The Value of User-Visible Internet Cryptography

Cryptographic mechanisms are used in a wide range of applications, including email clients, web browsers, document and asset management systems, where typical users are not cryptography experts. A number of empirical studies have demonstrated that explicit, user-visible cryptographic mechanisms are not widely used by non-expert users, and as a result arguments have been made that cryptographic mechanisms need to be better hidden or embedded in end-user processes and tools. Other mechanisms, such as HTTPS, have cryptography built-in and only become visible to the user when a dialogue appears due to a (potential) problem. This paper surveys deployed and potential technologies in use, examines the social and legal context of broad classes of users, and from there, assesses the value and issues for those users

An Event Driven Hybrid Identity Management Approach to Privacy Enhanced e-Health

Credential-based authorization offers interesting advantages for ubiquitous scenarios involving limited devices such as sensors and personal mobile equipment: the verification can be done locally; it offers a more reduced computational cost than its competitors for issuing, storing, and verification; and it naturally supports rights delegation. The main drawback is the revocation of rights. Revocation requires handling potentially large revocation lists, or using protocols to check the revocation status, bringing extra communication costs not acceptable for sensors and other limited devices. Moreover, the effective revocation consent—considered as a privacy rule in sensitive scenarios—has not been fully addressed.This paper proposes an event-based mechanism empowering a new concept, the sleepyhead credentials, which allows to substitute time constraints and explicit revocation by activating and deactivating authorization rights according to events. Our approach is to integrate this concept in IdM systems in a hybrid model supporting delegation, which can be an interesting alternative for scenarios where revocation of consent and user privacy are critical. The delegation includes a SAML compliant protocol, which we have validated through a proof-of-concept implementation. This article also explains the mathematical model describing the event-based model and offers estimations of the overhead introduced by the system. The paper focus on health care scenarios, where we show the flexibility of the proposed event-based user consent revocation mechanism.This work was partially founded by the Spanish Ministry of Science and Innovation under the project TEC2010-20572-C02-01 (CONSEQUENCE) and by the State of Madrid (Spain) under the contract number S2009/TIC-1650 (e-Madrid). Moreover, the authors would like to thank to the anonymous referees for comments and recommendations for the paper improvement

Improving privacy in identity management systems for health care scenarios

Privacy is a very complex and subjective concept with different meaning to different people. The meaning depends on the context. Moreover, privacy is close to the user information and thus, present in any ubiquitous computing scenario. In the context of identity management (IdM), privacy is gaining more importance since IdM systems deal with services that requires sharing attributes belonging to users’ identity with different entities across domains. Consequently, privacy is a fundamental aspect to be addressed by IdM to protect the exchange of user attributes between services and identity providers across different networks and security domains in pervasive computing. However, problems such as the effective revocation consent, have not been fully addressed. Furthermore, privacy depends heavily on users and applications requiring some degree of flexibility. This paper analyzes the main current identity models, as well as the privacy support presented by the identity management frameworks. After the main limitations are identified, we propose a delegation protocol for the SAML standard in order to enhance the revocation consent within healthcare scenarios.Proyecto CCG10-UC3M/TIC-4992 de la Comunidad Autónoma de Madrid y la Universidad Carlos III de Madri

User-Centric Security and Privacy Mechanisms in Untrusted Networking and Computing Environments

Our modern society is increasingly relying on the collection, processing, and sharing of digital information. There are two fundamental trends: (1) Enabled by the rapid developments in sensor, wireless, and networking technologies, communication and networking are becoming more and more pervasive and ad hoc. (2) Driven by the explosive growth of hardware and software capabilities, computation power is becoming a public utility and information is often stored in centralized servers which facilitate ubiquitous access and sharing. Many emerging platforms and systems hinge on both dimensions, such as E-healthcare and Smart Grid. However, the majority information handled by these critical systems is usually sensitive and of high value, while various security breaches could compromise the social welfare of these systems. Thus there is an urgent need to develop security and privacy mechanisms to protect the authenticity, integrity and confidentiality of the collected data, and to control the disclosure of private information. In achieving that, two unique challenges arise: (1) There lacks centralized trusted parties in pervasive networking; (2) The remote data servers tend not to be trusted by system users in handling their data. They make existing security solutions developed for traditional networked information systems unsuitable. To this end, in this dissertation we propose a series of user-centric security and privacy mechanisms that resolve these challenging issues in untrusted network and computing environments, spanning wireless body area networks (WBAN), mobile social networks (MSN), and cloud computing. The main contributions of this dissertation are fourfold. First, we propose a secure ad hoc trust initialization protocol for WBAN, without relying on any pre-established security context among nodes, while defending against a powerful wireless attacker that may or may not compromise sensor nodes. The protocol is highly usable for a human user. Second, we present novel schemes for sharing sensitive information among distributed mobile hosts in MSN which preserves user privacy, where the users neither need to fully trust each other nor rely on any central trusted party. Third, to realize owner-controlled sharing of sensitive data stored on untrusted servers, we put forward a data access control framework using Multi-Authority Attribute-Based Encryption (ABE), that supports scalable fine-grained access and on-demand user revocation, and is free of key-escrow. Finally, we propose mechanisms for authorized keyword search over encrypted data on untrusted servers, with efficient multi-dimensional range, subset and equality query capabilities, and with enhanced search privacy. The common characteristic of our contributions is they minimize the extent of trust that users must place in the corresponding network or computing environments, in a way that is user-centric, i.e., favoring individual owners/users

