EPIDEMIOLOGY AND HEALTH DATA INSIGHTS
Review Article

Behavioral Impacts of AI Reliance in Diagnostics: Balancing Automation with Skill Retention

Epidemiology and Health Data Insights, 1(4), 2025, ehdi014, https://doi.org/10.63946/ehdi/17088
Publication date: Sep 19, 2025
Full Text (PDF)

ABSTRACT

The COVID-19 pandemic accelerated the adoption of telemedicine and artificial intelligence (AI), transforming healthcare delivery worldwide. These technologies hold promise for improving access, efficiency, and diagnostic accuracy, but their benefits remain unevenly distributed. In many low- and middle-income countries (LMICs), persistent gaps in infrastructure, affordability, literacy, and governance risk turning digital innovation into a driver of health inequities. This paper examines the digital divide as a multidimensional health determinant encompassing infrastructure, affordability, human capacity, sociocultural inclusion, and governance. Using illustrative case studies from Africa, South Asia, Latin America, and high-income countries, this study highlights how telehealth and AI can enhance accessibility and enable task-shifting, while also demonstrating how exclusionary design and weak systems may perpetuate disparities. Building on these insights, the paper proposes a multi-sector framework for inclusive digital health, integrating investments in infrastructure, affordable and scalable models, digital literacy, culturally sensitive design, governance reform, sustainable financing, and public–private partnerships. To operationalize this framework, we recommend measurable indicators (e.g., affordability thresholds, literacy benchmarks, governance readiness indices) and propose implementation tools, including a logic model and barrier-to-action checklist. We argue that digital equity must be treated not as a peripheral issue but as a moral imperative for global health justice. Achieving this requires embedding equity into design, financing, and governance from the outset so that telehealth and AI reduce, rather than exacerbate, disparities in healthcare.

KEYWORDS

Telehealth Artificial Intelligence Healthcare Digital Divide Health Equity Global Health Policy Resource-Limited Settings

CITATION (Vancouver)

Sunday O. Behavioral Impacts of AI Reliance in Diagnostics: Balancing Automation with Skill Retention. Epidemiology and Health Data Insights. 2025;1(4):ehdi014. https://doi.org/10.63946/ehdi/17088
APA
Sunday, O. (2025). Behavioral Impacts of AI Reliance in Diagnostics: Balancing Automation with Skill Retention. Epidemiology and Health Data Insights, 1(4), ehdi014. https://doi.org/10.63946/ehdi/17088
Harvard
Sunday, O. (2025). Behavioral Impacts of AI Reliance in Diagnostics: Balancing Automation with Skill Retention. Epidemiology and Health Data Insights, 1(4), ehdi014. https://doi.org/10.63946/ehdi/17088
AMA
Sunday O. Behavioral Impacts of AI Reliance in Diagnostics: Balancing Automation with Skill Retention. Epidemiology and Health Data Insights. 2025;1(4), ehdi014. https://doi.org/10.63946/ehdi/17088
Chicago
Sunday, Omolayo. "Behavioral Impacts of AI Reliance in Diagnostics: Balancing Automation with Skill Retention". Epidemiology and Health Data Insights 2025 1 no. 4 (2025): ehdi014. https://doi.org/10.63946/ehdi/17088
MLA
Sunday, Omolayo "Behavioral Impacts of AI Reliance in Diagnostics: Balancing Automation with Skill Retention". Epidemiology and Health Data Insights, vol. 1, no. 4, 2025, ehdi014. https://doi.org/10.63946/ehdi/17088

