Potential Impact and Challenges of Implementing Artificial Intelligence in the Romanian Healthcare System

Authors

DOI:

https://doi.org/10.46324/PMP2302148

Keywords:

artificial intelligence, healthcare, Romania, implementation, barriers, facilitators

Abstract

This literature review assesses the prospective implications and advantages of incorporating artificial intelligence (AI) within the healthcare infrastructure of Romania. By exploring the literature on AI applications in healthcare, the article aims to identify opportunities and challenges in adopting AI-driven technologies in the Romanian context. The review findings suggest that AI holds significant promise in improving the diagnosis, prognosis, and treatment processes, while also presenting several ethical and logistical challenges. The article concludes with recommendations for future research and strategies to ensure the responsible implementation of AI technologies in the Romanian healthcare system.

References

Ahmer, H., Altaf, S. B., Khan, H. M., Bhatti, I. A., Ahmad, S., Shahzad, S., & Naseem, S. (2023). Knowledge and perception of medical students towards the use of artificial intelligence in healthcare. Journal of Pakistan Medical Association, 73(2), 448-451. https://doi.org/10.47391/JPMA.5717

Antohi, V. M., Ionescu, R. V., Zlati, M. L., & Mirica, C. (2022). Approaches related to the effects of the Covid-19 pandemic on the financing of the healthcare system in Romania. Front Public Health, 10, 940021. https://doi.org/10.3389/fpubh.2022.940021

Anton N, Doroftei B, Curteanu S, Catãlin L, Ilie OD, Târcoveanu F, Bogdănici CM. (2022). A comprehensive review on the use of artificial intelligence in ophthalmology and future research directions. Diagnostics, 13(1), 100. https://doi.org/10.3390/diagnostics13010100

Alexandru, A., & Coardos, D. (2016). Big data in medical and healthcare applications in Romania. Proceedings of AQTR 2016.

AlZaabi, A., AlMaskari, S., & AalAbdulsalam, A. (2023). Are physicians and medical students ready for artificial intelligence applications in healthcare? Digital Health, 9, 20552076231152167. https://doi.org/10.1177/20552076231152167

Besides, S., Topriceanu, C. C., Zakrzewska, Z., Irimia, A. V., Shakallis, L., Subhash, J., Casapu, M. M., Leon-Rojas, J., Pinto Dos Santos, D., Andrews, D. M., Zeicu, C., Bouhuwaish, A. M., Lestari, A. N., Abu-Ismail, L., Sadiq, A. S., Khamees, A., Mohammed, K. M. G., Williams, E., Omran, A. I., Ismail, D. Y. A., & Ebrahim, E. H. (2021). Artificial intelligence in medicine. A multinational multi-center survey on the medical and dental students' perception. Frontiers in Public Health, 9, 795284. https://doi.org/10.3389/fpubh.2021.795284

Dijmarescu, I. (2021). Some characteristics of entrepreneurship in medicine. The digitalization of the medical system in Romania. Romanian Journal of Pediatrics, 70(2), 99-102.

Dobrescu, Ed. , & Dobrescu, Em. (2018). Artificial intelligence (Ai)-the technology that shapes the world. Global Economic Observer, 6(2), 71-81.

Facultatea de Medicină Dentară UMF Cluj. (n.d.). Granturi medical. [Webpage]. Universitatea de Medicină și Farmacie "Iuliu Hațieganu" Cluj-Napoca. Retrieved March 21, 2023, from http://www.umfcluj.ro/educatie-ro/facultati-ro/medicinadentara-ro/43-facmed/cercetare-mg/217-granturi-med-ro

Falco, G., Shneiderman, B., Badger, J., Carrier, R., Dahbura, A., Danks, D., ... & Yeong, Z. K. (2021). Governing AI safety through independent audits. Nature Machine Intelligence, 3(7), 566-571.

Fotea, S., Fotea, I., & Țundrea, E. (2019). Artificial intelligence in education-romanian students’ attitudes toward artificial intelligence and its impact on their career development. In ICERI2019 Proceedings (pp. 9330-9338). IATED.

Ginghina O, Hudita A, Zamfir M, Spanu A, Mardare M, Bondoc I, Buburuzan L, Georgescu SE, Costache M, Negrei C, Nitipir C, Galateanu B. (2022). Liquid biopsy and artificial intelligence as tools to detect signatures of colorectal malignancies: A modern approach in patient's stratification. Front Oncol. doi: 10.3389/fonc.2022.856575

Iana, G. (2021, June 15). Astăzi avem algoritmi de inteligență artificială care vin în sprijinul diagnosticului imagistic [Blog post]. Medima Health. Retrieved March 20, 2023, from https://medimahealth.ro/blog/prof-univ-dr-gheorghe-iana-astazi-avem-algoritmi-de-inteligenta-artificiala-care-vin-in-sprijinul-diagnosticului-imagistic/

Ionescu, F. (2020, July 9). Primul curs de inteligență artificială în medicină, la UFM „Grigore T. Popa” din Iași [News article]. Viata Medicala. Retrieved March 17, 2023, from https://www.viata-medicala.ro/stiri/primul-curs-de-inteligenta-artificiala-in-medicina-la-ufm-grigore-t-popa-din-iasi-17570

Krittanawong, C. & Kaplin, S. (2021). Artificial intelligence in global health. European Heart Journal, 42(24), 2321–2322. https://doi.org/10.1093/eurheartj/ehab036

Kumar K, Kumar P, Deb D, Unguresan ML, Muresan V. Artificial intelligence and machine learning based intervention in medical infrastructure: A review and future trends.( 2023). Healthcare 11(2) doi: 10.3390/healthcare11020207. PMID: 36673575; PMCID: PMC9859198.

