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

Journal: Globalization and health
PMID: 32580741

Abstract

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.

Authors

  • Hassane Alami
    Center for Public Health Research, Université de Montréal, Montreal, Quebec, Canada. hassane.alami@umontreal.ca.
  • Lysanne Rivard
    Center for Public Health Research, Université de Montréal, Montreal, Quebec, Canada.
  • Pascale Lehoux
    Center for Public Health Research, Université de Montréal, Montreal, Quebec, Canada.
  • Steven J Hoffman
    Global Strategy Lab, Faculty of Law, University of Ottawa, 57 Louis Pasteur St, Ottawa, Ontario, Canada K1N 6N5. Electronic address: steven.hoffman@uottawa.ca.
  • Stéphanie Bernadette Mafalda Cadeddu
    Research Centre of the University of Montreal Hospital Centre, Université de Montréal, Montreal, Quebec, Canada.
  • Mathilde Savoldelli
    School for Advanced Studies in Public Health, Rennes, France.
  • Mamane Abdoulaye Samri
    Research Center on Healthcare and Services in Primary Care, Université Laval, Quebec, Quebec, Canada.
  • Mohamed Ali Ag Ahmed
    Research Chair on Chronic Diseases in Primary Care, Université de Sherbrooke, Chicoutimi, Quebec, Canada.
  • Richard Fleet
    Department of Family and Emergency Medicine, Université Laval; Québec, QC, Canada; Research Chair in Emergency Medicine Laval University-CHAU Hôtel-Dieu de Lévis Hospital; Lévis City, QC, Canada.
  • Jean-Paul Fortin
    Research Center on Healthcare and Services in Primary Care, Université Laval, Quebec, Quebec, Canada.

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