Global AI Governance in Healthcare: A Cross-Jurisdictional Regulatory Analysis
Attrayee Chakraborty, Mandar Karhade
TL;DR
This paper examines the global regulatory landscape for AI in healthcare by analyzing 25 laws, guidance, and regulations from 14 jurisdictions and mapping them to the WHO principles for ethical AI use in healthcare. It identifies common themes—documentation, risk management, data quality, intended use and validation, and privacy—and notes broad alignment with WHO guidance, while healthcare-specific rules remain unevenly developed and largely embedded within SaMD frameworks. The authors also explore GenAI governance, contrasting generic approaches with China and Singapore’s GenAI-specific policies, and argue for a three-pronged path toward international harmonization, risk-based regulation, and stakeholder collaboration. The study highlights the dynamic, rapidly evolving nature of AI regulation and aims to inform policymakers and industry on how to balance innovation with safety and ethics in a global context. Overall, the work provides a global, WHO-aligned perspective to guide future harmonization efforts and policy development in AI-based healthcare.
Abstract
Artificial Intelligence (AI) is being adopted across the world and promises a new revolution in healthcare. While AI-enabled medical devices in North America dominate 42.3% of the global market, the use of AI-enabled medical devices in other countries is still a story waiting to be unfolded. We aim to delve deeper into global regulatory approaches towards AI use in healthcare, with a focus on how common themes are emerging globally. We compare these themes to the World Health Organization's (WHO) regulatory considerations and principles on ethical use of AI for healthcare applications. Our work seeks to take a global perspective on AI policy by analyzing 14 legal jurisdictions including countries representative of various regions in the world (North America, South America, South East Asia, Middle East, Africa, Australia, and the Asia-Pacific). Our eventual goal is to foster a global conversation on the ethical use of AI in healthcare and the regulations that will guide it. We propose solutions to promote international harmonization of AI regulations and examine the requirements for regulating generative AI, using China and Singapore as examples of countries with well-developed policies in this area.
