Abstract:

As healthcare systems evolve and healthcare data grows, the need for cross-domain collaboration treatment has become more complex, necessitating fine-grained access control to enhance privacy and security. Blockchain provides a distributed trusted platform without third parties, but the current blockchain-based access control systems lack efficiency and sufficient privacy protection in cross-domain collaboration. To address these challenges, we propose SWIFTGUARD, an efficient and fine-grained access control system based on a master-slave chain to strengthen the security and privacy of cross-domain healthcare collaboration. SWIFTGUARD incorporates a zeroknowledge proof protocol for cross-domain authentication without exposing sensitive data and leverages quantitative attribute weights for efficient access control. Through game-based security proof, we demonstrate the zero knowledge and soundness of the system. Extensive experiments evaluate that SWIFTGUARD reduces the time complexity of access authorization from $O(n)$ to $O(\log n)$, with improved throughput and stable performance in cross-domain collaboration. Our comprehensive evaluation confirms that SWIFTGUARD provides a secure and efficient access control system for cross-domain healthcare collaboration.