Contributions to the privacy provisioning for federated identity management platforms

Identity information, personal data and user’s profiles are key assets for organizations and companies by becoming the use of identity management (IdM) infrastructures a prerequisite for most companies, since IdM systems allow them to perform their business transactions by sharing information and customizing services for several purposes in more efficient and effective ways. Due to the importance of the identity management paradigm, a lot of work has been done so far resulting in a set of standards and specifications. According to them, under the umbrella of the IdM paradigm a person’s digital identity can be shared, linked and reused across different domains by allowing users simple session management, etc. In this way, users’ information is widely collected and distributed to offer new added value services and to enhance availability. Whereas these new services have a positive impact on users’ life, they also bring privacy problems. To manage users’ personal data, while protecting their privacy, IdM systems are the ideal target where to deploy privacy solutions, since they handle users’ attribute exchange. Nevertheless, current IdM models and specifications do not sufficiently address comprehensive privacy mechanisms or guidelines, which enable users to better control over the use, divulging and revocation of their online identities. These are essential aspects, specially in sensitive environments where incorrect and unsecured management of user’s data may lead to attacks, privacy breaches, identity misuse or frauds. Nowadays there are several approaches to IdM that have benefits and shortcomings, from the privacy perspective. In this thesis, the main goal is contributing to the privacy provisioning for federated identity management platforms. And for this purpose, we propose a generic architecture that extends current federation IdM systems. We have mainly focused our contributions on health care environments, given their particularly sensitive nature. The two main pillars of the proposed architecture, are the introduction of a selective privacy-enhanced user profile management model and flexibility in revocation consent by incorporating an event-based hybrid IdM approach, which enables to replace time constraints and explicit revocation by activating and deactivating authorization rights according to events. The combination of both models enables to deal with both online and offline scenarios, as well as to empower the user role, by letting her to bring together identity information from different sources. Regarding user’s consent revocation, we propose an implicit revocation consent mechanism based on events, that empowers a new concept, the sleepyhead credentials, which is issued only once and would be used any time. Moreover, we integrate this concept in IdM systems supporting a delegation protocol and we contribute with the definition of mathematical model to determine event arrivals to the IdM system and how they are managed to the corresponding entities, as well as its integration with the most widely deployed specification, i.e., Security Assertion Markup Language (SAML). In regard to user profile management, we define a privacy-awareness user profile management model to provide efficient selective information disclosure. With this contribution a service provider would be able to accesses the specific personal information without being able to inspect any other details and keeping user control of her data by controlling who can access. The structure that we consider for the user profile storage is based on extensions of Merkle trees allowing for hash combining that would minimize the need of individual verification of elements along a path. An algorithm for sorting the tree as we envision frequently accessed attributes to be closer to the root (minimizing the access’ time) is also provided. Formal validation of the above mentioned ideas has been carried out through simulations and the development of prototypes. Besides, dissemination activities were performed in projects, journals and conferences.Programa Oficial de Doctorado en Ingeniería TelemáticaPresidente: María Celeste Campo Vázquez.- Secretario: María Francisca Hinarejos Campos.- Vocal: Óscar Esparza Martí

