A review of multi-factor authentication in the Internet of Healthcare Things

Objective This review paper aims to evaluate existing solutions in healthcare authentication and provides an insight into the technologies incorporated in Internet of Healthcare Things (IoHT) and multi-factor authentication (MFA) applications for next-generation authentication practices. Our review...

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Main Authors: Tance Suleski, Mohiuddin Ahmed, Wencheng Yang, Eugene Wang
Format: Article
Language:English
Published: SAGE Publishing 2023-05-01
Series:Digital Health
Online Access:https://doi.org/10.1177/20552076231177144
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author Tance Suleski
Mohiuddin Ahmed
Wencheng Yang
Eugene Wang
author_facet Tance Suleski
Mohiuddin Ahmed
Wencheng Yang
Eugene Wang
author_sort Tance Suleski
collection DOAJ
description Objective This review paper aims to evaluate existing solutions in healthcare authentication and provides an insight into the technologies incorporated in Internet of Healthcare Things (IoHT) and multi-factor authentication (MFA) applications for next-generation authentication practices. Our review has two objectives: (a) Review MFA based on the challenges, impact and solutions discussed in the literature; and (b) define the security requirements of the IoHT as an approach to adapting MFA solutions in a healthcare context. Methods To review the existing literature, we indexed articles from the IEEE Xplore, ACM Digital Library, ScienceDirect, and SpringerLink databases. The search was refined to combinations of ‘authentication’, ‘multi-factor authentication’, ‘Internet of Things authentication’, and ‘medical authentication’ to ensure that the retrieved journal articles and conference papers were relevant to healthcare and Internet of Things-oriented authentication research. Results The concepts of MFA can be applied to healthcare where security can often be overlooked. The security requirements identified result in stronger methodologies of authentication such as hardware solutions in combination with biometric data to enhance MFA approaches. We identify the key vulnerabilities of weaker approaches to security such as password use against various cyber threats. Cyber threats and MFA solutions are categorised in this paper to facilitate readers’ understanding of them in healthcare domains. Conclusions We contribute to an understanding of up-to-date MFA approaches and how they can be improved for use in the IoHT. This is achieved by discussing the challenges, benefits, and limitations of current methodologies and recommendations to improve access to eHealth resources through additional layers of security.
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spelling doaj.art-1da58b36128e461e8d650ad918426c9a2023-05-23T07:03:45ZengSAGE PublishingDigital Health2055-20762023-05-01910.1177/20552076231177144A review of multi-factor authentication in the Internet of Healthcare ThingsTance Suleski0Mohiuddin Ahmed1Wencheng Yang2Eugene Wang3 School of Science, Cyber Security Cooperative Research Centre, , Joondalup, WA, Australia School of Science, , Joondalup, Australia School of Mathematics, Physics and Computing, , Toowoomba, Australia Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, AustraliaObjective This review paper aims to evaluate existing solutions in healthcare authentication and provides an insight into the technologies incorporated in Internet of Healthcare Things (IoHT) and multi-factor authentication (MFA) applications for next-generation authentication practices. Our review has two objectives: (a) Review MFA based on the challenges, impact and solutions discussed in the literature; and (b) define the security requirements of the IoHT as an approach to adapting MFA solutions in a healthcare context. Methods To review the existing literature, we indexed articles from the IEEE Xplore, ACM Digital Library, ScienceDirect, and SpringerLink databases. The search was refined to combinations of ‘authentication’, ‘multi-factor authentication’, ‘Internet of Things authentication’, and ‘medical authentication’ to ensure that the retrieved journal articles and conference papers were relevant to healthcare and Internet of Things-oriented authentication research. Results The concepts of MFA can be applied to healthcare where security can often be overlooked. The security requirements identified result in stronger methodologies of authentication such as hardware solutions in combination with biometric data to enhance MFA approaches. We identify the key vulnerabilities of weaker approaches to security such as password use against various cyber threats. Cyber threats and MFA solutions are categorised in this paper to facilitate readers’ understanding of them in healthcare domains. Conclusions We contribute to an understanding of up-to-date MFA approaches and how they can be improved for use in the IoHT. This is achieved by discussing the challenges, benefits, and limitations of current methodologies and recommendations to improve access to eHealth resources through additional layers of security.https://doi.org/10.1177/20552076231177144
spellingShingle Tance Suleski
Mohiuddin Ahmed
Wencheng Yang
Eugene Wang
A review of multi-factor authentication in the Internet of Healthcare Things
Digital Health
title A review of multi-factor authentication in the Internet of Healthcare Things
title_full A review of multi-factor authentication in the Internet of Healthcare Things
title_fullStr A review of multi-factor authentication in the Internet of Healthcare Things
title_full_unstemmed A review of multi-factor authentication in the Internet of Healthcare Things
title_short A review of multi-factor authentication in the Internet of Healthcare Things
title_sort review of multi factor authentication in the internet of healthcare things
url https://doi.org/10.1177/20552076231177144
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