Blockchain-Based Privacy-Preserving Authentication and Access Control Model for E-Health Users

The advancement of e-health systems has resulted in substantial enhancements in healthcare delivery via effective data management and accessibility. The use of digital health solutions presents dangers to sensitive health information, including unauthorised access, privacy violations, and security weaknesses. This research presents a blockchain-based paradigm for privacy-preserving authentication and access control specifically designed for e-health systems. The architecture utilises the Ethereum blockchain, smart contracts, blind signatures, Proof of Authority (PoA) consensus, and one-way hash functions to improve data integrity, security, and privacy in a decentralised framework. The proposed methodology addresses computational efficiency and scalability issues via the implementation of lightweight cryptographic techniques, achieving an average authentication delay of 0.059 milliseconds, which represents a 4000-fold improvement compared to current approaches. The model exhibits a significant decrease in memory use, requiring just 0.0198 MB in contrast to the 96.98 MB required by benchmark models, and attains an average signature verification duration of 0.00092 milliseconds. The findings demonstrate the model’s capability for safe, efficient, and scalable applications in e-health, which guarantees privacy and adherence to regulatory norms.