The Collaborations among Healthcare Systems, Research Institutions, and Industry on Artificial Intelligence Research and Development

📅 2025-08-26
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This study addresses critical barriers hindering industry–academia–healthcare collaboration in medical AI development, particularly low clinical engagement despite high interest among radiologists, driven by data privacy concerns and an underdeveloped regulatory framework. Method: Leveraging a national cross-sectional survey of radiologists, complemented by multi-source data from the Chinese Society of Radiology and the Medical Imaging AI Innovation Alliance, we employed a mixed-methods approach to analyze collaborative networks, stakeholder relationships, and clinical participation levels. Contribution/Results: We identify lesion screening, AI-assisted diagnosis, and workflow optimization as top clinical priorities. Innovatively, we propose three systemic solutions: (1) hospital-based AI research units, (2) trusted, federated data-sharing platforms, and (3) cross-institutional technical standards. Additionally, we emphasize AI literacy training and co-governance mechanisms. These evidence-based recommendations provide actionable insights for policymakers and stakeholders to enhance the translational efficiency and clinical integration of medical AI.

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📝 Abstract
Objectives: The integration of Artificial Intelligence (AI) in healthcare promises to revolutionize patient care, diagnostics, and treatment protocols. Collaborative efforts among healthcare systems, research institutions, and industry are pivotal to leveraging AI's full potential. This study aims to characterize collaborative networks and stakeholders in AI healthcare initiatives, identify challenges and opportunities within these collaborations, and elucidate priorities for future AI research and development. Methods: This study utilized data from the Chinese Society of Radiology and the Chinese Medical Imaging AI Innovation Alliance. A national cross-sectional survey was conducted in China (N = 5,142) across 31 provincial administrative regions, involving participants from three key groups: clinicians, institution professionals, and industry representatives. The survey explored diverse aspects including current AI usage in healthcare, collaboration dynamics, challenges encountered, and research and development priorities. Results: Findings reveal high interest in AI among clinicians, with a significant gap between interest and actual engagement in development activities. Despite the willingness to share data, progress is hindered by concerns about data privacy and security, and lack of clear industry standards and legal guidelines. Future development interests focus on lesion screening, disease diagnosis, and enhancing clinical workflows. Conclusion: This study highlights an enthusiastic yet cautious approach toward AI in healthcare, characterized by significant barriers that impede effective collaboration and implementation. Recommendations emphasize the need for AI-specific education and training, secure data-sharing frameworks, establishment of clear industry standards, and formation of dedicated AI research departments.
Problem

Research questions and friction points this paper is trying to address.

Characterizing collaborative networks in AI healthcare initiatives
Identifying challenges and opportunities in healthcare AI collaborations
Elucidating priorities for future AI research and development
Innovation

Methods, ideas, or system contributions that make the work stand out.

Cross-sector collaboration networks for AI healthcare
National survey methodology across multiple stakeholder groups
Secure data-sharing frameworks and AI education priorities
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Jiancheng Ye
Jiancheng Ye
Weill Cornell Medicine, Cornell University
Biomedical InformaticsPrecision MedicineCardiovascular HealthImplementation Science
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Michelle Ma
Weill Cornell Medicine, Cornell University, New York, NY, USA; Macaulay Honors College in Hunter College, New York, NY, USA
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Malak Abuhashish
Weill Cornell Medicine, Cornell University, New York, NY, USA