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Research on intellectual property rights and legal liability definition of artificial intelligence-assisted pediatric
1Law School of Shanxi University, Shanxi, Taiyuan, China.
Insights
Pediatric AI development is hindered by unclear ownership and responsibility, leading to disputes, especially in young children. Clarifying roles for AI algorithms and hospital operations can improve efficiency and reduce litigation.
Area of Science:
- Medical Artificial Intelligence
- Pediatric Healthcare
- Legal and Ethical Frameworks in Technology
Background:
- Children represent a vulnerable population with unique healthcare needs due to their immature physiological development.
- Pediatric Artificial Intelligence (AI) offers potential solutions to medical resource shortages but faces challenges in standardized development.
- Unclear definitions of ownership and responsibility are significant barriers to the widespread adoption and standardization of pediatric AI.
Purpose of the Study:
- To investigate the current landscape of ownership and responsibility in pediatric AI.
- To identify the key factors contributing to medical disputes involving pediatric AI.
- To propose a framework for clarifying rights and responsibilities to promote the compliant application of AI in pediatric healthcare.
Main Methods:
- A mixed-method approach combining bibliometrics, case analysis of medical disputes, and Delphi expert consultation.
- Analysis of 89 hospital AI diagnosis documents, 17 medical dispute cases, and relevant legislation from 2021-2025.
- Empirical regression and age-stratified subgroup analysis were employed, with statistical conclusions limited to correlation.
Main Results:
- A significant portion of AI documents (73.0%) lack clear intellectual property ownership clauses, and many algorithms (47.1%) have low interpretability (<0.8).
- Medical disputes involving AI disproportionately affect infants (0-3 years) (64.7%), with high severity of adverse outcomes.
- Algorithm defects and hospital negligence were primary causes of misdiagnosis (41.2% each), leading to a high responsibility mismatch rate (64.7%).
Conclusions:
- Clear delineation of responsibilities is crucial: enterprises for algorithms, hospitals for operation, balancing fairness and privacy.
- Implementing mechanisms for algorithm description, IP evaluation, and insurance can foster compliant use of AI in hospitals.
- Findings are based on single-center data and require multi-center validation for broader generalizability.
Background:
Children's physiological development is immature, their symptoms are hidden and their diagnostic fault tolerance window is low, so they are the key protected population of public health. Although pediatric AI can alleviate the shortage of medical resources, the unclear definition of ownership and responsibility hinders its standardized development.
Methods:
This study adopts a mixed-method paradigm, separating exploratory analysis and hypothesis testing modules. Based on 89 hospital AI diagnosis documents, 17 medical dispute cases and relevant laws issued between 2021 and 2025, we adopted bibliometrics, case analysis, Delphi expert consultation, empirical regression and age-stratified subgroup analysis. Statistical conclusions only describe the correlation of variables, and do not deduce causality. The 0.85 interpretability threshold is only an exploratory single-center cutoff value and cannot serve as a universal mandatory industrial standard.
Results:
The data indicate that 73.0% of documents lack clear intellectual property ownership clauses, while 47.1% of algorithms score below 0.8 in interpretability. The average liability attribution cycle reaches 66.8 days, with 55.2% of cases exceeding the reasonable time limit. 64.7% of infants aged 0 ~ 3 years are involved in AI misdiagnosis disputes, and the medical adverse damage consequences with higher severity. Among the main causes of misdiagnosis, algorithm defects and hospital negligence accounted for 41.2% respectively, and the responsibility mismatch rate reached 64.7%. In terms of ownership, clinical data belongs to hospitals, and algorithms and software belong to enterprises. The calculation shows that if the interpretability of the algorithm rises above 0.85, the identification efficiency can be improved by 64.9% and the dispute correlation can be reduced by 30.6%.
Conclusion:
Clarify the rights and responsibilities of pediatric AI: the enterprise is responsible for the algorithm and the hospital is responsible for the operation; Give consideration to fairness and privacy. Construct algorithm description, IP evaluation and insurance mechanism to promote compliance application of 3A hospitals. This study is limited to single-center data, and its findings cannot be generalized without multi-center verification.
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