为医疗保健决策和公平提供公正预测信息的指南 (GUIDE):当种族可能成为预后因素时的考虑
Keren Ladin1,2, John Cuddeback3, O Kenrik Duru4
1Research on Ethics, Aging and Community Health (REACH Lab), Medford, MA, USA.
NPJ digital medicine
|October 19, 2024
概括
临床预测模型 (CPM) 可以延续种族差异. 新指南 (GUIDE) 提供了专家建议,以透明地在CPM中使用种族,以减轻算法偏见和促进健康公平.
科学领域:
- 医疗信息学 医疗信息学
- 生物统计学 生物统计学
- 健康 公平 研究 健康 公平 研究
背景情况:
- 临床预测模型 (CPM) 对患者护理至关重要,但可能引入或加剧种族差异.
- 在CPM中使用种族是有争议的,有支持和反对其纳入以确保公平性的论点.
研究的目的:
- 为透明的CPM开发和使用提供专家指南,解决算法偏见和种族差异.
- 为在医疗保健中的预测模型中使用种族的复杂性提供一个框架.
主要方法:
- 一个5轮修改后的Delphi过程,涉及14人的技术专家小组 (TEP).
- 审议的重点是种族作为社会构造的性质,预测与因果推断,决策背景和反歧视原则.
主要成果:
- 开发了"为医疗保健决策和公平提供公正预测信息指南" (GUIDE),这是一个包含31个关键项目的活文档.
- 肯定了种族作为一种社会构造,并强调在实现公平性方面平衡权衡,以意识到种族的CPM与不意识到种族的CPM相比.
结论:
- 该指南提供了基础原则和实践指南,用于检查子组残疾和CPM中种族的使用.
- 本指南支持评估和报告CPM中的偏见,以促进开发和实施公平医疗保健的最佳实践.
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