Abstract
Artificial intelligence (AI) is increasingly utilized to address Indigenous health needs through digital health solutions such as chatbots. While the Six Ds of Exponentials framework, often applied in Information Systems research, describes how technologies evolve from low visibility to broad adoption, it offers limited guidance on design and real-world impact in Indigenous contexts. Most AI healthcare research remains grounded in Western perspectives, overlooking Indigenous values. To address this gap, this study conducts a systematic literature review and integrates the Six Ds with the He Pikinga Waiora (HPW) framework, an Indigenous co-design model grounded in self-determination and cultural safety. This review develops an integrated model for AI healthcare in Indigenous communities to provide insights into how technological growth aligns with Indigenous priorities. The study provides practical guidance for researchers, technology providers, and healthcare providers and identifies five research avenues to foster culturally responsive and effective AI healthcare innovations.
Recommended Citation
Zhang, Jingjing and Hassandoust, Farkhondeh, "Bridging Six Ds and He Pikinga Waiora: A Systematic Review
of AI in Indigenous Healthcare" (2025). ACIS 2025 Proceedings. 49.
https://aisel.aisnet.org/acis2025/49