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Assessing Clinicians' Legal Concerns and the Need for a Regulatory Framework for AI in Healthcare: A Mixed-Methods
1Health Informatics Department, King Saud Ibn Abdulaziz University for Health Sciences, Riyadh 11481, Saudi Arabia.
Saudi clinicians show low legal awareness regarding artificial intelligence (AI) in healthcare, posing risks to patient safety and AI adoption. Clear regulations and mandatory training are essential for safe and ethical AI implementation.
Area of Science:
- Healthcare Law
- Medical Ethics
- Artificial Intelligence in Medicine
Background:
- Rapid AI integration in healthcare creates legal and ethical challenges.
- Limited legal awareness in Saudi Arabia may impede safe AI tool implementation.
- Existing healthcare systems face evolving regulatory landscapes due to AI.
Purpose of the Study:
- To assess legal awareness among Saudi clinicians regarding AI in healthcare.
- To identify legal barriers and regulatory needs for AI adoption in Saudi healthcare.
- To evaluate clinician confidence in AI's compliance with data protection laws.
Main Methods:
- Sequential explanatory mixed-methods design.
- Phase One: Electronic survey of 357 clinicians on AI legal awareness, liability, data privacy, and trust.
- Phase Two: Qualitative expert panel to interpret findings and define regulatory needs.
Main Results:
- Only 7% of clinicians reported high familiarity with AI legal implications; 89% lacked formal legal training.
- Low clinician confidence (1.40/3) in AI compliance with data laws.
- Key legal barriers include lack of training, unclear liability, and regulatory gaps (e.g., PDPL alignment).
Conclusions:
- Significant legal readiness gap exists among Saudi clinicians, impacting patient safety, liability, and trust in AI.
- Unclear regulations are a major barrier to safe AI adoption, despite clinician openness.
- Experts recommend national legal standards, mandatory training, and informed consent protocols for ethical AI use.
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