Department of Otolaryngology-Head & Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas, USA.
Otolaryngol Head Neck Surg. 2020 Jan;162(1):38-39. doi: 10.1177/0194599819889686. Epub 2019 Nov 26.
Artificial intelligence (AI) is quickly expanding within the sphere of health care, offering the potential to enhance the efficiency of care delivery, diminish costs, and reduce diagnostic and therapeutic errors. As the field of otolaryngology also explores use of AI technology in patient care, a number of ethical questions warrant attention prior to widespread implementation of AI. This commentary poses many of these ethical questions for consideration by the otolaryngologist specifically, using the 4 pillars of medical ethics-autonomy, beneficence, nonmaleficence, and justice-as a framework and advocating both for the assistive role of AI in health care and for the shared decision-making, empathic approach to patient care.
人工智能（AI）在医疗保健领域迅速发展，有望提高医疗服务的效率、降低成本，并减少诊断和治疗错误。随着耳鼻喉科领域也在探索将 AI 技术应用于患者护理，在广泛实施 AI 之前，有许多伦理问题值得关注。本评论以医学伦理的四大支柱（自主性、善行、不伤害和正义）为框架，特别为耳鼻喉科医生提出了许多这些伦理问题，并主张 AI 在医疗保健中的辅助作用，以及对患者护理的共同决策和同理心方法。
