摘要随着人工智能技术的快速发展，各国政府在人工智能监管方面存在空白或滞后性，发展中国家与发达经济体之间在相关治理能力上存在“智能鸿沟”和治理代差。为此，世界卫生组织发布了《医学领域人工智能的伦理与治理：多模态大模型指南》（以下简称《指南》），旨在提升各国在该领域的治理能力。本文将深入解读该《指南》，明确多模态大模型在医学健康领域应用的挑战与风险，并以促进健康的伦理原则共识为指引，分析《指南》提出的三级治理框架及相关建议，再结合我国现况，为我国医学健康领域的人工智能治理提供借鉴。

abstractsWith the rapid advancement and iterative development of new artificial intelligence technologies, there remains a regulatory vacuum in corresponding governance measures among governments worldwide. Simultaneously, a technological and governance gap exists between developing countries and developed economies. In response, the World Health Organization (WHO) has released "Ethics and Governance of Artificial Intelligence for Health: Guidance on Large Multi-Modal Models" to assist governments in strengthening governance capabilities in this field. This paper provides an in-depth analysis of the Guidance, aiming to identify challenges and risks associated with the application of multimodal large models in healthcare. Guided by ethical principles for advancing health through artificial intelligence, the paper examines the three-tier governance framework and recommendations outlined in the Guidance. Additionally, it evaluates the current state of AI governance in China, offering insights and reference points for improving AI governance in China′s healthcare sector.