TL;DR: Healthcare and financial organisations across the Middle East are aligning on three pressures at once: password and privileged account attacks, tighter third-party access control, and growing sovereignty requirements, according to Imprivata. The practical challenge is that security controls that disrupt clinical workflow are bypassed, so governance has to reduce friction without widening access windows.
Editorial analysis by NHI Mgmt Group, based on content published by Imprivata: “Reflections on World Health Expo Middle East”.
Key questions
Q: What breaks when access controls create too much friction?
A: Users build workarounds, support demand increases, and security rules lose legitimacy.
Q: Why do privileged access controls often drift beyond least privilege?
A: Manual and VPN-based privileged access often lasts longer and covers more than the task requires because the process is hard to scale and easy to leave standing.
Q: What are the signs that third-party access controls are failing in practice?
A: Common warning signs include broad or stale tokens, undocumented permission changes, open endpoints, inconsistent documentation, and vendor activity that blends into routine system traffic.
Practitioner guidance
- Map workflow friction points Identify where clinicians or operations staff bypass access policy because authentication, approval, or session steps slow delivery.
- Tighten third-party access lifecycles Assign explicit owners, expiry conditions, and review triggers to vendor and partner access so external identities do not persist beyond the business relationship.
- Reduce standing privileged access Move from manual or VPN-based privileged workflows to controlled, time-bound access paths that end when the task ends and can be audited afterwards.
Bottom line: The article’s central warning is that access governance fails when security controls are too slow or cumbersome for clinical and regulated workflows.
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Workflow-safe zero trust is now the real test of identity governance in regulated operations. The article shows that security teams can no longer evaluate controls only by policy intent; they must test whether those controls survive clinician behaviour under time pressure. When friction creates workarounds, the access model has failed operationally even if it looks compliant on paper. Practitioners should judge zero trust by whether it is usable enough to be followed consistently.
A question worth separating out:
Q: How should organisations balance sovereignty requirements with zero trust?
A: They should design access controls around where data is stored, processed, and reviewed, while still enforcing least privilege and traceability. Sovereignty does not reduce governance obligations; it changes where controls must be placed and how much operational flexibility can be allowed without creating unmanaged pathways.
👉 Read our full editorial: Middle East access governance is shifting toward workflow-safe zero trust