Artificial intelligence, algorithmic bias and indirect discrimination in health. An international normative analysis (2016–2025)
DOI:
https://doi.org/10.20318/universitas.2026.10528Keywords:
algorithmic prioritization, indirect discrimination, algorithmic bias, artificial intelligence governance, health regulationAbstract
This article analyzes how artificial intelligence systems used in clinical prioritization reproduce structural inequalities, generating patterns of indirect discrimination. Using a qualitative documentary-analytical design, binding legal frameworks enacted between 2016 and 2025 in the European Union, the United States, China, the United Kingdom, Brazil and Spain are examined. Results show accelerated regulatory growth since 2021, emphasizing data protection and transparency, yet persistent gaps remain in liability and bias auditing. The study concludes that health care automation requires mandatory algorithmic impact assessments and enforceable accountability mechanisms.
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