Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, New Taipei City, Taiwan.
International Center for Health Information Technology (ICHIT), College of Medical Science and Technology, Taipei Medical University, Taipei, Taiwan.
BMJ Health Care Inform. 2023 Dec 21;30(1):e100920. doi: 10.1136/bmjhci-2023-100920.
The integration of artificial intelligence (AI) into healthcare is progressively becoming pivotal, especially with its potential to enhance patient care and operational workflows. This paper navigates through the complexities and potentials of AI in healthcare, emphasising the necessity of explainability, trustworthiness, usability, transparency and fairness in developing and implementing AI models. It underscores the 'black box' challenge, highlighting the gap between algorithmic outputs and human interpretability, and articulates the pivotal role of explainable AI in enhancing the transparency and accountability of AI applications in healthcare. The discourse extends to ethical considerations, exploring the potential biases and ethical dilemmas that may arise in AI application, with a keen focus on ensuring equitable and ethical AI use across diverse global regions. Furthermore, the paper explores the concept of responsible AI in healthcare, advocating for a balanced approach that leverages AI's capabilities for enhanced healthcare delivery and ensures ethical, transparent and accountable use of technology, particularly in clinical decision-making and patient care.
人工智能(AI)在医疗保健领域的融合正逐渐变得至关重要,尤其是其在提升患者护理和运营流程方面的潜力。本文深入探讨了 AI 在医疗保健领域的复杂性和潜力,强调了在开发和实施 AI 模型时,可解释性、可信度、可用性、透明度和公平性的必要性。文中强调了“黑箱”挑战,突出了算法输出与人类可解释性之间的差距,并阐述了可解释 AI 在提高 AI 在医疗保健应用中的透明度和问责制方面的关键作用。本文还探讨了人工智能应用中可能出现的潜在偏见和伦理困境等伦理问题,并特别关注确保在不同全球地区公平、合乎伦理地使用人工智能。此外,本文还探讨了医疗保健中的负责任 AI 概念,倡导采取一种平衡的方法,利用 AI 的能力来增强医疗保健服务的提供,并确保技术的伦理、透明和负责任使用,特别是在临床决策和患者护理方面。