Using AI in healthcare brings up many ethical questions. These include protecting patient data, being fair, clear, including everyone, and making sure AI helps healthcare workers instead of replacing them. A study published by Elsevier Ltd. in Social Science & Medicine looked at 253 articles from 2000 to 2020 about AI ethics in healthcare. The study created a framework called SHIFT. SHIFT stands for Sustainability, Human centeredness, Inclusiveness, Fairness, and Transparency.
For healthcare leaders in the U.S., using these guidelines helps balance using new tech with acting responsibly. The hard part is setting rules that follow these ideas but still allow AI to help doctors and patients better.
Spending money on these things helps healthcare managers use AI the right way, follow laws like HIPAA, and avoid harm from unfair AI behavior.
Protecting data privacy is very important in healthcare AI because medical information is sensitive. AI needs lots of data, which must be safe from leaks or misuse.
Healthcare managers and IT staff must keep patient data safe following federal and state rules. Problems include people accessing data without permission, sharing data without consent, and not properly hiding patient identities. If hospitals don’t protect data well, AI might reveal private information.
Building better infrastructure protects patient privacy and helps doctors and patients trust AI tools.
Healthcare AI needs skilled people to watch over it to make sure it works right and is used fairly. Putting AI in place without training staff can cause problems and lessen the benefits.
Investing in training helps people and AI work well together, which is important in healthcare.
Apart from helping doctors, AI is used to automate tasks at the front desk. AI phone systems help handle many patient calls and questions.
AI call systems can set appointments, answer insurance questions, remind patients about medicines, and make follow-up calls. These reduce the work of receptionists and let staff focus on harder patient needs.
Healthcare leaders must invest in AI tools that follow these rules to keep trust and meet ethical standards.
Bringing AI into U.S. healthcare offers chances to improve care and make processes smoother. But if ethical problems, privacy, and training are ignored, it can cause harm.
Research by Haytham Siala and Yichuan Wang in Social Science & Medicine showed that making AI responsible is not simple. Their SHIFT framework helps healthcare groups put money into the right areas so AI benefits society safely and fairly.
For healthcare leaders in the U.S., focusing on ethical AI development, strong data privacy, and well-trained teams is very important. These steps help bring in AI that respects patients, follows laws, and helps healthcare workers without replacing them.
By wisely investing in ethical rules, privacy tools, and staff education, healthcare groups can use AI responsibly over time. Using AI for front-office tasks can also improve how healthcare runs, helping patients and workers. As AI grows, keeping attention on these points will be needed to maintain quality and trust in healthcare across the U.S.
The core ethical concerns include data privacy, algorithmic bias, fairness, transparency, inclusiveness, and ensuring human-centeredness in AI systems to prevent harm and maintain trust in healthcare delivery.
The study reviewed 253 articles published between 2000 and 2020, using the PRISMA approach for systematic review and meta-analysis, coupled with a hermeneutic approach to synthesize themes and knowledge.
SHIFT stands for Sustainability, Human centeredness, Inclusiveness, Fairness, and Transparency, guiding AI developers, healthcare professionals, and policymakers toward ethical and responsible AI deployment.
Human centeredness ensures that AI technologies prioritize patient wellbeing, respect autonomy, and support healthcare professionals, keeping humans at the core of AI decision-making rather than replacing them.
Inclusiveness addresses the need to consider diverse populations to avoid biased AI outcomes, ensuring equitable healthcare access and treatment across different demographic, ethnic, and social groups.
Transparency facilitates trust by making AI algorithms’ workings understandable to users and stakeholders, allowing detection and correction of bias, and ensuring accountability in healthcare decisions.
Sustainability relates to developing AI solutions that are resource-efficient, maintain long-term effectiveness, and are adaptable to evolving healthcare needs without exacerbating inequalities or resource depletion.
Bias can lead to unfair treatment and health disparities. Addressing it requires diverse data sets, inclusive algorithm design, regular audits, and continuous stakeholder engagement to ensure fairness.
Investments are needed for data infrastructure that protects privacy, development of ethical AI frameworks, training healthcare professionals, and fostering multi-disciplinary collaborations that drive innovation responsibly.
Future research should focus on advancing governance models, refining ethical frameworks like SHIFT, exploring scalable transparency practices, and developing tools for bias detection and mitigation in clinical AI systems.