人工智能支持的公共卫生远程医疗的伦理原则。

Ethics Principles for Artificial Intelligence-Based Telemedicine for Public Health.

机构信息

Simona Tiribelli is with the Department of Political Sciences, Communication, and International Relations, University of Macerata, Macerata, Italy, and the Institute for Technology and Global Health, Cambridge, MA. Annabelle Monnot is with Polygeia, Global Health Think Tank, Cambridge, UK. Syed F. H. Shah and Anmol Arora are with the School of Clinical Medicine, University of Cambridge, Cambridge. Ping J. Toong is with the Department of Pathology, University of Cambridge. Sokanha Kong is with the Department of Medical Genetics, University of Cambridge.

出版信息

Am J Public Health. 2023 May;113(5):577-584. doi: 10.2105/AJPH.2023.307225. Epub 2023 Mar 9.

DOI:10.2105/AJPH.2023.307225

PMID:36893365

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10088937/

Abstract

The use of artificial intelligence (AI) in the field of telemedicine has grown exponentially over the past decade, along with the adoption of AI-based telemedicine to support public health systems. Although AI-based telemedicine can open up novel opportunities for the delivery of clinical health and care and become a strong aid to public health systems worldwide, it also comes with ethical risks that should be detected, prevented, or mitigated for the responsible use of AI-based telemedicine in and for public health. However, despite the current proliferation of AI ethics frameworks, thus far, none have been developed for the design of AI-based telemedicine, especially for the adoption of AI-based telemedicine in and for public health. We aimed to fill this gap by mapping the most relevant AI ethics principles for AI-based telemedicine for public health and by showing the need to revise them via major ethical themes emerging from bioethics, medical ethics, and public health ethics toward the definition of a unified set of 6 AI ethics principles for the implementation of AI-based telemedicine. (. 2023;113(5):577-584. https://doi.org/10.2105/AJPH.2023.307225).

摘要

在过去十年中，人工智能（AI）在远程医疗领域的应用呈指数级增长，同时也采用了基于 AI 的远程医疗来支持公共卫生系统。虽然基于 AI 的远程医疗可以为临床健康和护理的提供带来新的机会，并成为全球公共卫生系统的有力辅助，但它也带来了道德风险，应该为了负责任地使用基于 AI 的远程医疗而检测、预防或减轻这些风险。然而，尽管目前 AI 伦理框架大量涌现，但迄今为止，还没有为基于 AI 的远程医疗的设计制定专门的框架，特别是在公共卫生领域采用基于 AI 的远程医疗方面。我们旨在通过为公共卫生领域的基于 AI 的远程医疗映射最相关的 AI 伦理原则来填补这一空白，并通过从生物伦理学、医学伦理学和公共卫生伦理学中出现的主要伦理主题展示修改这些原则的必要性，从而为基于 AI 的远程医疗的实施定义一套统一的 6 项 AI 伦理原则。（. 2023;113(5):577-584. https://doi.org/10.2105/AJPH.2023.307225）。