Evidence map›Paper›PMID 40799930›Full record

ReviewJAMIA open2025

A community-based approach to ethical decision-making in artificial intelligence for health care.

Abdou S Senghor, Tiffani J Bright, Saya Kakim, Keith C Norris, Henry A Antwi, Jasmine K Cooper, C Daniel Mullins, Claudia Baquet

Abstract readReview
In one paragraph

Review in JAMIA open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Abdou S SenghorDepartment of Practice, Sciences, and Health Outcomes Research, University of Maryland School of Pharmacy, Baltimore, MD 21201, United States.ORCID https://orcid.org/0000-0001-9353-5482
Tiffani J BrightDepartment of Computational Biomedicine, Cedars-Sinai Medical Center, Los Angeles, CA 90069, United States.
Saya KakimDepartment of Practice, Sciences, and Health Outcomes Research, University of Maryland School of Pharmacy, Baltimore, MD 21201, United States.
Keith C NorrisDepartment of Medicine, David Geffen School of Medicine, UCLA, Los Angeles, CA 90024, United States.
Henry A AntwiDepartment of Practice, Sciences, and Health Outcomes Research, University of Maryland School of Pharmacy, Baltimore, MD 21201, United States.
Jasmine K CooperDepartment of Practice, Sciences, and Health Outcomes Research, University of Maryland School of Pharmacy, Baltimore, MD 21201, United States.
C Daniel MullinsDepartment of Practice, Sciences, and Health Outcomes Research, University of Maryland School of Pharmacy, Baltimore, MD 21201, United States.
Claudia BaquetDepartment of Practice, Sciences, and Health Outcomes Research, University of Maryland School of Pharmacy, Baltimore, MD 21201, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Artificial Intelligence (AI) is transforming healthcare by improving diagnostics, treatment recommendations, and resource allocation. However, its implementation also raises ethical concerns, particularly regarding biases in AI algorithms trained on inequitable data, which may reinforce health disparities. This article introduces the AI COmmunity-based Ethical Dialogue and DEcision-making (CODE) framework to embed ethical deliberation into AI development, focusing on Electronic Health Records (EHRs). Materials and Methods: We propose the AI CODE framework as a structured approach to addressing ethical challenges in AI-driven healthcare and ensuring its implementation supports health equity. Results: The framework outlines 5 steps to advance health equity: (1) Contextual diversity and priority: Ensuring inclusive datasets and that AI reflects the community needs; (2) Sharing ethical propositions: Structured discussions on privacy, bias, and fairness; (3) Dialogic decision-making: Collaboratively with stakeholders to develop AI solutions; (4) Integrating ethical solutions: Applying solutions into AI design to enhance fairness; and (5) Evaluating effectiveness: Continuously monitoring AI to address emerging biases. Discussion: We examine the framework's role in mitigating AI biases through structured community engagement and its relevance within evolving healthcare policies. While the framework promotes ethical AI integration in healthcare, it also faces challenges in implementation. Conclusion: The framework provides practical guidance to ensure AI systems are ethical, community-driven, and aligned with health equity goals.

Indexed as

artificial intelligencecommunity involvementdecision makingelectronic health record datahealth care ethics

Identifiers

PMID40799930
PMCPMC12342142

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.