Center for Bioethics and Medical Humanities; Kern Institute, Medical College of Wisconsin, Milwaukee, USA.
Institute for Biomedical Ethics, University of Basel, Basel, Switzerland.
J Med Syst. 2021 Dec 11;46(1):9. doi: 10.1007/s10916-021-01796-7.
Will Artificial Intelligence (AI) re-humanize or de-humanize medicine? As AI becomes pervasive in clinical medicine, we argue that the ethical framework that sustains a responsible implementation of such technologies should be reconsidered. The emergence of AI in the clinical setting will challenge our traditional moral boundaries surrounding discussions of patient care since it is unclear how the implementation of AI will promote and enhance the humanistic dimensions of medical practice. There are reasons for concern regarding 1) the anthropological implications of AI in the clinical context; 2) the method(s) and framework(s) used to address ethical issues in medicine; and 3) the impact of AI on clinical practice, particularly in the nature of clinical judgment. These three concerns are examined in hopes of providing pointers for subsequent and more in-depth discussions regarding clinical practice but the training of future health professionals.
人工智能（AI）会使医学人性化还是非人性化？随着 AI 在临床医学中的普及，我们认为应该重新考虑支撑负责任地实施此类技术的伦理框架。AI 在临床环境中的出现将挑战我们围绕患者护理讨论的传统道德边界，因为尚不清楚 AI 的实施将如何促进和增强医学实践的人文维度。有理由担心：1）AI 在临床环境中的人类学含义；2）用于解决医学伦理问题的方法和框架；3）AI 对临床实践的影响，特别是在临床判断的性质上。这三个问题需要进行探讨，希望为随后更深入地讨论临床实践和未来医疗保健专业人员的培训提供线索。
