Health
WHO Warns Europe Is Rolling Out Health Care AI Without Adequate Safeguards
Artificial intelligence is rapidly gaining ground in Europe’s health systems, offering new tools for diagnosis, patient support, and administrative efficiency. Yet a new World Health Organization (WHO) report warns that the technology is advancing without the policies needed to protect patients and health workers.
The assessment examined 50 countries across Europe and Central Asia and found wide differences in how health-related AI is adopted, funded, and regulated. While enthusiasm for digital tools is growing, only a handful of nations have built the frameworks required to manage risks.
According to the report, half of the surveyed countries now use AI chatbots to support patients. Thirty-two health systems have adopted AI-based diagnostics, most commonly for imaging and detection. Several countries are also piloting AI tools for screening programmes, pathology, mental health support, data analysis, administrative work, and workforce planning.
Examples cited in the study include Spain, which is trialling AI for early disease detection. Finland is using AI for staff training, and Estonia is applying it to large-scale data processing. Many governments have identified key priorities for integrating these tools, but far fewer have committed long-term financial support. While 26 countries have defined their goals, only 14 have set aside funding. Just four — Andorra, Finland, Slovakia, and Sweden — have national strategies dedicated specifically to AI in health.
Dr Hans Kluge, who leads the WHO’s Europe office, cautioned that technology alone cannot deliver better care. He said AI will only serve patients effectively if governments build strong systems around it, including privacy protections, legal rules, and training programmes. “AI is on the verge of revolutionising health care, but its promise will only be realised if people and patients remain at the centre of every decision,” he said.
The report highlights a key problem: AI systems depend on large datasets that may be biased, flawed, or incomplete. If those gaps shape how an algorithm interprets symptoms or medical images, the result may be an incorrect diagnosis or inappropriate treatment. WHO experts said governments must define who is responsible when AI tools make errors that affect patient safety.
The organisation urged countries to align AI development with broader public health goals and strengthen laws to address ethical and safety concerns. It also recommended training health workers to use digital tools with confidence and informing the public clearly about how AI is applied in care settings.
Dr David Novillo Ortiz, who oversees work on AI and digital health at the WHO’s Europe office, said unclear standards may already be causing hesitation among medical staff. He urged governments to guarantee that AI tools are tested thoroughly for safety, fairness, and real-world performance before they are used with patients.
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Uzbekistan to Launch Nationwide State Medical Insurance System in 2026
Uzbekistan will begin introducing a nationwide state medical insurance system from 2026, part of a broader overhaul of the country’s healthcare financing and service delivery. The reform will introduce digital referrals, a national health insurance fund, and a guaranteed package of essential medical services funded through the state budget. Officials say the changes aim to improve efficiency, expand access, and reduce informal payments.
“State health insurance is a social protection system designed to guarantee access to quality healthcare services,” said Zokhid Ermatov, executive director of the State Health Insurance Fund.
Discussions about state medical insurance in Uzbekistan began in 2017, but implementing such a system required years of preparation. The State Health Insurance Fund was formally established in December 2020, and pilot programmes launched in the Syrdarya region in 2021 tested new financing mechanisms, regulatory frameworks, and digital health systems. In November 2025, the Cabinet of Ministers approved regulations governing how medical care funded through the state budget will be provided in public and private medical institutions, with the rules set to come into force on January 1, 2026.
At the centre of the new model is stronger primary healthcare. Patients will first visit their assigned family clinic, where doctors provide consultations, prescribe tests, and determine whether specialist care is needed. If necessary, patients will receive an electronic referral to hospitals or specialists. Emergency and urgent care will remain available without referrals.
The reform introduces a patient-centred financing model, where healthcare providers are paid by the State Health Insurance Fund based on services delivered. Primary healthcare will be funded through capitation payments, while hospital treatment will follow case-based payments, a structure designed to improve efficiency and treatment outcomes.
A fully digital referral system will allow patients to choose hospitals from a list of institutions contracted with the State Health Insurance Fund using a government portal or mobile app. Referrals will remain valid for 60 days, and waiting lists and hospitalisations will be managed through a unified electronic health information system.
The insurance system guarantees essential healthcare services, including family doctor consultations, diagnostic tests, outpatient treatment, preventive screening, some medicines, hospital care, and certain rehabilitation services. Patients will not be charged additional fees for services included in the approved package.
Funding for the program will come primarily from the state budget, ensuring citizens do not pay direct insurance contributions. Priority access will be given to socially vulnerable groups, including children with disabilities, orphans, pensioners, pregnant women, unemployed citizens, and low-income families. The State Health Insurance Fund will allocate resources across regions to strengthen medical services and reduce inequalities.
International organisations have praised Uzbekistan’s approach, noting that general tax financing and universal coverage can improve financial protection and ensure predictable healthcare funding. Jessika Yin, Health Policy Adviser at the World Health Organization in Uzbekistan, said the reforms align with global trends toward universal health coverage.
If implemented successfully, Uzbekistan’s state medical insurance system could represent a major step toward universal healthcare, ensuring that people receive care without facing financial hardship.
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