Privacy at Scale in Networked Healthcare

Fuente: arXiv
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Autores principales: Rahimian, M. Amin, Panny, Benjamin, Joshi, James
Formato: Preprint
Publicado: 2026
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author Rahimian, M. Amin
Panny, Benjamin
Joshi, James
author_facet Rahimian, M. Amin
Panny, Benjamin
Joshi, James
contents Digitized, networked healthcare promises earlier detection, precision therapeutics, and continuous care; yet, it also expands the surface for privacy loss and compliance risk. We argue for a shift from siloed, application-specific protections to privacy-by-design at scale, centered on decision-theoretic differential privacy (DP) across the full healthcare data lifecycle; network-aware privacy accounting for interdependence in people, sensors, and organizations; and compliance-as-code tooling that lets health systems share evidence while demonstrating regulatory due care. We synthesize the privacy-enhancing technology (PET) landscape in health (federated analytics, DP, cryptographic computation), identify practice gaps, and outline a deployable agenda involving privacy-budget ledgers, a control plane to coordinate PET components across sites, shared testbeds, and PET literacy, to make lawful, trustworthy sharing the default. We illustrate with use cases (multi-site trials, genomics, disease surveillance, mHealth) and highlight distributed inference as a workhorse for multi-institution learning under explicit privacy budgets.
format Preprint
id arxiv_https___arxiv_org_abs_2601_04298
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Privacy at Scale in Networked Healthcare
Rahimian, M. Amin
Panny, Benjamin
Joshi, James
Cryptography and Security
Computers and Society
Emerging Technologies
Software Engineering
Digitized, networked healthcare promises earlier detection, precision therapeutics, and continuous care; yet, it also expands the surface for privacy loss and compliance risk. We argue for a shift from siloed, application-specific protections to privacy-by-design at scale, centered on decision-theoretic differential privacy (DP) across the full healthcare data lifecycle; network-aware privacy accounting for interdependence in people, sensors, and organizations; and compliance-as-code tooling that lets health systems share evidence while demonstrating regulatory due care. We synthesize the privacy-enhancing technology (PET) landscape in health (federated analytics, DP, cryptographic computation), identify practice gaps, and outline a deployable agenda involving privacy-budget ledgers, a control plane to coordinate PET components across sites, shared testbeds, and PET literacy, to make lawful, trustworthy sharing the default. We illustrate with use cases (multi-site trials, genomics, disease surveillance, mHealth) and highlight distributed inference as a workhorse for multi-institution learning under explicit privacy budgets.
title Privacy at Scale in Networked Healthcare
topic Cryptography and Security
Computers and Society
Emerging Technologies
Software Engineering
url https://arxiv.org/abs/2601.04298