Olawade David B, Weerasinghe Kusal, Teke Jennifer, Msiska Maines, Boussios Stergios, Hatzidimitriadou Eleni
Department of Research and Innovation, Medway NHS Foundation Trust, Gillingham, Kent ME7 5NY, UK; Department of Allied and Public Health, School of Health, Sport and Bioscience, University of East London, London E16 2RD, UK; Department of Public Health, York St John University, London E14 2BA, UK.
Department of Research and Innovation, Medway NHS Foundation Trust, Gillingham, Kent ME7 5NY, UK.
Int J Med Inform. 2025 Jul;199:105909. doi: 10.1016/j.ijmedinf.2025.105909. Epub 2025 Apr 4.
Artificial Intelligence (AI) is increasingly being integrated into healthcare to improve diagnostics, treatment planning, and operational efficiency. However, its adoption raises significant concerns related to data privacy, ethical integrity, and regulatory compliance. While much of the existing literature focuses on the clinical applications of AI, limited attention has been given to the perspectives of Information Governance (IG) professionals, who play a critical role in ensuring responsible and compliant AI implementation within healthcare systems.
This study aims to explore the perceptions of IG professionals in Kent, United Kingdom, on the use of AI in healthcare delivery and research, with a focus on data governance, ethical considerations, and regulatory implications.
A qualitative exploratory design was employed. Six IG professionals from NHS trusts in Kent were purposively selected based on their roles in compliance, data governance, and policy enforcement. Semi-structured interviews were conducted and thematically analysed using NVivo software, guided by the Unified Theory of Acceptance and Use of Technology (UTAUT).
Thematic analysis revealed varying levels of AI knowledge among IG professionals. While participants acknowledged AI's potential to improve efficiency, they raised concerns about data accuracy, algorithmic bias, cybersecurity risks, and unclear regulatory frameworks. Participants also highlighted the importance of ethical implementation and the need for national oversight.
AI offers promising opportunities in healthcare, but its adoption must be underpinned by robust governance structures. Enhancing AI literacy among IG teams and establishing clearer regulatory frameworks will be key to safe and ethical implementation.
人工智能（AI）正越来越多地融入医疗保健领域，以改善诊断、治疗规划和运营效率。然而，其应用引发了与数据隐私、道德诚信和监管合规性相关的重大担忧。虽然现有文献大多关注人工智能的临床应用，但对信息治理（IG）专业人员的观点关注有限，而他们在确保医疗保健系统中负责任且合规地实施人工智能方面发挥着关键作用。
本研究旨在探讨英国肯特郡信息治理专业人员对医疗保健服务和研究中人工智能使用的看法，重点关注数据治理、伦理考量和监管影响。
采用定性探索性设计。基于他们在合规、数据治理和政策执行方面的角色，有目的地从肯特郡国民保健服务信托基金中挑选了六名信息治理专业人员。进行了半结构化访谈，并使用NVivo软件进行主题分析，以技术接受与使用统一理论（UTAUT）为指导。
主题分析显示，信息治理专业人员对人工智能的了解程度各不相同。虽然参与者认可人工智能提高效率的潜力，但他们对数据准确性、算法偏差、网络安全风险和不明确的监管框架表示担忧。参与者还强调了道德实施的重要性以及国家监督的必要性。
人工智能在医疗保健领域提供了有前景的机会，但其应用必须有强大的治理结构作为支撑。提高信息治理团队的人工智能素养并建立更清晰的监管框架将是安全且符合道德地实施人工智能的关键。
