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将人工智能转向医疗保健领域的责任:系统评价。

SHIFTing artificial intelligence to be responsible in healthcare: A systematic review.

机构信息

Newcastle University Business School (London), Newcastle University, 102 Middlesex Street, London, E1 7EZ, United Kingdom.

Sheffield University Management School, The University of Sheffield, Conduit Rd, Sheffield, S10 1FL, United Kingdom.

出版信息

Soc Sci Med. 2022 Mar;296:114782. doi: 10.1016/j.socscimed.2022.114782. Epub 2022 Feb 4.

Abstract

A variety of ethical concerns about artificial intelligence (AI) implementation in healthcare have emerged as AI becomes increasingly applicable and technologically advanced. The last decade has witnessed significant endeavors in striking a balance between ethical considerations and health transformation led by AI. Despite a growing interest in AI ethics, implementing AI-related technologies and initiatives responsibly in healthcare settings remains a challenge. In response to this topical challenge, we reviewed 253 articles pertaining to AI ethics in healthcare published between 2000 and 2020, summarizing the coherent themes of responsible AI initiatives. A preferred reporting items for systematic review and meta-analysis (PRISMA) approach was employed to screen and select articles, and a hermeneutic approach was adopted to conduct systematic literature review. By synthesizing relevant knowledge from AI governance and ethics, we propose a responsible AI initiative framework that encompasses five core themes for AI solution developers, healthcare professionals, and policy makers. These themes are summarized in the acronym SHIFT: Sustainability, Human centeredness, Inclusiveness, Fairness, and Transparency. In addition, we unravel the key issues and challenges concerning responsible AI use in healthcare, and outline avenues for future research.

摘要

人工智能(AI)在医疗保健中的应用越来越广泛,技术也越来越先进,由此引发了各种与伦理相关的问题。过去十年,人们在努力寻找平衡,在 AI 引领的医疗健康变革中兼顾伦理考量。尽管人们对 AI 伦理的兴趣日益浓厚,但在医疗保健环境中负责任地实施 AI 相关技术和举措仍然是一项挑战。为了应对这一热门挑战,我们回顾了 2000 年至 2020 年间发表的 253 篇关于医疗保健中 AI 伦理的文章,总结了负责任的 AI 倡议的连贯主题。我们采用首选报告项目进行系统审查和荟萃分析(PRISMA)方法筛选和选择文章,并采用解释学方法进行系统文献综述。通过综合 AI 治理和伦理方面的相关知识,我们为 AI 解决方案开发者、医疗保健专业人员和政策制定者提出了一个负责任的 AI 倡议框架,该框架包含五个核心主题,缩写为 SHIFT:可持续性、以人为本、包容性、公平性和透明度。此外,我们还揭示了医疗保健中负责任地使用 AI 所涉及的关键问题和挑战,并概述了未来的研究方向。

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