Abstract
The potential contribution of artificial intelligence to public health is made up, in a sense, of its many specific contributions to each of the medical disciplines, in that each individual contribution will help to improve the health of the population by making more efficient use of the resources of the healthcare system and improving individual health. There are, however, a few specific areas of public health and social medicine in which AI could bring about an evolution, or even a revolution. This may be the case for precision public health, which draws on data that is both more varied in nature, such as behavioral data from connected objects, and more precise in temporal and spatial resolution. Public health uses aggregate, often macroscopic, data to make health policy decisions. Such indicators are imperfect; they can be inconsistent or misleading and are often most useful in retrospect, rather than at the desired moment. Evidence-based policy would appear to be more legitimate and robust. AI could also change the way public health systems are organized at various levels. Learning healthcare systems, for example, are designed to adapt more or less autonomously to changing health needs. In any case, the challenges of effectively using AI will arise in public health as elsewhere, and they may even be exacerbated or intensified by the well-known and unresolved tension between individual preferences and collective preferences.
Similar content being viewed by others
References
Wade DT, Halligan PW. The biopsychosocial model of illness: a model whose time has come. Clin Rehabil. 2017;31(8):995–1004. https://doi.org/10.1177/0269215517709890.
Fassin D. Santé Publique. In: Lecourt D, editor. Dictionnaire de la pensée médicale. Paris: PUF; 2004. p. 1014–8.
Dubé E, Laberge C, Guay M, Bramadat P, Roy R, Bettinger J. Vaccine hesitancy: an overview. Hum Vaccin Immunother. 2013;9(8):1763–73. https://doi.org/10.4161/hv.24657.
Ward JK, Cafiero F, Fretigny R, Colgrove J, Seror V. France’s citizen consultation on vaccination and the challenges of participatory democracy in health. Soc Sci Med. 2019;220:73–80. https://doi.org/10.1016/j.socscimed.2018.10.032.
Lee PR. The future of social medicine. J Urban Health. 1999;76(2):229–36. https://doi.org/10.1007/BF02344678.
Kawachi I, Subramanian SV. Social epidemiology for the 21st century. Soc Sci Med. 2018;196:240–5. https://doi.org/10.1016/j.socscimed.2017.10.034.
Hood L, Friend SH. Predictive, personalized, preventive, participatory (P4) cancer medicine. Nat Rev Clin Oncol. 2011;8:184–7.
Dinh A, Miertschin S, Young A, Mohanty SD. A data-driven approach to predicting diabetes and cardiovascular disease with machine learning. BMC Med Inform Decis Mak. 2019;19(1):211. https://doi.org/10.1186/s12911-019-0918-5.
Lin E, Lin CH, Lane HY. Precision psychiatry applications with pharmacogenomics: artificial intelligence and machine learning approaches. Int J Mol Sci. 2020;21(3):969. https://doi.org/10.3390/ijms21030969.
Lillie EO, Patay B, Diamant J, et al. The n-of-1 clinical trial: the ultimate strategy for individualizing medicine? Pers Med. 2011;8(2):161–73. https://doi.org/10.2217/pme.11.7.
Seeking precision in public health. Nat Med. 2019;25(8):1177. https://doi.org/10.1038/s41591-019-0556-6
Horton R. Offline: in defence of precision public health. Lancet. 2018;392(10157):1504. https://doi.org/10.1016/S0140-6736(18)32741-7.
Godlee F. Evidence based medicine: flawed system but still the best we’ve got. BMJ. 2014;348:g440.
Kiran T. Toward evidence-based policy. CMAJ. 2016;188(15):1065–6. https://doi.org/10.1503/cmaj.160692.
Latour B, Woolgar S. Laboratory life: the social construction of scientific facts. Los Angeles: Sage; 1979.
Anderson C. The end of theory: the data deluge makes the scientific method obsolete. Wired, 2008. https://www.wired.com/2008/06/pb-theory
Rice MJ, Stalling J, Monasterio A. Psychiatric-mental health nursing: data-driven policy platform for a psychiatric mental health care workforce. J Am Psychiatr Nurses Assoc. 2019;25(1):27–37. https://doi.org/10.1177/1078390318808368.
Kamel Boulos MN, Peng G, VoPham T. An overview of GeoAI applications in health and healthcare. Int J Health Geogr. 2019;18(1):7. https://doi.org/10.1186/s12942-019-0171-2.
Huang P, MacKinlay A, Yepes AJ. Syndromic surveillance using generic medical entities on Twitter. In: Proceedings of Australasian language technology association workshop, 2016. p. 35–44.
