Benha University

Ahmed Mohamed Tawfik Ali

Lecturer

Faculty of Computers and Artificial Intelligence Computer Science

Blockchain-based access control and privacy preservation in healthcare: a comprehensive survey

Cluster Computing • 2026
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Publication Information
Authors Ahmed M. Tawfik, Ayman Al-Ahwal, Adly S. Tag Eldien & Hala H. Zayed
Keywords Blockchain Security Privacy Electronic health records Access control methods
Journal Cluster Computing
Publisher SPRINGER
Volume Not Available
Issue Not Available
Pages Not Available
publication.type International
Paper Link Open Link
Supplementary Materials Not Available
Abstract
In recent years, blockchain technology has emerged as a promising solution for securing electronic health records (EHRs) while preserving patient privacy. Traditional e-health systems facilitate EHR sharing among healthcare providers but also introduce significant privacy risks, such as unauthorized access and data breaches. Blockchain, when integrated with privacy-preserving techniques, enhances transparency, integrity, and availability in EHR management. Smart contracts further strengthen security by enabling automated authentication and access control. This paper provides a comprehensive survey of blockchain-based access control frameworks in healthcare, categorizing them into permissioned and permissionless approaches. It also explores cryptographic privacy-preserving techniques designed to mitigate privacy risks. Additionally, blockchain platforms and consensus protocols commonly used in these frameworks are analyzed. The methodology follows a structured paper selection process, leading to the final inclusion of 45 research papers focusing on blockchain-based privacy preservation and access control in healthcare. Furthermore, it presents real-world case studies that illustrate the practical implementation of blockchain-based access control in healthcare settings, highlighting their strengths and challenges. Finally, it identifies privacy-related challenges, open research issues, and future directions to guide further research in this evolving domain.
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