Traditional healthcare services have changed into modern ones in which doctors can diagnose patients from a distance. All stakeholders, including patients, ward boy, life insurance agents, physicians, and others, have easy access to patients’ medical records due to cloud computing. The cloud’s services are very cost-effective and scalable, and provide various mobile access options for a patient’s electronic health records (EHRs). EHR privacy and security are critical concerns despite the many benefits of the cloud. Patient health information is extremely sensitive and important, and sending it over an unencrypted wireless media raises a number of security hazards. This study suggests an innovative and secure access system for cloud-based electronic healthcare services storing patient health records in a third-party cloud service provider. The research considers the remote healthcare requirements for maintaining patient information integrity, confidentiality, and security. There will be fewer attacks on e-healthcare records now that stakeholders will have a safe interface and data on the cloud will not be accessible to them. End-to-end encryption is ensured by using multiple keys generated by the key conclusion function (KCF), and access to cloud services is granted based on a person’s identity and the relationship between the parties involved, which protects their personal information that is the methodology used in the proposed scheme. The proposed scheme is best suited for cloud-based e-healthcare services because of its simplicity and robustness. Using different Amazon EC2 hosting options, we examine how well our cloud-based web application service works when the number of requests linearly increases. The performance of our web application service that runs in the cloud is based on how many requests it can handle per second while keeping its response time constant. The proposed secure access scheme for cloud-based web applications was compared to the Ethereum blockchain platform, which uses internet of things (IoT) devices in terms of execution time, throughput, and latency.

In the current digital era, personal data storage on public platforms is a major cause of concern with severe security and privacy ramifications. This is true especially in e-health data management since patient's health data must be managed following a slew of established standards. The Cloud Service Providers (CSPs) primarily provide computing and storage resources. However, data security in the cloud is still a major concern. In several instances, Blockchain technology rescues the CSPs by providing the robust security to the underlying data by encrypting data using the unique and secret keys. Each network user in Blockchain has its own unique and secret keys linked directly to the transaction keys as a digital signature to protect the data. However, Blockchain technology suffers from the latency and throughput issues in high workload scenarios. To overcome e-healthcare records privacy issues in a third-party cloud, we designed a Patient's E-Healthcare Records Management System (PRMS) that focuses on latency and throughput. A comprehensive performance analysis of PRMS is carried out on different third-party clouds to validate its applicability. Moreover, the proposed PRMS system is compared with Blockchain platforms such as Hyperledger Fabric v0.6 and Etherium 1.5.8 against latency and throughput by adjusting the workload for each platform up to 10,000 transactions per second. The proposed PRMS is compared to the Secure and Robust Healthcare-Based Blockchain (SRHB) approach using Yahoo Cloud Serving Benchmark (YCSB) and small bank datasets. The experimental results indicate that deploying PRMS on Amazon Web Services decreases System Execution Time (SET) and the Average Delay (AD) time by 2.4%, 8.33%, and 25.15%, 15.26%, respectively. Additionally, deploying PRMS on the Google Cloud Platform decreases System Execution Time (SET) and Average Delay (AD) by 2.27%, 2.4%, and 2.72%, 4.73% AD, respectively. The experimental results confirm the superiority of the PRMS under the high workload scenario over SRHB and its applicability in cloud data centers.

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