Securing future healthcare environments in a post-COVID-19 world: moving from frameworks to prototypes

J Reliab Intell Environ. 2022;8(3):299-315. doi: 10.1007/s40860-022-00180-7. Epub 2022 Jul 9.

Abstract

The deployment of Internet of Things platforms as well as the use of mobile and wireless technologies to support healthcare environments have enormous potential to transform healthcare. This has also led to a desire to make eHealth and mHealth part of national healthcare systems. The COVID-19 pandemic has accelerated the requirement to do this to reduce the number of patients needing to attend hospitals and General Practitioner surgeries. This direction, however, has resulted in a renewed need to look at security of future healthcare platforms including information and data security as well as network and cyber-physical security. There have been security frameworks that were developed to address such issues. However, it is necessary to develop a security framework with a combination of security mechanisms that can be used to provide all the essential security requirements for healthcare systems. In addition, there is now a need to move from frameworks to prototypes which is the focus of this paper. Several security frameworks for eHealth and mHealth are first examined. This leads to a new reference model from which an implementation framework is developed using new mechanisms such as Capabilities, Secure Remote Procedure Calls, and a Service Management Framework. The prototype is then evaluated against practical security requirements.

Keywords: Capabilities; Healthcare systems; Information security frameworks for eHealth and mHealth; Secure remote procedure calls; Service management framework.