医生对人工智能支持的临床决策支持系统在新加坡对抗生素处方建议的伦理使用的看法
Zhilian Huang1, Hannah Yee-Fen Lim2, Jing Teng Ow1
1Department of Preventive and Population Medicine, Office of Clinical Epidemiology, Analytics, and Knowledge [OCEAN], Tan Tock Seng Hospital, Singapore, Singapore.
新加坡的医生对使用人工智能进行抗生素处方的临床决策支持系统 (AI-CDSS) 持有不同的道德立场. 关键问题包括数据偏差,临床判断,患者自主权和数据泄露的影响.
科学领域:
- 医学伦理 医学伦理
- 医疗保健中的人工智能
- 临床决策支持系统 临床决策支持系统
背景情况:
- 人工智能 (AI) 越来越多地用于医疗保健,这引发了伦理方面的考虑.
- 人工智能支持的临床决策支持系统 (AI-CDSS) 正在应用于临床实践.
研究的目的:
- 评估医生对AI-CDSS在抗生素处方中的采用道德观点.
- 探索现实世界医疗保健场景中的伦理挑战.
主要方法:
- 与30名跨专业的新加坡医生进行了深入采访.
- 利用基于医疗伦理四大支柱的临床细节.
- 场景包括人工智能对游客的建议,抗生素谱的选择,患者拒绝和数据泄露.
主要成果:
- 医生在探测后认识到AI-CDSS中的潜在数据偏差.
- 最喜欢的临床判断超过AI建议的抗生素处方.
- 当患者拒绝AI建议的治疗时,大多数人优先考虑了患者自主权的利益.
- 对数据泄露影响的认识是有限的.
结论:
- 伦理和法律框架对于AI-CDSS实施至关重要.
- 组织支持和人工智能/伦理知识对于在医疗保健中成功采用人工智能至关重要.
- 解决数据偏差和澄清法律责任是关键的挑战.
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