Hamon T, Gagnayre R. Improving knowledge of patient skills thanks to automatic analysis of online discussions. Patient Educ Couns. 2013;92(2):197–204. https://doi.org/10.1016/j.pec.2013.05.012.
Chiolero A, Buckeridge D. Glossary for public health surveillance in the age of data science. J Epidemiol Community Health. 2020;74:612–6.
Kandula S, Shaman J. Reappraising the utility of Google Flu Trends. PLoS Comput Biol. 2019;15(8):e1007258. https://doi.org/10.1371/journal.pcbi.1007258.
Wongvibulsin S, Zeger SL. Enabling individualised health in learning healthcare systems. BMJ Evid Based Med. 2020;25(4):125–9. https://doi.org/10.1136/bmjebm-2019-111190.
Ho CWL, Ali J, Caals K. Ensuring trustworthy use of artificial intelligence and big data analytics in health insurance. Bull World Health Organ. 2020;98(4):263–9. https://doi.org/10.2471/BLT.19.234732.
Cole SR, Hudgens MG, Brookhart MA, Westreich D. Risk. Am J Epidemiol. 2015;181:246–50. https://doi.org/10.1093/aje/kwv001.
Lefèvre T, Lepresle A, Chariot P. Detangling complex relationships in forensic data: principles and use of causal networks and their application to clinical forensic science. Int J Legal Med. 2015;129(5):1163–72. https://doi.org/10.1007/s00414-015-1164-8.
Marmot M. Fair society, healthy lives: the Marmot Review: strategic review of health inequalities in England post-2010. 2010. ISBN 9780956487001.
Bengio Y. https://yoshuabengio.org/fr/2020/03/25/depistage-pair-a-pair-de-la-covid-19-base-sur-lia/
Kröger M, Schlickeiser R. Analytical solution of the SIR-model for the temporal evolution of epidemics. Part A: time-independent reproduction factor. J Phys A. 2020. https://doi.org/10.1088/1751-8121/abc65d.
Mozour P, Zhong R, Krolik A. In coronavirus fight, China gives citizens a color code, with red flags. The New York Times, 2020. https://www.nytimes.com/2020/03/01/business/china-coronavirus-surveillance.html
Lee Y. Taiwan’s new ‘electronic fence’ for quarantines leads wave of virus monitoring. Reuters, 2020. https://www.reuters.com/article/us-health-coronavirus-taiwan-surveillanc/taiwans-new-electronic-fence-for-quarantines-leads-wave-of-virus-monitoring-idUSKBN2170SK
Bach J. The red and the black: China’s social credit experiment as a total test environment. Br J Sociol. 2020;71(3):489–502. https://doi.org/10.1111/1468-4446.12748.
Tran TNT, Felfernig A, Trattner C, et al. Recommender systems in the healthcare domain: state-of-the-art and research issues. J Intell Inf Syst. 2020. https://doi.org/10.1007/s10844-020-00633-6.
Manganello J, Gerstner G, Pergolino K, Graham Y, Falisi A, Strogatz D. The relationship of health literacy with use of digital technology for health information: implications for public health practice. J Public Health Manag Pract. 2017;23(4):380–7. https://doi.org/10.1097/PHH.0000000000000366.
Obermeyer Z, Powers B, Vogeli C, Mullainathan S. Dissecting racial bias in an algorithm used to manage the health of populations. Science. 2019;366(6464):447–53. https://doi.org/10.1126/science.aax2342.
Unberath P, Prokosch HU, Gründner J, Erpenbeck M, Maier C, Christoph J. EHR-independent predictive decision support architecture based on OMOP. Appl Clin Inform. 2020;11(3):399–404. https://doi.org/10.1055/s-0040-1710393.
Chiang J, Kumar A, Morales D, Saini D, Hom J, Shieh L, Musen M, Goldstein MK, Chen JH. Physician usage and acceptance of a machine learning recommender system for simulated clinical order entry. AMIA Jt Summits Transl Sci Proc. 2020;2020:89–97.
Amann J, Blasimme A, Vayena E, Frey D, Madai VI. Precise4Q consortium. Explainability for artificial intelligence in healthcare: a multidisciplinary perspective. BMC Med Inform Decis Mak. 2020;20(1):310. https://doi.org/10.1186/s12911-020-01332-6.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this entry
Cite this entry
Lefèvre, T., Guez, S. (2021). Artificial Intelligence in Public Health. In: Lidströmer, N., Ashrafian, H. (eds) Artificial Intelligence in Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-58080-3_54-1
Download citation
DOI: https://doi.org/10.1007/978-3-030-58080-3_54-1
Received:
Accepted:
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-58080-3
Online ISBN: 978-3-030-58080-3
eBook Packages: Springer Reference MedicineReference Module Medicine