NEW SECURE SOLUTIONS FOR PRIVACY AND ACCESS CONTROL IN HEALTH INFORMATION EXCHANGE

In the current digital age, almost every healthcare organization (HCO) has moved from storing patient health records on paper to storing them electronically. Health Information Exchange (HIE) is the ability to share (or transfer) patients’ health information between different HCOs while maintaining national security standards like the Health Insurance Portability and Accountability Act (HIPAA) of 1996. Over the past few years, research has been conducted to develop privacy and access control frameworks for HIE systems. The goal of this dissertation is to address the privacy and access control concerns by building practical and efficient HIE frameworks to secure the sharing of patients’ health information. The first solution allows secure HIE among different healthcare providers while focusing primarily on the privacy of patients’ information. It allows patients to authorize a certain type of health information to be retrieved, which helps prevent any unintentional leakage of information. The privacy solution also provides healthcare providers with the capability of mutual authentication and patient authentication. It also ensures the integrity and auditability of health information being exchanged. The security and performance study for the first protocol shows that it is efficient for the purpose of HIE and offers a high level of security for such exchanges. The second framework presents a new cloud-based protocol for access control to facilitate HIE across different HCOs, employing a trapdoor hash-based proxy signature in a novel manner to enable secure (authenticated and authorized) on-demand access to patient records. The proposed proxy signature-based scheme provides an explicit mechanism for patients to authorize the sharing of specific medical information with specific HCOs, which helps prevent any undesired or unintentional leakage of health information. The scheme also ensures that such authorizations are authentic with respect to both the HCOs and the patient. Moreover, the use of proxy signatures simplifies security auditing and the ability to obtain support for investigations by providing non-repudiation. Formal definitions, security specifications, and a detailed theoretical analysis, including correctness, security, and performance of both frameworks are provided which demonstrate the improvements upon other existing HIE systems

Integration and continuity of primary care: polyclinics and alternatives - a patient-centred analysis of how organisation constrains care co-ordination

Background An ageing population, the increasing specialisation of clinical services and diverse health-care provider ownership make the co-ordination and continuity of complex care increasingly problematic. The way in which the provision of complex health care is co-ordinated produces – or fails to produce – six forms of continuity of care (cross-sectional, longitudinal, flexible, access, informational and relational). Care co-ordination is accomplished by a combination of activities by patients themselves; provider organisations; care networks co-ordinating the separate provider organisations; and overall health-system governance. This research examines how far organisational integration might promote care co-ordination at the clinical level. Objectives To examine (1) what differences the organisational integration of primary care makes, compared with network governance, to horizontal and vertical co-ordination of care; (2) what difference provider ownership (corporate, partnership, public) makes; (3) how much scope either structure allows for managerial discretion and ‘performance’; (4) differences between networked and hierarchical governance regarding the continuity and integration of primary care; and (5) the implications of the above for managerial practice in primary care. Methods Multiple-methods design combining (1) the assembly of an analytic framework by non-systematic review; (2) a framework analysis of patients’ experiences of the continuities of care; (3) a systematic comparison of organisational case studies made in the same study sites; (4) a cross-country comparison of care co-ordination mechanisms found in our NHS study sites with those in publicly owned and managed Swedish polyclinics; and (5) the analysis and synthesis of data using an ‘inside-out’ analytic strategy. Study sites included professional partnership, corporate and publicly owned and managed primary care providers, and different configurations of organisational integration or separation of community health services, mental health services, social services and acute inpatient care. Results Starting from data about patients’ experiences of the co-ordination or under-co-ordination of care, we identified five care co-ordination mechanisms present in both the integrated organisations and the care networks; four main obstacles to care co-ordination within the integrated organisations, of which two were also present in the care networks; seven main obstacles to care co-ordination that were specific to the care networks; and nine care co-ordination mechanisms present in the integrated organisations. Taking everything into consideration, integrated organisations appeared more favourable to producing continuities of care than did care networks. Network structures demonstrated more flexibility in adding services for small care groups temporarily, but the expansion of integrated organisations had advantages when adding new services on a longer term and a larger scale. Ownership differences affected the range of services to which patients had direct access; primary care doctors’ managerial responsibilities (relevant to care co-ordination because of their impact on general practitioner workload); and the scope for doctors to develop special interests. We found little difference between integrated organisations and care networks in terms of managerial discretion and performance. Conclusions On balance, an integrated organisation seems more likely to favour the development of care co-ordination and, therefore, continuities of care than a system of care networks. At least four different variants of ownership and management of organisationally integrated primary care providers are practicable in NHS-like settings. Future research is therefore required, above all to evaluate comparatively the different techniques for coordinating patient discharge across the triple interface between hospitals, general practices and community health services; and to discover what effects increasing the scale and scope of general practice activities will have on continuity of care