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Cryptography has been widely accepted for security and partly for privacycontrol as discovered from past works. However, many of these works did notprovide a way to manage cryptographic keys effectively especially in EHRapplications, as this is the Achilles heel of cryptographic techniquescurrently proposed. The issue of accountability for legitimate users also hasnot been so popular and only a few considered it in EHR. Unless a differentapproach is used, the reliant on cryptography and password or escrow basedsystem for key management will impede trust of the system and hence itsacceptability. Also users with right access should also be monitored withoutaffecting the clinician workflow. This paper presents a detailed review of someselected recent approaches to ensuring security, privacy and accountability inEHR and gaps for future research were also identified.

A Criticism of the Current Security, Privacy and Accountability Issues in Electronic Health Records