Artificial Intelligence Governance in Health Systems: Systematic Review of Frameworks and Integrative Model Proposal - Scorecard - 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 Scorecard: Governance of Artificial Intelligence in Healthcare Systems: A Comprehensive Review of Existing Frameworks and a Proposed Integrative Model

At a Glance

CategoryDetail
ConditionArtificial Intelligence Governance in Healthcare Systems
Key MechanismsOperational structures, processes, and mechanisms to translate ethical principles into practice.
Target PopulationHealthcare organizations and stakeholders involved in AI integration.
Care SettingHealth systems and digital health environments.

Key Highlights

  • AI integration raises expectations and challenges in health systems.
  • Governance frameworks are essential for operationalizing ethical AI principles.
  • Existing frameworks often address issues separately rather than interdependently.
  • A systematic review identifies recurrent shortcomings in AI governance frameworks.
  • Proposed model aims to guide AI-related policy, practice, and research.

Guideline-Based Recommendations

Diagnosis

  • Identify relevant actors and allocate decision-making authority.

Management

  • Establish auditable requirements for data governance and model validation.

Monitoring & Follow-up

  • Implement post-deployment monitoring and incident reporting.

Risks

  • Address ethical, sociopolitical, economic, and clinical challenges.

Patient & Prescribing Data

Not specified; relevant to all stakeholders in healthcare systems.

Focus on responsible and effective integration of AI technologies.

Clinical Best Practices

  • Engage stakeholders in transparent public communication.
  • Ensure accountability mechanisms are in place.
  • Evaluate clinical effectiveness, safety, and equity impacts.

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