盖茨基金会于2026年9月15日发布《2026目标守卫者报告》，首次将人工智能作为重点议题，将AI在医疗中的应用公平性列为核心关切1。报告指出，人工智能技术虽然有望推动全球医疗平等发展，但若应用不当也可能进一步加剧不平等现象1。
根据华盛顿大学健康指标与评估研究所的数据，若无重大改变，到2045年最富裕和最贫困人群之间在健康和发展机会方面的差距仍将持续存在1。清华大学医学院曾典博士指出，免费提供最强医学AI也不一定能达成医疗公平1。专家强调，AI的正确应用方向应是让人工智能参与医生的思维过程，而非让医生简单接受AI的结论，这样才能防止资源不足地区形成新的能力差距1。
The Gates Foundation released the 2026 Goalkeepers Report on September 15, 2026, highlighting artificial intelligence as a key topic for the first time and examining whether AI-powered healthcare can advance health equity globally 1. The report warns that while AI holds promise for promoting medical fairness, improper deployment risks deepening existing disparities 1. According to data from the Institute for Health Metrics and Evaluation (IHME) at the University of Washington, without significant intervention, the health and development opportunity gap between the wealthiest and poorest populations will persist through 2045 1.
Experts caution that simply providing free access to advanced medical AI does not guarantee equitable outcomes 1. Dr. Ceng Dian from Tsinghua University School of Medicine emphasized that free distribution of cutting-edge medical AI alone cannot achieve healthcare equity 1. Rather than allowing artificial intelligence to replace clinical judgment, specialists recommend that AI systems should be designed to support and enhance the physician's thinking process 1. This approach aims to prevent resource-poor regions from falling further behind due to unequal access to AI capabilities 1.
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