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Artificial intelligence (AI) or augmented intelligence? How big data and AI are transforming healthcare: Challenges
1Division of Medical Ethics and Law, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa. km@sun.ac.za.
Artificial intelligence (AI) and big data are transforming healthcare, impacting the doctor-patient relationship. Ethical, legal, and social challenges arise, with potential to worsen global health inequities.
Area of Science:
- Medical Ethics
- Health Informatics
- Artificial Intelligence in Healthcare
Background:
- The traditional doctor-patient relationship is challenged by big data and artificial intelligence (AI).
- Transition to electronic health records, wearables, and mobile health apps enables massive data collection.
- AI systems, powered by complex neural networks, are increasingly integrated into healthcare.
Purpose of the Study:
- To examine the ethical, legal, and social challenges posed by AI and big data in healthcare.
- To highlight the need for context-specific governance frameworks, especially in low- and middle-income countries.
- To address the potential for AI to exacerbate global health inequities.
Main Methods:
- Review of current trends in healthcare data collection and AI implementation.
- Analysis of existing and emerging global guidelines for AI governance.
- Examination of legal and ethical implications of AI and robotics in medical practice.
Main Results:
- AI and big data present significant ethical, legal, and social challenges in healthcare.
- Global AI governance guidelines are emerging, but many nations lack specific frameworks.
- The digital divide risks widening health disparities between high- and low-income countries.
Conclusions:
- Urgent development of legislation is needed to address liability and accountability for AI and robotics in healthcare.
- Context-specific frameworks are crucial for equitable AI implementation globally.
- Addressing the digital divide is essential to prevent AI from exacerbating health inequities.
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