基于人工智能的临床决策支持系统在老年医学:一个伦理分析
Tobias Skuban-Eiseler1, Marcin Orzechowski2, Michael Denkinger3
1Institute of the History, Philosophy and Ethics of Medicine, Faculty of Medicine, Ulm University, Ulm, Germany; kbo-Isar-Amper-Klinikum Region München, München-Haar, Germany.
Journal of the American Medical Directors Association
|July 15, 2023
概括
人工智能支持的临床决策支持系统 (AI-CDSS) 在老年医学中提供了好处,但可能会忽视患者的价值观并改变医生与患者的关系,需要进一步的伦理研究.
科学领域:
- 医学伦理 医学伦理
- 老年医学 老年医学
- 人工智能的人工智能
背景情况:
- 将人工智能支持的临床决策支持系统 (AI-CDSS) 整合到老年护理中,带来了新的伦理挑战.
- 现有的文献往往侧重于AI-CDSS的技术实用性,对老年人的系统伦理分析有限.
研究的目的:
- 对AI-CDSS在老年医学中的使用进行全面的伦理分析.
- 通过建立医疗伦理原则的镜头来评估AI-CDSS的影响.
主要方法:
- 一项系统的文献搜索确定了29篇有关老年病学AI-CDSS的相关文章.
- 对已识别的文章进行了定性分析,检查了伦理方面的考虑.
- 使用Beauchamp和Childress的4个医学伦理原则来讨论道德论点,重点关注脆弱的老年人的需求.
主要成果:
- 对5089篇文章的审查产生了29篇分析,揭示了老年医学中AI-CDSS缺乏系统的伦理审查.
- 目前的伦理讨论是分散的,并且被技术关注AI-CDSS实用性的技术关注所掩盖.
- 该研究系统地解决了AI-CDSS在老年护理中的伦理影响.
结论:
- 人工智能-CDSS在老年医学中可能很有价值,特别是在认知障碍患者中.
- 伦理方面的担忧包括可能忽视老年患者的价值观和信仰.
- 使用AI-CDSS可能会对医生与患者的关系产生负面影响,可能会损害遵守核心伦理原则.
关键词:
老年病的医生 老年病的医生成年人成年人成年人成年人成年人年长的老年人年长的老年人人工智能的人工智能是人工智能.临床决策支持系统临床决策支持系统临床伦理学临床伦理学年长的老人老年人老年人.年长的年长的年长的年长的更多相关视频
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