Micu, A., Micu, A. E., Geru, M., Căpățînă, A., & Muntean, M. C. (2021). The impact of A-artificial intelligence use on e-commerce in Romania. In Amfiteatru Economic, 23(56), 137-137.

Minea, M. (2023, February 3). Un arhipelag de competenţe în Oncologie. Viața Medicală. Retrieved March 20, 2023, from https://www.viata-medicala.ro/stiri/un-arhipelag-de-competente-in-oncologie-30751

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., Altman, D., Antes, G., & Tugwell, P. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement (Chinese edition). Journal of Chinese Integrative Medicine, 7(9), 889-896.

Mosteanu, N. R. (2020). Artificial intelligence and cyber security–A shield against cyberattack as a risk business management tool–case of European countries.Quality-Access to Success, 21(175), 148-156.

Pană, M. A., Busnatu, Ș. S., Serbanoiu, L. I., Vasilescu, E., Popescu, N., Andrei, C., & Sinescu, C. J. (2021). Reducing the heart failure burden in Romania by predicting congestive heart failure using artificial intelligence: Proof of concept. Applied Sciences, 11(24), 11728.

Ploscaru V, Popa-Fotea NM, Calmac L, Itu LM, Mihai C, Bataila V, Dragoescu B, Puiu A, Cojocaru C, Costin MA, Scafa-Udriste, A. (2022). Artificial intelligence and cloud-based platform for fully automated PCI guidance from coronary angiography-study protocol. PLoSOne. 17(9) :e0274296. doi: 10.1371/journal.pone.0274296 PMID: 36084034; PMCID: PMC9462679.

Qureshi, A. A., Alanazi, R. K., Alhazmi, Y. M., Almohammadi, A. S., Alsharif, W. M., & Alshamrani, K. M. (2021). Saudi radiology personnel's perceptions of artificial intelligence implementation: a cross-sectional study. Journal of Multidisciplinary Healthcare, 3225-3231. doi: 10.2147/JMDH.S340786. PMID: 34848967; PMCID: PMC8627310.

Raji, I. D., Smart, A., White, R. N., Mitchell, M., Gebru, T., Hutchinson, B., ... & Barnes, P. (2020, January). Closing the AI accountability gap: Defining an end-to-end framework for internal algorithmic auditing. In Proceedings of the 2020 Conference on fairness, accountability, and transparency (pp. 33-44).

Săniuță, A., & Filip, S. O. (2021). Artificial Intelligence: An overview of European and Romanian startups landscape and the factors that determine their Success. Strategica. Shaping the Future of Business and Economy, 872-884.

Sethi, Y., Patel, N., Kaka, N., Desai, A., Kaiwan, O., Sheth, M., Sharma, R., Huang, H., Chopra, H., Khandaker, M. U., Lashin, M. M. A., Hamd, Z. Y., & Emran, T. B. (2022). Artificial intelligence in pediatric cardiology: a scoping review. Journal of Clinical Medicine, 11(23), 7072. https://doi.org/10.3390/jcm112

Sit C, Srinivasan R, Amlani A, et al. (2020). Attitudes and perceptions of UK medical students towards artificial intelligence and radiology: a multicentre survey. Insights Imaging. 11(1):1–6. doi: 10.1186/s13244-019-0830-7

Societatea Română de Imagistică Medicală și Radiologie. (2023). AI in radiologie – opinia ta. [Webpage]. Retrieved March 23, 2023, from https://www.srimr.ro/noutati/2023-ai-in-radiologie-opinia-ta

Stan-Ilie M, Sandru V, Constantinescu G, Plotogea OM, Rinja EM, Tincu IF, Jichitu A, Carasel AE, Butuc AC, Popa B. (2023) Artificial intelligence-the rising star in the field of gastroenterology and hepatology. Diagnostics, 13(4). doi: 10.3390/diagnostics13040662. PMID: 36832150; PMCID: PMC9955763.

Sunarti, S., Fadzlul Rahman, F., Naufal, M., Risky, M., Febriyanto, K., & Masnina, R. (2021). Artificial intelligence in healthcare: opportunities and risk for future. Gaceta Sanitaria, 35 Suppl 1, S67-S70. doi: 10.1016/j.gaceta.2020.12.019. PMID: 33832631.

Sync.ro. (n.d.). [Website]. Retrieved March 23, 2023, from https://www.sync.ro/

Thurzo, A., Strunga, M., Urban, R., Surovková, J., & Afrashtehfar, K. I. (2023). Impact of artificial intelligence on dental education: A review and guide for curriculum update. Education Sciences, 13(2).

Tomescu, T. (2023, February 23). Exemple De Inteligență Artificială Și Roboți Software Potrivite Pentru Digitalizare IMM. [Webpage]. SoftNet Consulting. Retrieved March 15, 2023, from https://softnetconsulting.ro/exemple-ai-potrivite-pentru-digitalizare-imm/

Udriștoiu AL, Ghenea AE, Udriștoiu Ș, Neaga M, Zlatian OM, Vasile CM, Popescu M, Țieranu EN, Salan AI, Turcu AA, Nicolosu D, Calina D, Cioboata R. (2021). COVID-19 and Artificial intelligence: An approach to forecast the severity of diagnosis. Life 11(11) doi: 10.3390/life11111281.

Downloads

Published

2023-08-07

How to Cite

Fitzek, S. ., & Choi К.-E. (Anna) . (2023). Potential Impact and Challenges of Implementing Artificial Intelligence in the Romanian Healthcare System. Postmodernism Problems, 13(2), 148–192. https://doi.org/10.46324/PMP2302148

Most read articles by the same author(s)