Security and Privacy in Smart Health: Efficient Policy-Hiding Attribute-Based Access Control

Abstract-With the rapid development of the Internet of Things (IoT) and cloud computing technologies, smart health (shealth) is expected to significantly improve the quality of health care. However, data security and user privacy concerns in shealth have not been adequately addressed. As a well-received solution to realize fine-grained access control, ciphertext-policy attribute-based encryption (CP-ABE) has the potential to ensure data security in s-health. Nevertheless, direct adoption of the traditional CP-ABE in s-health suffers two flaws. For one thing, access policies are in cleartext form and reveal sensitive healthrelated information in the encrypted s-health records (SHRs). For another, it usually supports small attribute universe, which places an undesirable limitation on practical deployments of CPABE because the size of its public parameters grows linearly with the size of the universe. To address these problems, we introduce PASH, a privacy-aware s-health access control system, in which the key ingredient is a large universe CP-ABE with access policies partially hidden. In PASH, attribute values of access policies are hidden in encrypted SHRs and only attribute names are revealed. In fact, attribute values carry much more sensitive information than generic attribute names. Particularly, PASH realizes an efficient SHR decryption test which needs a small number of bilinear pairings. The attribute universe can be exponentially large and the size of public parameters is small and constant. Our security analysis indicates that PASH is fully secure in the standard model. Performance comparisons and experimental results show that PASH is more efficient and expressive than previous schemes.