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A Medical Ethics Framework for Conversational Artificial Intelligence.

Eleonore Fournier-Tombs¹, Juliette McHardy²

¹United Nations University Centre for Policy Research, New York, NY, United States.

Journal of Medical Internet Research

|May 24, 2023

Summary

Conversational artificial intelligence (AI) chatbots offer realistic medical advice, but their use raises ethical concerns. This study analyzes AI chatbot risks in medicine and proposes a framework for safe development.

Keywords:

AI ethics AI policy COVID-19 artificial intelligence chatbot conversational agent data governance ethics medical ethics medicine privacy risk

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Area of Science:

Medical Ethics
Artificial Intelligence
Digital Health

Background:

The COVID-19 pandemic accelerated the adoption of AI-powered conversational chatbots in healthcare.
Advanced AI models like GPT-3 and GPT-4 enable more nuanced and realistic patient-AI interactions.
These chatbots are increasingly used for medical guidance, personalized advice, and even prescriptions.

Purpose of the Study:

To ethically analyze the integration of conversational AI chatbots in medical applications.
To identify and categorize the risks associated with using AI chatbots in healthcare.
To propose a framework for understanding the impact of AI chatbots on patients and the medical field.

Main Methods:

Ethical analysis of conversational AI chatbot use in medicine.
Mapping identified risks to established principles of medical ethics.
Development of a framework for evaluating AI chatbot impact.

Main Results:

Conversational AI chatbots present multifaceted risks when applied to medical contexts.
The integration of AI blurs the lines between AI and human medical professionals.
Existing medical ethics principles require careful consideration in the context of AI healthcare.

Conclusions:

A structured ethical framework is necessary to guide the safe and appropriate development of AI chatbots in medicine.
Understanding the ethical implications is crucial for protecting patients and the integrity of the medical field.
Future AI chatbot development should prioritize patient safety and ethical considerations.