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<p>The release of Generative AI and its availability to the general population was a game changer. Making Generative AI accessible to members of the public opened up knowledge that was previously guarded by experts. As a result, Generative AI is changing the relationship between AI, patient and clinicians. Ethics guidelines issued by governments lay out what should be considered when implementing AI-enabled healthcare. However, how these guidelines are implemented matters. This perspective reflects on the complexity of the task, and how to go about it. Systems Thinking is a well-suited discipline to the task of implementing AI-enabled healthcare and involves participatory processes. However, given the financial and epistemic power imbalance between the AI technology owners and its users, there is a need for strong stewardship of the process. First Nations of Australia cultural processes offer possible guidance about how to enact this stewardship.</p>

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From the what to the how: why the stewardship of ethics implementation in AI healthcare matters

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年5月12日

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  • Magali Goirand,
  • Elizabeth Austin,
  • Robyn Clay-Williams

摘要

The release of Generative AI and its availability to the general population was a game changer. Making Generative AI accessible to members of the public opened up knowledge that was previously guarded by experts. As a result, Generative AI is changing the relationship between AI, patient and clinicians. Ethics guidelines issued by governments lay out what should be considered when implementing AI-enabled healthcare. However, how these guidelines are implemented matters. This perspective reflects on the complexity of the task, and how to go about it. Systems Thinking is a well-suited discipline to the task of implementing AI-enabled healthcare and involves participatory processes. However, given the financial and epistemic power imbalance between the AI technology owners and its users, there is a need for strong stewardship of the process. First Nations of Australia cultural processes offer possible guidance about how to enact this stewardship.