Ethical considerations in AI for child health and recommendations for child-centered medical AI.

Chng, Seo Yi; Tern, Mark Jun Wen; Lee, Yung Seng; Cheng, Lionel Tim-Ee; Kapur, Jeevesh; Eriksson, Johan Gunnar; Chong, Yap Seng; Savulescu, Julian · NPJ Digit Med · 2025

review · Level V

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Abstract

There does not exist any previous comprehensive review on AI ethics in child health or any guidelines for management, unlike in adult medicine. This review describes ethical principles in AI for child health and provides recommendations for child-centered medical AI. We also introduce the Pediatrics EthicAl Recommendations List for AI (PEARL-AI) framework for clinicians and AI developers to ensure ethical AI enabled systems in healthcare for children.