对电子医疗系统等级数据库访问控制的审查
Tian-Fu Lee1, Jyun-Guo Wang1, Yen-Chang Chen2,3
1Department of Medical Informatics, Tzu Chi University, Hualien, Taiwan.
Tzu chi medical journal
|June 1, 2023
概括
审查了电子医疗系统中管理秘密密钥的等级访问控制方案. 目前的方法在安全性和效率方面扎,需要更好的医疗记录数据库解决方案.
科学领域:
- 计算机科学 计算机科学
- 信息安全 信息安全
- 医疗信息学 医疗信息学
背景情况:
- 层次化的访问控制方案为具有层次关系的用户提供了高效的秘密密钥管理.
- 电子医疗系统中的现有计划,特别是那些针对健康保险可移植性和问责法案 (HIPAA) 规定的计划,面临着挑战.
- 这些挑战包括安全漏洞,大量存储需求和沉重的计算开销.
研究的目的:
- 审查和讨论医疗记录数据库现有的等级访问控制方案.
- 突出现有计划在安全和效率方面的局限性.
- 为改进对敏感健康数据的访问控制机制的开发提供信息.
主要方法:
- 对层次访问控制的钥匙管理方案的文献综述.
- 在电子医疗系统和隐私法规 (例如HIPAA) 的背景下分析方案.
- 对审查方案的安全性,存储和计算方面的比较讨论.
主要成果:
- 在目前对医疗数据的层次性访问控制方案中发现了重要的安全和效率缺陷.
- 强调现有解决方案不足以满足安全和高效的电子医疗系统的需求.
- 强调需要方案,以平衡强大的安全性与实际可用性.
结论:
- 目前的层次性访问控制方案不足以确保医疗记录数据库的安全和有效管理.
- 迫切需要新的方案来增强安全性并降低计算/存储负担.
- 未来的研究应该专注于开发符合电子健康应用程序隐私法规的先进密钥管理解决方案.
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