Data integrity continues to be a persistent problem in the current healthcare sector. It ensures that the data is correct and has not even in any manner been improperly changed. Incorrect data might become significant health threats for patients and a big responsibility for clinicians, resulting in problems such as scam, misconduct, inadequate treatment and data theft. This sort of endangering scenario causes tremendous difficulty in handling healthcare data. This research intends to describe the threat plot of data integrity in healthcare through numerous attack statistics from around the world and Saudi Arabia and identify the criticality in Saudi Arabia in particular. A literature review by descriptive analysis, unit analysis and rating analysis to achieve the planned systematic literature review goal is outlined. The outcome of ranking analysis using a fuzzy analytical hierarchy process methodology offers a route for Saudi Arabian researchers to promote medical records or data security in Arabic healthcare. It is suggested that blockchain is the most prioritized method for regular use and adaptation across Saudi Arabia in all data integrity management techniques. To address the challenges of data integrity and future path, the authors critically examine the challenges posed by data integrity in the healthcare sector.

Managing data integrity is a challenging task for any expert or a researcher. This study attempts to collate a Systematic Literature Review of the research efforts done in the domain of healthcare data integrity. The paper highlights the criticalness of data integrity issues in healthcare through attack statistics in the first section. The second section of the paper systematically reviews the previous studies discussing the healthcare related Systematic literature reviews and data integrity techniques in healthcare sector. The third section of this study examines the collated literature through various analysis methodologies and discusses about the most prioritized technique as well as its challenges in healthcare data security. The fourth section illustrates about the various challenges and future directions to take while constructing a roadmap for the future research endeavors in healthcare data integrity management techniques. The concluding segment of the paper presents an objective assessment and sensitivity analysis for finding the implications and difficulties in the studies while outlining feasible solutions. Furthermore, this research endeavour also conducts a Scientometric analysis of all the studies for better understanding of the literature reviewed. Ranking or the Priority analysis part of the paper is totally dedicated to the previously used techniques in healthcare. The paper also discusses about data integrity techniques and postulates that the most prioritized data integrity technique is the blockchain.

Growing concern about healthcare information security in the wake of alarmingly rising cyber-attacks is being given symmetrical priority by current researchers and cyber security experts. Intruders are penetrating symmetrical mechanisms of healthcare information security continuously. In the same league, the paper presents an overview on the current situation of healthcare information and presents a layered model of healthcare information management in organizations. The paper also evaluates the various factors that have a key contribution in healthcare information security breaches through a hybrid fuzzy-based symmetrical methodology of AHP-TOPSIS. Furthermore, for assessing the effect of the calculated results, the authors have tested the results on local hospital software of Varanasi. Tested results of the factors are validated through the comparison and sensitivity analysis in this study. Tabulated results of the proposed study propose a symmetrical mechanism as the most conversant technique which can be employed by the experts and researchers for preparing security guidelines and strategies.

Continuous data breaches targeting the invaluable medical records have become a nemesis for the healthcare organizations. A secure and effective information security model in healthcare web applications can gain and enhance the respect as well as revenue of the healthcare organizations. For achieving this goal, a multi-criteria decision methodology can be a milestone. The authors have used a hybrid integrated Fuzzy Analytical Hierarchy Process-Technique for Order of Preference by Similarity to Ideal Solution (Fuzzy AHP-TOPSIS) method for evaluating various information security factors of a web application in order to provide effective and useful results for the developers and researchers. Furthermore, every calculation needs a validation and scientific proof in our case the study assesses the evaluated result on software of hospital from Varanasi, India. The results and ideology of this study will definitely help the practitioners in developing secure and effective information security within a web application. Moreover, the empirical analysis conducted in our research has attempted to etch a systematic path for the developers who can focus on the most prioritized factors for assured and concrete information security within a web application.

Security of the Internet of Healthcare Things (IoHT) devices plays a vital role in e-healthcare today and there has been a rapid increase in the use of networked devices of IoHT in the present healthcare services. However, these networked devices are also highly vulnerable to attackers who constantly target the security of devices and their components to gain access to the patients’ data. Infringement of patients’ data is not only a violation of privacy but can also jeopardize patients’ health if the health records are tampered with. Once the device has been intruded upon, attackers can not only change the record of the patients but also block and switch off the device. Decidedly, the security of IoHT devices is at a huge risk and needs to be designed, manufactured and networked with more secure mechanisms. In this league, the present study employs a new methodology to assess the privacy and security of the IoHT devices. The study analyses the security defects of the medical devices by enlisting the opinions of the hacking experts. Based on the collated list of defects cited by the experts, the authors have designed a list of criteria and represented the defects in hierarchical format for assessing the security defects in the devices. Thereafter, the Technical for Order Preference by Similarity to Ideal Solution (TOPSIS) method has been used for ranking the security of IoHT devices, based on their security features. The findings of the study iterate that the proposed mechanism would be an efficacious approach for evaluating the security of the medical devices.

In recent years, numerous attempts have been made to enhance the living standard for old-aged people. Ambient Assisted Living (AAL) is an evolving interdisciplinary field aimed at the exploitation of knowledge and communication technology in health and tele-monitoring systems to combat the impact of the growing aging population. AAL systems are designed for customized, responsive, and predictive requirements, requiring high performance of functionality to ensure interoperability, accessibility, security, and consistency. Standardization, continuity, and assistance of system development have become an urgent necessity to meet the increasing needs for sustainable systems. In this article, we examine and address the methods of the different AAL systems. In addition, we analyzed the acceptance criteria of the AAL framework intending to define and evaluate different AAL-based symmetrical models, leveraging performance characteristics under the integrated fuzzy environment. The main goal is to provide an understanding of the current situation of the AAL-oriented setups. Our vision is to investigate and evaluate the potential symmetrical models of AAL systems and frameworks for the implementation of effective new installations.