Abstract
With the widespread adoption of Internet of Things (IoT) technologies in healthcare systems, security issues related to user privacy during data transmission and sharing have become increasingly prominent. To address these challenges, this paper proposes a medical privacy protection and secure sharing scheme based on Quantum Key Distribution (QKD). The scheme integrates multiple technologies, including blockchain, smart contracts, zero-knowledge proofs, and Chebyshev chaotic mapping, to ensure secure data sharing and access control among multiple communication entities. Compared with existing solutions, our approach enhances key management security through quantum keys and improves communication resilience against attacks by leveraging chaotic systems. User identity privacy is protected via zero-knowledge proofs. Under the random oracle model, the security of the proposed scheme is formally proven. Moreover, comparative experiments with existing protocols demonstrate the scheme's comprehensive advantages in terms of security and performance, evaluated across throughput, computational overhead, communication overhead, and storage overhead.