REFERENCES

  1. Haleem A, Javaid M, Singh RP, Suman R. Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sens Int. 2021;2:100117. DOI: 10.1016/j.sintl.2021.100117
  2. Bajwa J, Munir U, Nori A, Williams B. Artificial intelligence in healthcare: transforming the practice of medicine. Future Healthc J. 2021 Jul;8(2):e188–94. DOI: 10.7861/futurehosp.8-2-e188
  3. Sanders CK, Scanlon E. The Digital Divide Is a Human Rights Issue: Advancing Social Inclusion Through Social Work Advocacy. J Hum Rights Soc Work. 2021;6(2):130–43. DOI: 10.1007/s41134-021-00156-9
  4. Ye L, Yang H. From Digital Divide to Social Inclusion: A Tale of Mobile Platform Empowerment in Rural Areas. Sustainability. 2020 Jan;12(6):2424. DOI: 10.3390/su12062424
  5. Alnasser Y, Proaño A, Loock C, Chuo J, Gilman RH. Telemedicine and Pediatric Care in Rural and Remote Areas of Middle-and Low-Income Countries: Narrative Review. J Epidemiol Glob Health. 2024 Sep;14(3):779–86. DOI: 10.2991/jegh.k.230906.001
  6. Whitehead L, Talevski J, Fatehi F, Beauchamp A. Barriers to and Facilitators of Digital Health Among Culturally and Linguistically Diverse Populations: Qualitative Systematic Review. J Med Internet Res. 2023 Feb 28;25:e42719. DOI: 10.2196/42719
  7. Jones J, Smith R, Baker T, Lee K. Advancements in telemedicine and AI integration in rural healthcare: Addressing barriers and enhancing access. J Rural Health. 2023 Dec;39(4):548-556. DOI: 10.1111/jrh.12614
  8. Perez K, Wisniewski D, Ari A, Lee K, Lieneck C, Ramamonjiarivelo Z. Investigation into Application of AI and Telemedicine in Rural Communities: A Systematic Literature Review. Healthcare (Basel). 2025 Feb 4;13(3):324. DOI: 10.3390/healthcare13030324
  9. Labrique AB, Wadhwani C, Williams KA, Lamptey P, Hesp C, Luk R, et al. Best practices in scaling digital health in low and middle-income countries. Global Health. 2018 Nov 3;14(1):103. DOI: 10.1186/s12992-018-0424-7
  10. Kruk ME, Gage AD, Arsenault C, Jordan K, Leslie HH, Roder-DeWan S, et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet Glob Health. 2018;6:e1196–252. DOI: 10.1016/S2214-109X(18)30386-3
  11. Cuadros DF, Kiragga A, Tu L, Awad S, Bwanika JM, Musuka G. Unpacking social and digital determinants of health in Africa: a narrative review on challenges and opportunities. mHealth. 2025 Jul 30;11(0). DOI: 10.21037/mhealth-2025-140465
  12. Aldosari N, Ahmed S, McDermott J, Stanmore E. The Use of Digital Health by South Asian Communities: Scoping Review. J Med Internet Res. 2023 Jun 12;25:e40425. DOI: 10.2196/40425
  13. Camacho-Leon G, Faytong-Haro M, Carrera K, Molero M, Melean F, Reyes Y, et al. A Narrative Review of Telemedicine in Latin America during the COVID-19 Pandemic. Healthcare (Basel). 2022 Jul 22;10(8):1361. DOI: 10.3390/healthcare10081361
  14. Shi Z, Du X, Li J, Hou R, Sun J, Marohabutr T. Factors influencing digital health literacy among older adults: a scoping review. Front Public Health. 2024 Nov 1;12:1447747. DOI: 10.3389/fpubh.2024.1447747
  15. Gilano G, Zeleke EA, Dekker A, Fijten R. Contextual success and pitfalls of mHealth service for maternal and child health in Africa: An Intervention, Context, Actors, Mechanism, and Outcome (ICAMO) framework guided systematic review of qualitative evidence. BMC Pregnancy Childbirth. 2024 Oct 22;24:690. DOI: 10.1186/s12884-024-04031-2
  16. Eslami Jahromi M, Ayatollahi H. Utilization of telehealth to manage the COVID-19 pandemic in low- and middle-income countries: a scoping review. J Am Med Inform Assoc. 2022 Dec 24;30(4):738–51. DOI: 10.1093/jamia/ocac236
  17. Chueke BSSD. Persisting Barriers to the Adoption of Telemedicine in Latin America After the COVID-19 Pandemic. Telehealth and Medicine Today. 2023 Nov 3;8(5). DOI: 10.36467/telemed.423
  18. Mennella C, Maniscalco U, De Pietro G, Esposito M. Ethical and regulatory challenges of AI technologies in healthcare: A narrative review. Heliyon. 2024 Feb 15;10(4):e26297. DOI: 10.1016/j.heliyon.2024.e26297
  19. Hollimon LA, Taylor KV, Fiegenbaum R, Carrasco M, Garchitorena Gomez L, Chung D, et al. Redefining and solving the digital divide and exclusion to improve healthcare: going beyond access to include availability, adequacy, acceptability, and affordability. Front Digit Health. 2025 Apr 22;7:1508686. DOI: 10.3389/fdgth.2025.1508686
