AI-governed Hospitals-of-the-future under Industry 5.0: Intelligent Personalisation, Cloud-Integrated AI, and Human-Centred Governance

Artificial intelligence is reshaping hospital care delivery through federated learning pipelines, edge-cloud inference architectures, and AI-driven clinical decision support. Yet the translation of these AI capabilities into patient-centred, institutionally governable, and humanised hospital systems remains fragmented across the literature. This paper addresses that gap through a PRISMA-compliant systematic evidence synthesis of 116 included studies and reports (inter-rater reliability κ = 0.884 , 95