Artificial intelligence in health care: laying the Foundation for Responsible, sustainable, and inclusive innovation in low- and middle-income countries

被引:104
作者
Alami, Hassane [1 ,2 ]
Rivard, Lysanne [1 ,2 ]
Lehoux, Pascale [1 ,2 ]
Hoffman, Steven J. [3 ,4 ,5 ]
Cadeddu, Stephanie Bernadette Mafalda [6 ,7 ]
Savoldelli, Mathilde [8 ]
Samri, Mamane Abdoulaye [9 ]
Ag Ahmed, Mohamed Ali [10 ]
Fleet, Richard [9 ,11 ,12 ]
Fortin, Jean-Paul [9 ,13 ]
机构
[1] Univ Montreal, Ctr Publ Hlth Res, Montreal, PQ, Canada
[2] Univ Montreal, Dept Hlth Management Evaluat & Policy, Montreal, PQ, Canada
[3] York Univ, Dahdaleh Inst Global Hlth Res, Fac Hlth, Global Strategy Lab, Toronto, ON, Canada
[4] York Univ, Osgoode Hall Law Sch, Toronto, ON, Canada
[5] Harvard Univ, Dept Global Hlth & Populat, Harvard TH Chan Sch Publ Hlth, Boston, MA 02115 USA
[6] Univ Montreal, Res Ctr, Univ Montreal Hosp Ctr, Montreal, PQ, Canada
[7] Univ Montreal, Fac Law, Montreal, PQ, Canada
[8] Sch Adv Studies Publ Hlth, Rennes, France
[9] Univ Laval, Res Ctr Healthcare & Serv Primary Care, Quebec City, PQ, Canada
[10] Univ Sherbrooke, Res Chair Chron Dis Primary Care, Chicoutimi, PQ, Canada
[11] Univ Laval, Dept Family Med & Emergency Med, Fac Med, Quebec City, PQ, Canada
[12] Univ Laval, Res Chair Emergency Med, CHAU, Hotel Dieu Levis, Levis, PQ, Canada
[13] Univ Laval, Dept Social & Prevent Med, Fac Med, Quebec City, PQ, Canada
基金
加拿大健康研究院;
关键词
Digital health; Artificial intelligence; Universal health coverage; Low; and middle-income countries; Global health; Public health; Human security; Innovation; TECHNOLOGY; PREDICTION; MEDICINE;
D O I
10.1186/s12992-020-00584-1
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The World Health Organization and other institutions are considering Artificial Intelligence (AI) as a technology that can potentially address some health system gaps, especially the reduction of global health inequalities in low- and middle-income countries (LMICs). However, because most AI-based health applications are developed and implemented in high-income countries, their use in LMICs contexts is recent and there is a lack of robust local evaluations to guide decision-making in low-resource settings. After discussing the potential benefits as well as the risks and challenges raised by AI-based health care, we propose five building blocks to guide the development and implementation of more responsible, sustainable, and inclusive AI health care technologies in LMICs.
引用
收藏
页数:6
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