Artificial Intelligence as a Managerial Decision Support Infrastructure in Hospitals: A Governance Framework
LOKMAN HEKIM HEALTH SCIENCES, cilt.6, sa.2, ss.341-351, 2026 (TRDizin)
- Yayın Türü: Makale / Derleme
- Cilt numarası: 6 Sayı: 2
- Basım Tarihi: 2026
- Doi Numarası: 10.14744/lhhs.2026.10041
- Dergi Adı: LOKMAN HEKIM HEALTH SCIENCES
- Derginin Tarandığı İndeksler: Central & Eastern European Academic Source (CEEAS), CINAHL, Directory of Open Access Journals, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.341-351
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Lokman Hekim Üniversitesi Adresli: Evet
Özet
The advent of artificial intelligence (AI) has precipitated a paradigm shift in healthcare; however, scholarly and policy
discourse still prioritizes clinical applications, while managerial applications remain comparatively underexamined. This
narrative review focuses on AI governance in hospital management and repositions AI as a managerial decision support
infrastructure capable of reshaping hospital governance, organizational accountability, and institutional legitimacy.
We conducted a structured narrative synthesis drawing on organizational theory, healthcare management, and AI
governance literature. Relevant sources were identified through targeted database searches and citation tracking,
screened for applicability to hospital-level managerial AI (strategic planning, resource allocation, and performance
oversight), and synthesized via iterative thematic analysis to identify recurring governance challenges and convergent
mechanisms. Based on this synthesis, we develop a three-dimensional governance framework linking managerial AI
to (1) decision-authority distribution, (2) accountability mechanisms, and (3) institutional legitimacy. The framework
is operationalized with illustrative scenarios and contextualized for the Turkish healthcare system. Our analysis shows
that effective managerial AI governance requires explicit authority assignment, baseline thresholds for transparency
and auditability, and board-level oversight structures to prevent responsibility diffusion and protect institutional
legitimacy. We conclude with implementation guidance for hospital leaders and health system regulators.Keywords: Artificial intelligence governance; Artificial intelligence; Healthcare Management; Hospital governance;
Managerial decision support; Narrative review