Sung Joseph J Y, Savulescu Julian, Ngiam K Y, An Bo, Ang Tiing Leong, Yeoh K G, Cham Tat-Jen, Tsao Stephen, Chua T S
Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Centre for Biomedical Ethics, National University of Singapore, Singapore.
J Gastroenterol Hepatol. 2023 Oct;38(10):1669-1676. doi: 10.1111/jgh.16241. Epub 2023 Jun 5.
Successful implementation of artificial intelligence in gastroenterology and hepatology practice requires more than technology. There are ethical, legal, and social issues that need to be settled.
A group consisting of AI developers (engineer), AI users (gastroenterologist, hepatologist, and surgeon) and AI regulators (ethicist and administrator) formed a Working Group to draft these Positions Statements with the objective of arousing public and professional interest and dialogue, to promote ethical considerations when implementing AI technology, to suggest to policy makers and health authorities relevant factors to take into account when approving and regulating the use of AI tools, and to engage the profession in preparing for change in clinical practice.
These series of Position Statements point out the salient issues to maintain the trust between care provider and care receivers, and to legitimize the use of a non-human tool in healthcare delivery. It is based on fundamental principles such as respect, autonomy, privacy, responsibility, and justice. Enforcing the use of AI without considering these factor risk damaging the doctor-patient relationship.
在胃肠病学和肝病学实践中成功应用人工智能不仅仅需要技术。还存在一些伦理、法律和社会问题需要解决。
由人工智能开发者（工程师）、人工智能使用者（胃肠病学家、肝病学家和外科医生）以及人工智能监管者（伦理学家和管理人员）组成的一个工作组起草了这些立场声明，目的是激发公众和专业人士的兴趣与对话，在实施人工智能技术时促进伦理考量，向政策制定者和卫生当局建议在批准和监管人工智能工具使用时需考虑的相关因素，并让该专业领域为临床实践的变革做好准备。
这一系列立场声明指出了维护医疗服务提供者与接受者之间信任以及使在医疗服务中使用非人类工具合法化的突出问题。它基于尊重、自主、隐私、责任和正义等基本原则。在不考虑这些因素的情况下强制使用人工智能有损害医患关系的风险。
