为改善癌症护理提供数据驱动决策支持工具的伦理设计:4D PICTURE项目嵌入式伦理审查
Marieke Bak1,2, Laura Hartman3, Charlotte Graafland3
1Institute of History and Ethics in Medicine, Department of Preclinical Medicine, TUM School of Medicine and Health, Technical University of Munich, München, Germany.
JMIR cancer
|April 10, 2025
概括
4D PICTURE项目解决了针对瘤病人的AI驱动决策支持工具 (DST) 开发的伦理挑战. 它确定了13个关键的伦理问题,强调以患者为中心的设计和数据驱动的癌症护理的嵌入式伦理.
科学领域:
- 医学伦理 医学伦理
- 医疗信息学 医疗信息学
- 在瘤学瘤学.
背景情况:
- 瘤学患者面临着复杂的治疗决策,风险和益处的概况各不相同.
- 数据驱动的决策支持工具 (DST) 正在开发,以帮助这些选择.
- 在医疗保健中开发人工智能和数据驱动工具时,道德考虑至关重要.
研究的目的:
- 审查设计和开发用于瘤的DST的关键伦理挑战.
- 探索数据驱动的预后模型和人工智能驱动的对话工具的伦理影响.
- 提出一种将伦理纳入大规模数据驱动的瘤学研究项目的模型.
主要方法:
- 4D PICTURE项目采用了嵌入式伦理学方法,将伦理学家纳入研究团队.
- 进行了嵌入式审查,从文献和与研究人员的反复讨论中得出结论.
- 该项目通过8个国家的经验专家委员会结合了患者的观点.
主要成果:
- 在开发DST和重新设计癌症治疗途径方面确定了13个关键的伦理挑战.
- 突出了与数据偏见,隐私,人口变量纳入和设计正义有关的问题.
- 在医疗保健政策 (成本效益,可持续性,环境影响) 和研究过程 (系统性正义,心理安全) 中公认的伦理考虑.
结论:
- 4D PICTURE项目提供了对医疗保健DST的新道德考虑的见解,包括设计正义.
- 解决科学核心之外的伦理挑战对于数据驱动的医学研究至关重要.
- 嵌入式伦理方法为开发瘤学中以患者为中心的技术创新提供了一个模型.
关键词:
在ITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITIT ITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITIT ITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITITIT人工智能是一种人工智能.大数据就是大数据.决策支持工具 决策支持工具伦理学 伦理 伦理学医疗决策中的医疗决策瘤学 在瘤学方面.分享决策的决策.
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