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谁应该决定如何优先考虑有限的医疗资源?自主技术是人类的一个极具吸引力的替代方案。

Who should decide how limited healthcare resources are prioritized? Autonomous technology as a compelling alternative to humans.

机构信息

Department of Psychology, University of Essex, Colchester, United Kingdom.

Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.

出版信息

PLoS One. 2024 Feb 29;19(2):e0292944. doi: 10.1371/journal.pone.0292944. eCollection 2024.

Abstract

Who should decide how limited resources are prioritized? We ask this question in a healthcare context where patients must be prioritized according to their need and where advances in autonomous artificial intelligence-based technology offer a compelling alternative to decisions by humans. Qualitative (Study 1a; N = 50) and quantitative (Study 1b; N = 800) analysis identified agency, emotional experience, bias-free, and error-free as four main qualities describing people's perceptions of autonomous computer programs (ACPs) and human staff members (HSMs). Yet, the qualities were not perceived to be possessed equally by HSMs and ACPs. HSMs were endorsed with human qualities of agency and emotional experience, whereas ACPs were perceived as more capable than HSMs of bias- and error-free decision-making. Consequently, better than average (Study 2; N = 371), or relatively better (Studies 3, N = 181; & 4, N = 378), ACP performance, especially on qualities characteristic of ACPs, was sufficient to reverse preferences to favor ACPs over HSMs as the decision makers for how limited healthcare resources should be prioritized. Our findings serve a practical purpose regarding potential barriers to public acceptance of technology, and have theoretical value for our understanding of perceptions of autonomous technologies.

摘要

谁应该决定如何优先考虑有限的资源?我们在医疗保健背景下提出这个问题,在这种情况下,必须根据患者的需求对其进行优先排序,而自主人工智能技术的进步为人类决策提供了一个引人注目的替代方案。定性分析(研究 1a;N = 50)和定量分析(研究 1b;N = 800)确定了代理、情感体验、无偏见和无错误作为描述人们对自主计算机程序(ACP)和人类工作人员(HSM)的看法的四个主要品质。然而,人们认为这些品质并不平等地存在于 HSM 和 ACP 中。HSM 具有代理和情感体验等人类品质,而 ACP 则被认为比 HSM 更有能力进行无偏见和无错误的决策。因此,与平均水平相比更好(研究 2;N = 371),或者相对更好(研究 3,N = 181;和研究 4,N = 378),ACP 的表现,特别是在 ACP 特征的品质上,足以改变偏好,使 ACP 成为比 HSM 更适合优先考虑如何分配有限的医疗资源的决策者。我们的研究结果为公众对技术的接受可能存在的障碍提供了实际的目的,并为我们理解自主技术的看法提供了理论价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7018/10903831/c6a7131a7313/pone.0292944.g001.jpg

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