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A Review on the State-of-the-Art Privacy- 
Preserving Approaches in the e-Health Clouds 
Cloud computing is emerging as a new computing paradigm in the healthcare sector besides other 
business domains. Large numbers of health organizations have started shifting the electronic health 
information to the cloud environment. Introducing the cloud services in the health sector not only 
facilitates the exchange of electronic medical records among the hospitals and clinics, but also enables 
the cloud to act as a medical record storage center. Moreover, shifting to the cloud environment 
relieves the healthcare organizations of the tedious tasks of infrastructure management and also 
minimizes development and maintenance costs. Nonetheless, storing the patient health data in the 
third-party servers also entails serious threats to data privacy. Because of probable disclosure of medical 
records stored and exchanged in the cloud, the patients’ privacy concerns should essentially be 
considered when designing the security and privacy mechanisms. Various approaches have been used to 
preserve the privacy of the health information in the cloud environment. This survey aims to encompass 
the state-of-the-art privacy-preserving approaches employed in the e-Health clouds. Moreover, the 
privacy-preserving approaches are classified into cryptographic and noncryptographic approaches and 
taxonomy of the approaches is also presented. Furthermore, the strengths and weaknesses of the 
presented approaches are reported and some open issues are highlighted.

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A review on the state of-the-art privacy-preserving approaches in the e-health clouds

  • 1. A Review on the State-of-the-Art Privacy- Preserving Approaches in the e-Health Clouds Cloud computing is emerging as a new computing paradigm in the healthcare sector besides other business domains. Large numbers of health organizations have started shifting the electronic health information to the cloud environment. Introducing the cloud services in the health sector not only facilitates the exchange of electronic medical records among the hospitals and clinics, but also enables the cloud to act as a medical record storage center. Moreover, shifting to the cloud environment relieves the healthcare organizations of the tedious tasks of infrastructure management and also minimizes development and maintenance costs. Nonetheless, storing the patient health data in the third-party servers also entails serious threats to data privacy. Because of probable disclosure of medical records stored and exchanged in the cloud, the patients’ privacy concerns should essentially be considered when designing the security and privacy mechanisms. Various approaches have been used to preserve the privacy of the health information in the cloud environment. This survey aims to encompass the state-of-the-art privacy-preserving approaches employed in the e-Health clouds. Moreover, the privacy-preserving approaches are classified into cryptographic and noncryptographic approaches and taxonomy of the approaches is also presented. Furthermore, the strengths and weaknesses of the presented approaches are reported and some open issues are highlighted.