The quality of health care delivery is declining with the high cost of health services. This is as a result of the delay in obtaining necessary health information from patients and/or ineffective management of health information. To avert this, a new paradigm called e-health, which fuses wearable medical devices or non-invasive measuring devices with cloud computing has been adopted to improve health care delivery. This allows medical centers and health carers to function more competently and also for patients to obtain better treatments. The adoption of wearable medical devices and cloud computing provides easy and instant access to a large volume of health information. However, it introduces some information management bottlenecks, security, and privacy challenges. In this paper, we propose a security scheme that provides effective health information management and secure access to patients’ health information in an e-health system. The approach also supports cooperative health care delivery among carers through effective information sharing techniques. A two-layer security approach is adopted using the symmetric key and modified ciphertext-policy attribute-based encryption to provide fine-grained access control, time-based attribute revocation, and cooperative health service delegation among carers. Also, fog devices are adopted to create hierarchical storage for effective health information management.
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