使用人工智能进行生命终端"查":对息护理团队成员关于道德使用的观点进行定性研究
Mika K Hamer1, Ahmed Y Alasmar2, Kathryn Huber3
1Department of Health Policy and Management, University of Maryland, School of Public Health, College Park, Maryland, USA.
Journal of palliative medicine
|July 30, 2025
概括
医疗保健的人工智能 (AI) 工具可以预测患者的死亡率. 在息护理 (PC) 中实施人工智能预后需要以证据,成本,公平性和尊重人为重点的伦理准则.
科学领域:
- 医学伦理 医学伦理
- 医疗信息学 医疗信息学
- 息护理研究 息护理研究
背景情况:
- 人工智能 (AI) 工具在医疗保健中越来越多地使用,一些AI预测工具在预测患者死亡率方面超过了人类的准确性.
- 人工智能融入息护理 (PC) 提出了独特的伦理和实施挑战,需要仔细考虑.
研究的目的:
- 识别和分析与在息护理环境中实施基于人工智能的预后工具相关的伦理挑战.
- 为人工智能在终身护理中负责任地部署提供道德指导.
主要方法:
- 采用了定性研究设计,利用半结构面试.
- 一种经过修改的基于理论的方法指导了从四个美国学术医学中心的45名PC团队成员收集的数据的分析.
主要成果:
- 息护理团队成员认为人工智能预后是一种查机制,用于识别需要终身护理的患者.
- 确定了EOL护理中AI查的四个伦理原则:基于证据的实践,考虑机会成本,公平分配成本和收益,尊重人.
结论:
- 调查结果阐明了PC团队成员对AI预测工具的看法,为道德实施提供了一个框架.
- 需要进一步的研究来澄清AI查在EOL护理中的作用及其对患者,家庭和临床医生的决策影响.
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