A Post-Quantum Password Authentication and Fast-Switching Key Agreement Protocol for Multi-Server Smart Healthcare Environments
Wang Xiong, Zhang Zhen, Guo Hao +2 more
To meet the requirement of doctors’ comprehensive diagnosis and treatment across multiple servers in smart healthcare, and to address the lack of efficient switching mechanisms in existing post-quantum authentication schemes, a post-quantum password authentication and fast-switching key agreement protocol for multi-server smart healthcare environments was proposed. With ML-KEM as the core cryptographic primitive, a mechanism combining initial authentication and fast switching authentication was designed. In the initial authentication phase, full authentication was performed, and a master session key and a service session key were established. During multi-server access, fast switching authentication was performed, and a new service session key was independently negotiated with the target server. In terms of security, the session key semantic security of the proposed protocol was proved under the ROR model, and resistance to common attacks was analyzed. In terms of performance, when a user continuously accessed five servers, compared with the repeated full-authentication approach in Wen’s and Chen’s post-quantum schemes, the proposed protocol reduced the cumulative computational overhead by more than 70.34% and the cumulative communication overhead by more than 27.53%. The performance gap increases as the number of servers grows, which shows that the proposed protocol has significant efficiency advantages and good scalability in large-scale deployment scenarios.
•Jan 1, 2026•0 citations