Abstract
The healthcare internet of things (IoT) system has dramatically reshaped this important industry sector. This system employs the latest technology of IoT and wireless medical sensor networks to support the reliable connection of patients and healthcare providers. The goal is the remote monitoring of a patient's physiological data by physicians. Moreover, this system can reduce the number and expenses of healthcare centers, make up for the shortage of healthcare centers in remote areas, enable consultation with expert physicians around the world, and increase the health awareness of communities. The major challenges that affect the rapid deployment and widespread acceptance of such a system are the weaknesses in the authentication process, which should maintain the privacy of patients, and the integrity of remote medical instructions. Current research results indicate the need of a flexible authentication scheme. This study proposes a scheme with enhanced security for healthcare IoT systems, called an end-to-end authentication scheme for healthcare IoT systems, that is, an E2EA. The proposed scheme supports security services such as a strong and flexible authentication process, simultaneous anonymity of the patient and physician, and perfect forward secrecy services. A security analysis based on formal and informal methods demonstrates that the proposed scheme can resist numerous security-related attacks. A comparison with related authentication schemes shows that the proposed scheme is efficient in terms of communication, computation, and storage, and therefore cannot only offer attractive security services but can reasonably be applied to healthcare IoT systems.