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Ethical AI in medical text generation

Balancing innovation with privacy in public health

Bibliographic Data

ID22079762
AuthorsMingpei Liang (Youjiang Medical College for Nationalities, corresponding author)
Year2025
Volume13
Pages1583507-1583507
Publication date2025-07-18
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1583507
PMID40756387
OpenAlexW4412957434
LanguageEN
Citations received1
References cited30

Introduction: The integration of artificial intelligence (AI) into medical text generation is transforming public health by enhancing clinical documentation, patient education, and decision support. However, the widespread deployment of AI in this domain introduces significant ethical challenges, including fairness, privacy protection, and accountability. Traditional AI-driven medical text generation models often inherit biases from training data, resulting in disparities in healthcare communication across different demographic groups. Moreover, ensuring patient data confidentiality while maintaining transparency in AI-generated content remains a critical concern. Existing approaches either lack robust bias mitigation mechanisms or fail to provide interpretable and privacy-preserving outputs, compromising ethical compliance and regulatory adherence. Methods: To address these challenges, this paper proposes an innovative framework that combines privacy-preserving AI techniques with interpretable model architectures to achieve ethical compliance in medical text generation. The method employs a hybrid approach that integrates knowledge-based reasoning with deep learning, ensuring both accuracy and transparency. Privacy-enhancing technologies, such as homomorphic encryption and secure multi-party computation, are incorporated to safeguard sensitive medical data throughout the text generation process. Fairness-aware training protocols are introduced to mitigate biases in generated content and enhance trustworthiness. Results and discussion: The proposed approach effectively addresses critical challenges of bias, privacy, and interpretability in medical text generation. By combining symbolic reasoning with data-driven learning and embedding ethical principles at the system design level, the framework ensures regulatory alignment and improves public trust. This methodology lays the groundwork for broader deployment of ethically sound AI systems in healthcare communication

Accountability · Computer security · Confidentiality · Data science · Encryption · Health care · Health Insurance Portability and Accountability Act · Homomorphic encryption · Information privacy · Interpretability · Knowledge management · Software deployment · Artificial Intelligence in Healthcare and Education · Computer Science · Ethics and Social Impacts of AI · Machine Learning in Healthcare · Artificial Intelligence

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Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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