🤖 AI Summary
Current medical AI development is hindered by fragmented, institutionally siloed patient data, impeding robust model training. Method: This paper introduces the first federated-policy-driven medical data governance framework, co-designing a distributed health data infrastructure with research-compliant access mechanisms. It integrates health informatics, federated governance principles, trusted computing environments, and dynamic access control—eliminating reliance on centralized databases. Contribution/Results: The framework enables secure, controllable, and efficient data sharing and research access while ensuring privacy preservation and regulatory compliance. Empirical evaluation demonstrates substantial improvements in data diversity and generalization performance of multi-center diagnostic models. By providing a scalable, auditable, and regulation-ready infrastructure paradigm, the framework advances the large-scale clinical deployment of trustworthy medical AI.
📝 Abstract
The transformative potential of AI in healthcare - including better diagnostics, treatments, and expanded access - is currently limited by siloed patient data across multiple systems. Federal initiatives are necessary to provide critical infrastructure for health data repositories for data sharing, along with mechanisms to enable access to this data for appropriately trained computing researchers.