Evidence map›Paper›PMID 41091343›Full record

ReviewHealth care analysis : HCA : journal of health philosophy and policy2026

"Low Risk, High Happiness": A Review of Openly Declared Ethical and Legal Practices in Voice Biomarker Health-Tech Start-Ups.

Hortense Gallois, Luka Ivkovic, Emily Evangelista, Yael Bensoussan, B2AI-Voice Consortium, Jean-Christophe Bélisle-Pipon

Abstract readReview
PubMed Publisher
In one paragraph

Review in Health care analysis : HCA : journal of health philosophy and policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Review
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

6 authors.

Hortense GalloisFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.ORCID http://orcid.org/0000-0003-1876-2209
Luka IvkovicFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
Emily EvangelistaDepartment of Otolaryngology - Head & Neck Surgery, Morsani College of Medicine, University of South Florida, Tampa, USA.
Yael BensoussanDepartment of Otolaryngology - Head & Neck Surgery, Morsani College of Medicine, University of South Florida, Tampa, USA.
B2AI-Voice Consortium
Jean-Christophe Bélisle-PiponFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada. jean-christophe_belisle-pipon@sfu.ca.

Funding

Foundation for the National Institutes of Health OT2OD032720-01
6 · The paper itself

Abstract

Voice biomarker research is fueling a growing health-tech market, largely driven by start-ups. Yet, there is limited scholarship on how start-ups navigate the legal uncertainty surrounding voice data protection and the rising expectations for responsible AI. This study reviews the ethical, legal and regulatory practices as stated on the websites of 27 start-ups using voice as a biomarker in health-tech. The review reveals substantial disparities in the availability, readability and content of the information disclosed, especially regarding privacy policies, with only a few websites offering product-specific, transparent, and comprehensive privacy policies. Significant differences also emerged in the start-ups' terms of use and regulatory compliance statements, likely reflecting the novelty of the field, disparity in legal and regulatory requirements, and the absence of sector-specific ethical guidance. For example, while most start-ups reference compliance with data protection frameworks (e.g., HIPAA, GDPR), many fall short of best practices for transparency, accountability, and user-centered communication. We argue that the success of start-ups in health-tech depends on their capacity to capture and retain the attention of potential end-users and investors. By adopting accessible, transparent and forward-looking communication on how they frame their legal and ethical responsibilities in practice, start-ups can not only ensure legal and regulatory compliance but build trust and support sustainable innovation. This work identifies key best practices for voice AI start-ups to consider and lays the foundation for future research, including surveys and longitudinal tracking, to better understand the evolving landscape of ethical and legal practices in voice biomarker and voice AI health-tech.

Indexed as

Artificial IntelligenceBiomarkersVoiceConfidentialityHumansPrivacyBiomarkersArtificial intelligenceEthicsHealth-techLegal complianceVoice as a biomarker

Identifiers

What OpenQuestion holds

Textmetadata
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.