Examining inclusivity: the use of AI and diverse populations in health and social care: a systematic review

Abstract Background Artificial intelligence (AI)-based systems are being rapidly integrated into the fields of health and social care. Although such systems can substantially improve the provision of care, diverse and marginalized populations are often incorrectly or insufficiently represented withi...

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Main Authors: John Gabriel O. Marko, Ciprian Daniel Neagu, P. B. Anand
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Medical Informatics and Decision Making
Subjects:
Online Access:https://doi.org/10.1186/s12911-025-02884-1
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author John Gabriel O. Marko
Ciprian Daniel Neagu
P. B. Anand
author_facet John Gabriel O. Marko
Ciprian Daniel Neagu
P. B. Anand
author_sort John Gabriel O. Marko
collection DOAJ
description Abstract Background Artificial intelligence (AI)-based systems are being rapidly integrated into the fields of health and social care. Although such systems can substantially improve the provision of care, diverse and marginalized populations are often incorrectly or insufficiently represented within these systems. This review aims to assess the influence of AI on health and social care among these populations, particularly with regard to issues related to inclusivity and regulatory concerns. Methods We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Six leading databases were searched, and 129 articles were selected for this review in line with predefined eligibility criteria. Results This research revealed disparities in AI outcomes, accessibility, and representation among diverse groups due to biased data sources and a lack of representation in training datasets, which can potentially exacerbate inequalities in care delivery for marginalized communities. Conclusion AI development practices, legal frameworks, and policies must be reformulated to ensure that AI is applied in an equitable manner. A holistic approach must be used to address disparities, enforce effective regulations, safeguard privacy, promote inclusion and equity, and emphasize rigorous validation.
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spelling doaj-art-6a4946ad6aab49c2b3bf8e1b6c6ea7862025-02-09T12:40:18ZengBMCBMC Medical Informatics and Decision Making1472-69472025-02-0125111510.1186/s12911-025-02884-1Examining inclusivity: the use of AI and diverse populations in health and social care: a systematic reviewJohn Gabriel O. Marko0Ciprian Daniel Neagu1P. B. Anand2University of Bradford Facility of Engineering and Digital TechnologyUniversity of Bradford Facility of Engineering and Digital TechnologyUniversity of Bradford Faculty of Management Law and Social SciencesAbstract Background Artificial intelligence (AI)-based systems are being rapidly integrated into the fields of health and social care. Although such systems can substantially improve the provision of care, diverse and marginalized populations are often incorrectly or insufficiently represented within these systems. This review aims to assess the influence of AI on health and social care among these populations, particularly with regard to issues related to inclusivity and regulatory concerns. Methods We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Six leading databases were searched, and 129 articles were selected for this review in line with predefined eligibility criteria. Results This research revealed disparities in AI outcomes, accessibility, and representation among diverse groups due to biased data sources and a lack of representation in training datasets, which can potentially exacerbate inequalities in care delivery for marginalized communities. Conclusion AI development practices, legal frameworks, and policies must be reformulated to ensure that AI is applied in an equitable manner. A holistic approach must be used to address disparities, enforce effective regulations, safeguard privacy, promote inclusion and equity, and emphasize rigorous validation.https://doi.org/10.1186/s12911-025-02884-1Artificial intelligenceDiverse populationHealthcareInclusivity in artificial intelligenceMarginalized population
spellingShingle John Gabriel O. Marko
Ciprian Daniel Neagu
P. B. Anand
Examining inclusivity: the use of AI and diverse populations in health and social care: a systematic review
BMC Medical Informatics and Decision Making
Artificial intelligence
Diverse population
Healthcare
Inclusivity in artificial intelligence
Marginalized population
title Examining inclusivity: the use of AI and diverse populations in health and social care: a systematic review
title_full Examining inclusivity: the use of AI and diverse populations in health and social care: a systematic review
title_fullStr Examining inclusivity: the use of AI and diverse populations in health and social care: a systematic review
title_full_unstemmed Examining inclusivity: the use of AI and diverse populations in health and social care: a systematic review
title_short Examining inclusivity: the use of AI and diverse populations in health and social care: a systematic review
title_sort examining inclusivity the use of ai and diverse populations in health and social care a systematic review
topic Artificial intelligence
Diverse population
Healthcare
Inclusivity in artificial intelligence
Marginalized population
url https://doi.org/10.1186/s12911-025-02884-1
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