A Novel Key Distribution for Mobile Patient Authentication Inspired by the Federated Learning Concept and Based on the Diffie-Hellman Elliptic Curve.

Ensuring secure communication for mobile patients in e-healthcare requires an efficient and robust key distribution mechanism. This study introduces a novel hierarchical key distribution architecture inspired by federated learning (FL), enabling seamless authentication for patients moving across different healthcare centers. Unlike existing approaches, the proposed system allows a central healthcare authority to share global security parameters with subordinate units, which then combine these with their own local parameters to generate and distribute symmetric keys to mobile patients. This FL-inspired method ensures that patients only need to store a single key, significantly reducing storage overhead while maintaining security. The architecture was rigorously evaluated using SPAN-AVISPA for formal security verification and BAN logic for authentication protocol analysis. Performance metrics-including storage, computation, and communication costs-were assessed, demonstrating that the system minimizes the computational load and reduces the number of exchanged messages during authentication compared to traditional methods. By leveraging FL principles, the solution enhances scalability and efficiency, particularly in dynamic healthcare environments where patients frequently switch between facilities. This work bridges a critical gap in e-healthcare security, offering a lightweight, scalable, and secure key distribution framework tailored for mobile patient authentication.