articlePLOS Digital HealthMar 31, 2022GOLD OA

Sources of bias in artificial intelligence that perpetuate healthcare disparities—A global review

Beth Israel Deaconess Medical Center · Harvard University · +7 more institutions

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Abstract

Background While artificial intelligence (AI) offers possibilities of advanced clinical prediction and decision-making in healthcare, models trained on relatively homogeneous datasets, and populations poorly-representative of underlying diversity, limits generalisability and risks biased AI-based decisions. Here, we describe the landscape of AI in clinical medicine to delineate population and data-source disparities. Methods We performed a scoping review of clinical papers published in PubMed in 2019 using AI techniques. We assessed differences in dataset country source, clinical specialty, and author nationality, sex, and expertise. A manually tagged subsample of PubMed articles was used to train a model,…

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