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Journal of Medical Systems

On the Security Flaws in ID-based Password Authentication Schemes for Telecare Medical Information Systems

Dheerendra Mishra

Published Nov 23, 2014• 38 citations
Publisher
DOI
10.1007/s10916-014-0154-6

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With the advent of state-of-art technologies, the Telecare Medicine Information System (TMIS) now offers fast and convenient healthcare services to patients at their doorsteps. However, this architecture engenders new risks and challenges to patients' and the server's confidentiality, integrity and security. In order to avoid any resource abuse and malicious attack, employing an authentication scheme is widely considered as the most effective approach for the TMIS to verify the legitimacy of patients and the server. Therefore, several authentication protocols have been proposed to this end. Very recently, Chaudhry et al. identified that there are vulnerabilities of impersonation attacks in Islam et al.'s scheme. Therefore, they introduced an improved protocol to mitigate those security flaws. Later, Qiu et al. proved that these schemes are vulnerable to the man-in-the-middle, impersonation and offline password guessing attacks. Thus, they introduced an improved scheme based on the fuzzy verifier techniques, which overcome all the security flaws of Chaudhry et al.'s scheme. However, there are still some security flaws in Qiu et al.'s protocol. In this article, we prove that Qiu et al.'s protocol has an incorrect notion of perfect user anonymity and is vulnerable to user impersonation attacks. Therefore, we introduce an improved protocol for authentication, which reduces all the security flaws of Qiu et al.'s protocol. We also make a comparison of our protocol with related protocols, which shows that our introduced protocol is more secure and efficient than previous protocols.

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With the advent of state-of-art technologies, the Telecare Medicine Information System (TMIS) now offers fast and convenient healthcare services to patients at their doorsteps. However, this architecture engenders new risks and challenges to patients' and the server's confidentiality, integrity and security. In order to avoid any resource abuse and malicious attack, employing an authentication scheme is widely considered as the most effective approach for the TMIS to verify the legitimacy of patients and the server. Therefore, several authentication protocols have been proposed to this end. Very recently, Chaudhry et al. identified that there are vulnerabilities of impersonation attacks in Islam et al.'s scheme. Therefore, they introduced an improved protocol to mitigate those security flaws. Later, Qiu et al. proved that these schemes are vulnerable to the man-in-the-middle, impersonation and offline password guessing attacks. Thus, they introduced an improved scheme based on the fuzzy verifier techniques, which overcome all the security flaws of Chaudhry et al.'s scheme. However, there are still some security flaws in Qiu et al.'s protocol. In this article, we prove that Qiu et al.'s protocol has an incorrect notion of perfect user anonymity and is vulnerable to user impersonation attacks. Therefore, we introduce an improved protocol for authentication, which reduces all the security flaws of Qiu et al.'s protocol. We also make a comparison of our protocol with related protocols, which shows that our introduced protocol is more secure and efficient than previous protocols.
Doctors can provide healthcare related treatments to users by using telecare medicine information systems (TMISs). To safeguard these systems, an appropriate security scheme for authentication plus key agreement is required conclusively. Recently in 2015, Arshad et al. (2015) revealed some flaws in Bin Muhaya's authentication and key agreement scheme and proposed an enhanced system on the same. However, we demonstrate that Arshad et al.'s (2015) scheme is susceptible to session key disclosure as well as user impersonation attacks. Moreover, in pursuance of better security, we introduce a new two-factor authentication and key agreement scheme.
With the rapid development of information technology from one side and the experience of the COVID-19 pandemic from the other side, people presently prefer to access healthcare services remotely. Telecare Medical Information System (TMIS) provides more flexible, faster, and more convenient e-healthcare services available to all people, particularly those who lack access to physicians due to their geographical restrictions. However, due to the sensitivity of medical information, preventing unauthorized access to patient data and preserving patient privacy is crucial. In this paper, we propose an authenticated key agreement scheme for TMIS to preserve the privacy of the patient’s identity from all internal (even the health server and the physician) and external entities. Moreover, the physician’s identity is kept secret from all external entities. Formal and informal security analysis of the proposed scheme indicates that it is secure against all attacks in the context.