4.6 Article

Fulfilling the Promise of Artificial Intelligence in the Health Sector: Let's Get Real

Journal

VALUE IN HEALTH
Volume 25, Issue 3, Pages 368-373

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.jval.2021.11.1369

Keywords

artificial intelligence; governance; machine learning; policy

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This study aims to showcase the potential and concerns of AI in the health sector and provide policy guidance. The application of AI in health is still in its early stages, with most applications limited to research settings. Policy makers need to proactively manage the risks associated with deploying AI, and five key policy areas are proposed.
Objectives: This study aimed to showcase the potential and key concerns and risks of artificial intelligence (AI) in the health sector, illustrating its application with current examples, and to provide policy guidance for the development, assessment, and adoption of AI technologies to advance policy objectives.Methods: Nonsystematic scan and analysis of peer-reviewed and gray literature on AI in the health sector, focusing on key insights for policy and governance.Results: The application of AI in the health sector is currently in the early stages. Most applications have not been scaled beyond the research setting. The use in real-world clinical settings is especially nascent, with more evidence in public health, biomedical research, and back office administration. Deploying AI in the health sector carries risks and hazards that must be managed proactively by policy makers. For AI to produce positive health and policy outcomes, 5 key areas for policy are proposed, including health data governance, operationalizing AI principles, flexible regulation, skills among health workers and patients, and strategic public investment.Conclusions: AI is not a panacea, but a tool to address specific problems. Its successful development and adoption require data governance that ensures high-quality data are available and secure; relevant actors can access technical infrastructure and resources; regulatory frameworks promote trustworthy AI products; and health workers and patients have the information and skills to use AI products and services safely, effectively, and efficiently. All of this requires considerable investment and international collaboration.

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