临床决策中的人工智能:重新思考个人道德责任
Helen Smith1, Giles Birchley1, Jonathan Ives1
1Centre for Ethics in Medicine, University of Bristol Medical School, Bristol, UK.
Bioethics
|September 19, 2023
概括
软件开发公司 (SDCs) 为临床决策创建人工智能系统 (AIS). 这篇论文认为,临床医生和SDC都应该为AIS结果承担道德责任,特别是涉及可预见性时.
科学领域:
- 医学伦理 医学伦理
- 医疗保健中的人工智能
- 软件开发 软件开发
背景情况:
- 临床医生传统上领导医疗保健决策.
- 软件开发公司 (SDC) 正在引入人工智能系统 (AIS) 来影响临床决策.
- SDCs州临床医生仍然是最终的决策者,而AIS仅提供信息选择.
研究的目的:
- 检查在临床决策中涉及AIS的结果的个人道德责任的归因.
- 质疑默认立场,即只有临床医生负有责任.
- 提出一个公平的责任分配框架.
主要方法:
- 分析前性与后性责任的分析.
- 检查可预见性作为赋予道德责任的关键因素.
- 在AIS使用中,SDC和临床医生角色的伦理检查.
主要成果:
- 当前仅临床医生责任的默认位置是不平衡和不公正的.
- 预见性对于公正地赋予道德责任至关重要.
- AIS影响临床医生的判断,使临床医生的单一责任复杂化.
结论:
- 对AIS在医疗保健中的结果的道德责任应该由临床用户和SDC共同承担.
- 需要考虑可预见性的细微方法来实现道德的AIS实施.
- 这种共享责任模式促进了在临床环境中对人工智能的更公正,更平衡的方法.
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