Sydney Law School, University of Sydney, Sydney, New South Wales, Australia.
Barrister-at-Law; formerly Principal Government Counsel and Privacy Commissioner, Hong Kong.
J Gastroenterol Hepatol. 2021 May;36(5):1143-1148. doi: 10.1111/jgh.15521.
The rapid development of artificial intelligence (AI) and digital health raise concerns about equitable access to innovative interventions, appropriate use of health data and privacy, inclusiveness, bias and discrimination, and even changes to the clinician-patient relationship. This article outlines a number of ethical and legal issues when examining the use of AI in gastroenterology. Substantive ethico-legal principles including respect for persons, privacy and confidentiality, integrity, conflict of interest, beneficence, nonmaleficence, and justice, are discussed. Much of what we articulated is relevant to the use of AI in other medical fields. Going forward, consorted efforts should be use to address more particular and concrete problems, but for now, a principle-based approach is best used in problem-solving.
人工智能(AI)和数字健康的快速发展引发了人们对于创新干预措施公平获取、健康数据和隐私的合理使用、包容性、偏见和歧视,甚至临床医生与患者关系变化等问题的关注。本文概述了在检查 AI 在胃肠病学中的应用时需要考虑的一些伦理和法律问题。本文讨论了实质性的伦理法律原则,包括尊重个人、隐私和保密、完整性、利益冲突、善行、不伤害和公正。我们所阐述的大部分内容都与 AI 在其他医学领域的应用相关。未来,应该共同努力解决更具体和具体的问题,但就目前而言,基于原则的方法是解决问题的最佳方法。