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Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
EDITORIAL

What kind of intelligence belongs in aged care? Why values – not just data – must drive artificial intelligence adoption in aged care systems

Jane Barratt A *
+ Author Affiliations
- Author Affiliations

A Dr Jane M Barratt Consulting Inc, Toronto, Ontario, M5A 4L1, Canada.

* Correspondence to: jbarratt@drbarratt.com

Australian Health Review 49, AH25224 https://doi.org/10.1071/AH25224
Submitted: 16 September 2025  Accepted: 16 September 2025  Published: 30 September 2025

© 2025 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.

Abstract

What is known about the topic? This article explores the integration of artificial intelligence (AI) in aged care, emphasising that technology cannot substitute for systemic reform. While AI is already deployed to detect pain, predict falls, and reduce administrative burdens, its risks include bias, depersonalisation, and inequity when adopted without ethical guardrails. What does this paper add? The article proposes three guiding questions: who designs the AI and who is missing, what outcomes it optimises for, and whether it reduces or reinforces inequities. What are the implications for practitioners? The article concludes that AI should augment—not replace—care, ensuring dignity, equity, and human rights remain at the centre of aged care systems.

References

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