Navigating Healthcare AI Governance: the Comprehensive Algorithmic Oversight and Stewardship Framework for Risk and Equity.

IF 1.6 3区哲学 Q2 ETHICS

Health Care Analysis Pub Date : 2025-08-13 DOI:10.1007/s10728-025-00537-y

Rahul Kumar, Kyle Sporn, Ethan Waisberg, Joshua Ong, Phani Paladugu, Amar S Vadhera, Dylan Amiri, Alex Ngo, Ram Jagadeesan, Alireza Tavakkoli, Timothy Loftus, Andrew G Lee

引用次数: 0

Abstract

Integrating artificial intelligence (AI) in healthcare has sparked innovation but exposed vulnerabilities in regulatory oversight. Unregulated "shadow" AI systems, operating outside formal frameworks, pose risks such as algorithmic drift, bias, and disparities. The Comprehensive Algorithmic Oversight and Stewardship (CAOS) Framework addresses these challenges, combining risk assessments, data protection, and equity-focused methodologies to ensure responsible AI implementation. This framework offers a solution to bridge oversight gaps while supporting responsible healthcare innovation. CAOS functions as both a normative governance model and a practical system design, offering a scalable framework for ethical oversight, policy development, and operational implementation of AI systems in healthcare.

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导航医疗保健人工智能治理：风险和公平的综合算法监督和管理框架。

将人工智能（AI）整合到医疗保健领域引发了创新，但也暴露了监管方面的漏洞。在正式框架之外运行的不受监管的“影子”人工智能系统会带来算法漂移、偏见和差异等风险。综合算法监督和管理（CAOS）框架解决了这些挑战，结合了风险评估、数据保护和以公平为重点的方法，以确保负责任的人工智能实施。该框架提供了一种解决方案，在支持负责任的医疗保健创新的同时弥合监管差距。CAOS既是一种规范的治理模型，也是一种实用的系统设计，为医疗保健领域人工智能系统的道德监督、政策制定和运营实施提供了可扩展的框架。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Care Analysis Multiple-

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Health Care Analysis is a journal that promotes dialogue and debate about conceptual and normative issues related to health and health care, including health systems, healthcare provision, health law, public policy and health, professional health practice, health services organization and decision-making, and health-related education at all levels of clinical medicine, public health and global health. Health Care Analysis seeks to support the conversation between philosophy and policy, in particular illustrating the importance of conceptual and normative analysis to health policy, practice and research. As such, papers accepted for publication are likely to analyse philosophical questions related to health, health care or health policy that focus on one or more of the following: aims or ends, theories, frameworks, concepts, principles, values or ideology. All styles of theoretical analysis are welcome providing that they illuminate conceptual or normative issues and encourage debate between those interested in health, philosophy and policy. Papers must be rigorous, but should strive for accessibility – with care being taken to ensure that their arguments and implications are plain to a broad academic and international audience. In addition to purely theoretical papers, papers grounded in empirical research or case-studies are very welcome so long as they explore the conceptual or normative implications of such work. Authors are encouraged, where possible, to have regard to the social contexts of the issues they are discussing, and all authors should ensure that they indicate the ‘real world’ implications of their work. Health Care Analysis publishes contributions from philosophers, lawyers, social scientists, healthcare educators, healthcare professionals and administrators, and other health-related academics and policy analysts.