacy risks.
- Existing access control methods often overlook security auditing of authorized user behavior.
- Sensitive patient data requires robust control mechanisms to prevent breaches.
Purpose of the Study:
- To design a blockchain-based system for intelligent recording and analysis of doctors' cross-domain access logs.
- To develop a method for detecting abnormal cross-domain access behavior using DBSCAN clustering.
- To implement a dynamic control mechanism using a penalty function to mitigate data breach risks.
Main Methods:
- Development of a blockchain-based system for secure logging of cross-domain access.
- Application of DBSCAN clustering algorithm for identifying anomalous access patterns in logs.
- Integration of a penalty function to dynamically regulate doctor access based on behavior analysis.
Main Results:
- The proposed system effectively records, queries, and analyzes cross-domain access logs.
- DBSCAN clustering successfully identified abnormal cross-domain access phenomena.
- The penalty function demonstrated a good control effect on doctor access behavior, reducing breach risks.
Conclusions:
- The blockchain-based access log auditing system offers a feasible solution for controlling cross-domain access in medical consortia.
- The integration of DBSCAN and a penalty function provides effective dynamic control over doctor access.
- This approach enhances the security of sensitive patient data in inter-institutional healthcare settings.

