Artificial Intelligence Governance in Health Systems: Systematic Review of Frameworks and Integrative Model Proposal - Report - MDSpire

Artificial Intelligence Governance in Health Systems: Systematic Review of Frameworks and Integrative Model Proposal

  • By

  • Hassane Alami

  • Renata Pozelli Sabio

  • Elsury Johanna Pérez

  • Marie-Pierre Gagnon

  • Lyse Langlois

  • Jean-Louis Denis

  • Kathy Malas

  • Lysanne Rivard

  • Mathilde Savoldelli

  • Mohamed Ali Ag Ahmed

  • Jean-Paul Fortin

  • June 8, 2026

  • 0 min

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Clinical Report: Governance of Artificial Intelligence in Healthcare Systems

Overview

This report reviews the pressing need for comprehensive governance frameworks for artificial intelligence (AI) in healthcare systems. It highlights the challenges and risks associated with AI integration, including ethical concerns and operational inefficiencies, while proposing an integrative model for effective governance.

Background

The integration of AI into healthcare systems has the potential to enhance efficiency and improve patient outcomes. However, it also introduces significant challenges, including ethical dilemmas, regulatory uncertainties, and risks to patient safety. Establishing robust governance frameworks is essential to ensure that AI technologies are implemented responsibly and equitably.

Data Highlights

No numerical data available in the source material.

Key Findings

  • AI governance frameworks must address ethical, sociopolitical, and clinical challenges in an integrated manner.
  • Existing frameworks often lack operational guidance for implementing ethical principles in practice.
  • Comprehensive governance should include roles, rules, and policies applicable throughout the AI lifecycle.
  • Stakeholder engagement and transparent communication are critical for effective AI governance.
  • Regulatory frameworks are evolving globally, with significant implications for AI in healthcare.

Clinical Implications

Healthcare organizations must prioritize the development of comprehensive AI governance frameworks to mitigate risks and enhance patient safety. This includes ensuring that ethical principles are operationalized and that stakeholders are actively engaged in the governance process.

Conclusion

Effective governance of AI in healthcare is crucial for its safe and equitable integration into health systems. A comprehensive approach that addresses ethical, operational, and regulatory dimensions will support the responsible use of AI technologies.

Related Resources & Content

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  8. Artificial Intelligence in healthcare - Public Health - European Commission
  9. Interval cancer, sensitivity, and specificity comparing AI-supported mammography screening with standard double reading without AI in the MASAI study: a randomised, controlled, non-inferiority, single-blinded, population-based, screening-accuracy trial - ScienceDirect
  10. TRIPOD+AI: an updated reporting guideline for clinical prediction models | The BMJ

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