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“只讲事实,女士”:医学中人工智能的道德与伦理考量及其对患者自主权和希望的潜在影响

"Just the Facts Ma'am": Moral and Ethical Considerations for Artificial Intelligence in Medicine and its Potential to Impact Patient Autonomy and Hope.

作者信息

Love Charles S

机构信息

Venture Sciences Group, LLC, Santa Barbara, CA, USA.

出版信息

Linacre Q. 2023 Nov;90(4):375-394. doi: 10.1177/00243639231162431. Epub 2023 May 29.

DOI:10.1177/00243639231162431
PMID:37974568
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10638968/
Abstract

Applying machine-based learning and synthetic cognition, commonly referred to as artificial intelligence (AI), to medicine intimates prescient knowledge. The ability of these algorithms to potentially unlock secrets held within vast data sets makes them invaluable to healthcare. Complex computer algorithms are routinely used to enhance diagnoses in fields like oncology, cardiology, and neurology. These algorithms have found utility in making healthcare decisions that are often complicated by seemingly endless relationships between exogenous and endogenous variables. They have also found utility in the allocation of limited healthcare resources and the management of end-of-life issues. With the increase in computing power and the ability to test a virtually unlimited number of relationships, scientists and engineers have the unprecedented ability to increase the prognostic confidence that comes from complex data analysis. While these systems present exciting opportunities for the democratization and precision of healthcare, their use raises important moral and ethical considerations around Christian concepts of autonomy and hope. The purpose of this essay is to explore some of the practical limitations associated with AI in medicine and discuss some of the potential theological implications that machine-generated diagnoses may present. Specifically, this article examines how these systems may disrupt the patient and healthcare provider relationship emblematic of Christ's healing mission. Finally, this article seeks to offer insights that might help in the development of a more robust ethical framework for the application of these systems in the future.

摘要

将基于机器学习和合成认知(通常称为人工智能,AI)应用于医学意味着具有先见之明的知识。这些算法潜在地解开大量数据集中所包含秘密的能力,使其在医疗保健领域具有极高价值。复杂的计算机算法经常用于加强肿瘤学、心脏病学和神经学等领域的诊断。这些算法在做出医疗决策方面发挥了作用,而这些决策往往因外生变量和内生变量之间看似无穷无尽的关系而变得复杂。它们在有限医疗资源的分配和临终问题的管理方面也发挥了作用。随着计算能力的提高以及测试几乎无限数量关系的能力增强,科学家和工程师拥有了前所未有的能力来提高复杂数据分析所带来的预后信心。虽然这些系统为医疗保健的普及和精准化带来了令人兴奋的机遇,但它们的使用引发了围绕基督教自主和希望概念的重要道德和伦理考量。本文的目的是探讨医学中人工智能相关的一些实际局限性,并讨论机器生成诊断可能带来的一些潜在神学影响。具体而言,本文考察这些系统如何可能扰乱象征着基督治愈使命的患者与医疗服务提供者之间的关系。最后,本文旨在提供一些见解,可能有助于为未来这些系统的应用制定更强大的伦理框架。

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