Division of Health Policy and Economics, Department of Population Health Sciences, Weill Cornell Medical College, New York, New York, USA.
Division of General Internal Medicine, Department of Medicine, Weill Cornell Medical College, New York, New York, USA.
J Am Med Inform Assoc. 2021 Jul 14;28(7):1574-1577. doi: 10.1093/jamia/ocab055.
The growing use of artificial intelligence (AI) in health care has raised questions about who should be held liable for medical errors that result from care delivered jointly by physicians and algorithms. In this survey study comparing views of physicians and the U.S. public, we find that the public is significantly more likely to believe that physicians should be held responsible when an error occurs during care delivered with medical AI, though the majority of both physicians and the public hold this view (66.0% vs 57.3%; P = .020). Physicians are more likely than the public to believe that vendors (43.8% vs 32.9%; P = .004) and healthcare organizations should be liable for AI-related medical errors (29.2% vs 22.6%; P = .05). Views of medical liability did not differ by clinical specialty. Among the general public, younger people are more likely to hold nearly all parties liable.
人工智能(AI)在医疗保健中的应用日益广泛,由此引发了一些问题,即当医生和算法共同提供的医疗服务出现差错时,应由谁来承担责任。在这项比较医生和美国公众观点的调查研究中,我们发现,公众更倾向于认为当使用医疗 AI 提供的医疗服务出现差错时,医生应该承担责任,尽管大多数医生和公众都持这种观点(66.0%对 57.3%;P=0.020)。与公众相比,医生更倾向于认为供应商(43.8%对 32.9%;P=0.004)和医疗机构应该为与 AI 相关的医疗差错负责(29.2%对 22.6%;P=0.05)。对于医疗责任的看法不因临床专业而有所不同。在普通公众中,年轻人更倾向于让几乎所有相关方承担责任。