系统梳理荷兰公共卫生领域机器学习偏见问题，提出全流程公平性框架。

Machine learning (ML) promises to revolutionize public health through improved surveillance, risk stratification, and resource allocation. However, without systematic attention to algorithmic bias, ML may inadvertently reinforce existing health disparities. We present a systematic literature review of algorithmic bias identification, discussion, and reporting in Dutch public health ML research from 2021 to 2025. To this end, we developed the Risk of Algorithmic Bias Assessment Tool (RABAT) by integrating elements from established frameworks (Cochrane Risk of Bias, PROBAST, Microsoft Responsible AI checklist) and applied it to 35 peer-reviewed studies. Our analysis reveals pervasive gaps: although data sampling and missing data practices are well documented, most studies omit explicit fairness framing, subgroup analyses, and transparent discussion of potential harms. In response, we introduce a four-stage fairness-oriented framework called ACAR (Awareness, Conceptualization, Application, Reporting), with guiding questions derived from our systematic literature review to help researchers address fairness across the ML lifecycle. We conclude with actionable recommendations for public health ML practitioners to consistently consider algorithmic bias and foster transparency, ensuring that algorithmic innovations advance health equity rather than undermine it.