  20. Qoseem IO, Okesanya OJ, Olaleke NO, Ukoaka BM, Amisu BO, Ogaya JB, et al. Digital health and health equity: How digital health can address healthcare disparities and improve access to quality care in Africa. Health Promot Perspect. 2024 Mar 14;14(1):3–8. DOI: 10.34172/hpp.2024.003
  21. Lawal O, Oyebamiji HO, Kelenna IJ, Chioma FJ, Oyefeso E, Adeyemi BI, et al. A Review on Usage of Digital Health Literacy to Combat Antibiotic Misuse and Misinformation in Nigeria: Review Article. Journal of Pharma Insights and Research. 2025 Apr 5;3(2):258–69. DOI: 10.4172/jpir.2025.03.02.258
  22. Yu J, Bekerian DA, Osback C. Navigating the Digital Landscape: Challenges and Barriers to Effective Information Use on the Internet. Encyclopedia. 2024 Dec;4(4):1665–80. DOI: 10.3390/encyclopedia4040121
  23. Xia L, Cao Z, Zhao Y. Paradigm Transformation of Global Health Data Regulation: Challenges in Governance and Human Rights Protection of Cross-Border Data Flows. Risk Manag Healthc Policy. 2024 Dec 21;17:3291–304. DOI: 10.2147/RMHP.S529130
  24. Jaramillo ET, Willging CE, Green A, Gunderson L, Fettes DL, Aarons GA. “Creative Financing”: Funding Evidence-Based Interventions in Human Service Systems. J Behav Health Serv Res. 2019 Jul;46(3):366–83. DOI: 10.1007/s11414-019-09635-3
  25. Taylor LA, Aveling EL, Roberts J, Bhuiya N, Edmondson A, Singer S. Building resilient partnerships: How businesses and nonprofits create the capacity for responsiveness. Front Health Serv. 2023 May 15;3:1155941. DOI: 10.3389/frhs.2023.1155941
  26. Oloyede AA, Faruk N, Noma N, Tebepah E, Nwaulune AK. Measuring the impact of the digital economy in developing countries: A systematic review and meta-analysis. Heliyon. 2023 Jul 7;9(7):e17654. DOI: 10.1016/j.heliyon.2023.e17654
  27. Udenigwe O, Okonofua FE, Ntoimo LFC, Yaya S. Understanding gender dynamics in mHealth interventions can enhance the sustainability of benefits of digital technology for maternal healthcare in rural Nigeria. Front Glob Womens Health. 2022 Sep 6;3:1002970. DOI: 10.3389/fgwh.2022.1002970
  28. Bober T, Rollman BL, Handler S, Watson A, Nelson LA, Faieta J, et al. Digital Health Readiness: Making Digital Health Care More Inclusive. JMIR Mhealth Uhealth. 2024 Oct 9;12:e58035. DOI: 10.2196/58035
  29. Smith JD, Li DH, Rafferty MR. The Implementation Research Logic Model: a method for planning, executing, reporting, and synthesizing implementation projects. Implement Sci. 2020 Sep 25;15:84. DOI: 10.1186/s13012-020-01045-4
  30. Eldridge SM, Lancaster GA, Campbell MJ, Thabane L, Hopewell S, Coleman CL, et al. Defining Feasibility and Pilot Studies in Preparation for Randomised Controlled Trials: Development of a Conceptual Framework. PLoS One. 2016;11(3):e0150205. DOI: 10.1371/journal.pone.0150205
  31. Benjamin K, Potts HW. Digital transformation in government: Lessons for digital health? Digit Health. 2018 Feb 27;4:2055207618759168. DOI: 10.1177/2055207618759168
  32. Kane S. Leveraging digital health initiatives to enhance the effectiveness, equity, and responsiveness of health systems. BMJ Glob Health. 2024 Aug 1;9(8):e014626. DOI: 10.1136/bmjgh-2024-014626
  33. Murphy K, Di Ruggiero E, Upshur R, Willison DJ, Malhotra N, Cai JC, et al. Artificial intelligence for good health: a scoping review of the ethics literature. BMC Med Ethics. 2021 Feb 15;22(1):14. DOI: 10.1186/s12910-021-00577-5
  34. Mehrtak M, SeyedAlinaghi S, MohsseniPour M, Noori T, Karimi A, Shamsabadi A, et al. Security challenges and solutions using healthcare cloud computing. J Med Life. 2021;14(4):448–61. DOI: 10.25122/jml-2020-0173
  35. Money A, Hall A, Harris D, Eost-Telling C, McDermott J, Todd C. Barriers to and Facilitators of Older People’s Engagement With Web-Based Services: Qualitative Study of Adults Aged >75 Years. JMIR Aging. 2024 Feb 28;7:e46522. DOI: 10.2196/46522
  36. Ahmed MM, Okesanya OJ, Olaleke NO, Adigun OA, Adebayo UO, Oso TA, et al. Integrating Digital Health Innovations to Achieve Universal Health Coverage: Promoting Health Outcomes and Quality Through Global Public Health Equity. Healthcare (Basel). 2025 May 5;13(9):1060. DOI: 10.3390/healthcare13091060
  37. Lawal OP, Igwe EP, Olosunde A, Chisom EP, Okeh DU, Olowookere AK, et al. Integrating Real-Time Data and Machine Learning in Predicting Infectious Disease Outbreaks: Enhancing Response Strategies in Sub-Saharan Africa. Asian Journal of Microbiology and Biotechnology. 2025 May 28;10(1):147–63. DOI: 10.3923/ajmb.2025.147.163

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