辅助,复制,还是自主行动? 整合人工智能工具和技术在医疗保健中的伦理框架
Aasim I Padela1,2, Rwan Hayek3, Aliya Tabassum4
1Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Bioethics
|July 18, 2025
概括
人工智能 (AI) 提供了医疗保健的好处,但也引发了伦理方面的担忧. 本研究提出了一个评估AI的框架.
科学领域:
- 医疗保健技术道德 医疗保健技术道德
- 医疗人工智能的人工智能
- 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) 越来越多地被整合到医疗保健中,为改善访问和结果提供了机会.
- 潜在的好处包括改善资源配置和诊断准确性,以及对数据隐私,偏见和问责制的担忧.
- 现有的文献缺乏一个全面的伦理框架来评估AI在医疗保健提供.
研究的目的:
- 为评估人工智能介导的医疗保健提供提出道德框架.
- 评估人工智能对以人为中心的患者护理的影响.
- 引导AI在医疗保健中的设计和实施.
主要方法:
- 根据佩莱格里诺的病人与医生的关系概念,开发了一个新的伦理框架.
- 该框架利用两个轴:患者参与范围和临床医生的作用.
- 应用框架来分析医疗保健中的各种AI应用.
主要成果:
- 具有最小患者互动和主要医生支持的AI工具提出的伦理挑战较少.
- 完全面向患者或自主的人工智能系统引发了重大的伦理问题,可能会减少以人为中心的护理性质.
- 该框架根据AI的作用和患者互动水平来区分伦理考虑.
结论:
- 拟议的伦理框架为评估医疗保健中的AI提供了一个结构化的方法.
- 它强调了人工智能的能力与保持以人为中心的患者护理之间的权衡.
- 该框架支持明智决策,以负责任地将AI纳入临床实践.
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