Why responsible AI needs regional networks in low-resource health systems

Journal Article (2026)
Author(s)

Emma Jane Spencer (Erasmus MC)

Jerome Singh (University of Toronto)

Keymanthri Moodley (Stellenbosch University, Private Bag X1)

Jeroen van den Hoven (TU Delft - Strategic Foresight & Innovation, TU Delft - Technology, Policy and Management)

Jip Hazelhorst (Erasmus MC)

Diederik Gommers (Erasmus MC)

Michel E. van Genderen (Duke University, Erasmus MC)

Research Group
Ethics & Philosophy of Technology
DOI related publication
https://doi.org/10.1038/s41746-026-03208-x Final published version
More Info
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Publication Year
2026
Language
English
Research Group
Ethics & Philosophy of Technology
Journal title
npj Digital Medicine
Issue number
1
Volume number
9
Article number
725
Page Views
7
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Abstract

Responsible clinical AI requires regionally anchored networks tailored to local contexts. We propose a primary-care-first approach to prioritize local governance, ensuring decisions are context-driven; data sovereignty, to build trust and protect privacy; and community-driven infrastructure, ensuring sustainability. With capacity building, these networks support equitable AI by aligning with local needs, overcoming barriers to implementation, and enabling collaboration across regions to scale solutions effectively.