[Perspectives] Bridging the chasm between AI and clinical implementation

Many advances in artificial intelligence (AI) for health care using deep neural networks have been commercialised. But few AI tools have been implemented in health systems. Why has this chasm occurred? Transparency, suitability, and adaptability are key reasons. The deployment of any new technology is usually managed centrally in hospitals and health systems. For the information technology (IT) teams, there is the concern that input data are drawn from outside the health setting and the algorithm performance, source code, and input data are unavailable to review.

[Perspectives] Keith Wailoo: framing health challenges through a historical lens

While growing up in New York City, NY, USA, in the 1970s, Keith Wailoo could not avoid noticing giant billboard advertisements promoting menthol cigarettes. “I was surrounded by an aggressive promotion of menthol tobacco aimed at Black Americans in urban areas”, says Wailoo, the Henry Putnam University Professor of History and Public Affairs at Princeton University, NJ, USA. The saga of menthol tobacco is documented in Wailoo’s book Pushing Cool: Big Tobacco, Racial Marketing, and the Untold Story of the Menthol Cigarette.

[Perspectives] Bridging the chasm between AI and clinical implementation

Many advances in artificial intelligence (AI) for health care using deep neural networks have been commercialised. But few AI tools have been implemented in health systems. Why has this chasm occurred? Transparency, suitability, and adaptability are key reasons. The deployment of any new technology is usually managed centrally in hospitals and health systems. For the information technology (IT) teams, there is the concern that input data are drawn from outside the health setting and the algorithm performance, source code, and input data are unavailable to review.

[Perspectives] Deirdre Cooper Owens: bringing context to systemic medical racism

In the 1790s, François Marie Prevost, a young French surgeon fresh from his medical training in Paris moved to Port-de-Paix, Haiti. “Of course at that time Haiti was France’s most economically valuable colony”, says historian Deirdre Cooper Owens. “So there he began some experimental work on enslaved Haitian women, trying to perfect the caesarean section.” Prevost’s sojourn coincided with the leadership of Toussaint Louverture, who had been born a slave, the fight for Haitian independence, and the abolition of slavery.

[Perspectives] Keith Wailoo: framing health challenges through a historical lens

While growing up in New York City, NY, USA, in the 1970s, Keith Wailoo could not avoid noticing giant billboard advertisements promoting menthol cigarettes. “I was surrounded by an aggressive promotion of menthol tobacco aimed at Black Americans in urban areas”, says Wailoo, the Henry Putnam University Professor of History and Public Affairs at Princeton University, NJ, USA. The saga of menthol tobacco is documented in Wailoo’s book Pushing Cool: Big Tobacco, Racial Marketing, and the Untold Story of the Menthol Cigarette.