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医疗保健领域的人工智能治理框架。

Artificial intelligence governance framework for healthcare.

作者信息

Hassan Masooma, Borycki Elizabeth M, Kushniruk Andre W

机构信息

University of Victoria, Victoria, British Columbia, Canada.

出版信息

Healthc Manage Forum. 2025 Mar;38(2):125-130. doi: 10.1177/08404704241291226. Epub 2024 Oct 29.

DOI:10.1177/08404704241291226
PMID:39470044
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11849254/
Abstract

Recent advancements in the field of Artificial Intelligence (AI) provide promising applications of this technology with the aim of solving complex healthcare challenges. These include optimizing operational efficiencies, supporting clinical administrative functions, and improving care outcomes. Numerous AI models are validated in research settings but few make their way into useful applications due to challenges associated with implementation and adoption. In this article, we describe some of these challenges, along with the need for a facilitating entity to safely translate AI systems into practical use. The authors propose a new AI governance framework to enable healthcare organizations with a mechanism to implement and adopt AI systems.

摘要

人工智能(AI)领域的最新进展为解决复杂的医疗保健挑战提供了该技术的有前景的应用。这些应用包括优化运营效率、支持临床管理功能以及改善护理结果。许多人工智能模型在研究环境中得到了验证,但由于与实施和采用相关的挑战,很少有模型能够转化为有用的应用。在本文中,我们描述了其中一些挑战,以及需要一个促进实体将人工智能系统安全地转化为实际用途。作者提出了一个新的人工智能治理框架,以使医疗保健组织能够拥有实施和采用人工智能系统的机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04aa/11849254/c06fd1f1e88d/10.1177_08404704241291226-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04aa/11849254/a415c0ef0da6/10.1177_08404704241291226-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04aa/11849254/c06fd1f1e88d/10.1177_08404704241291226-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04aa/11849254/a415c0ef0da6/10.1177_08404704241291226-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04aa/11849254/c06fd1f1e88d/10.1177_08404704241291226-fig2.jpg

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本文引用的文献

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Barriers to and Facilitators of Artificial Intelligence Adoption in Health Care: Scoping Review.医疗保健中人工智能采用的障碍和促进因素:范围综述。
JMIR Hum Factors. 2024 Aug 29;11:e48633. doi: 10.2196/48633.
2
Artificial Intelligence Implementation in Healthcare: A Theory-Based Scoping Review of Barriers and Facilitators.人工智能在医疗保健中的应用:基于理论的障碍和促进因素的范围综述。
Int J Environ Res Public Health. 2022 Dec 6;19(23):16359. doi: 10.3390/ijerph192316359.
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Challenges to implementing artificial intelligence in healthcare: a qualitative interview study with healthcare leaders in Sweden.
人工智能在医疗保健领域应用面临的挑战:瑞典医疗保健领导人的定性访谈研究。
BMC Health Serv Res. 2022 Jul 1;22(1):850. doi: 10.1186/s12913-022-08215-8.
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Auditing the AI auditors: A framework for evaluating fairness and bias in high stakes AI predictive models.审计人工智能审计师:评估高风险人工智能预测模型中的公平性和偏差的框架。
Am Psychol. 2023 Jan;78(1):36-49. doi: 10.1037/amp0000972. Epub 2022 Feb 14.
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Trustworthy Augmented Intelligence in Health Care.可信的医疗增强人工智能。
J Med Syst. 2022 Jan 12;46(2):12. doi: 10.1007/s10916-021-01790-z.
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Success Factors of Artificial Intelligence Implementation in Healthcare.医疗保健领域人工智能实施的成功因素。
Front Digit Health. 2021 Jun 16;3:594971. doi: 10.3389/fdgth.2021.594971. eCollection 2021.
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Ethical Machine Learning in Healthcare.医疗保健中的伦理机器学习。
Annu Rev Biomed Data Sci. 2021 Jul;4:123-144. doi: 10.1146/annurev-biodatasci-092820-114757. Epub 2021 May 6.
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Evaluation of artificial intelligence clinical applications: Detailed case analyses show value of healthcare ethics approach in identifying patient care issues.人工智能临床应用评估:详细案例分析显示,医疗保健伦理方法在识别患者护理问题方面具有价值。
Bioethics. 2021 Sep;35(7):623-633. doi: 10.1111/bioe.12885. Epub 2021 May 28.
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The role of artificial intelligence in healthcare: a structured literature review.人工智能在医疗保健中的作用:一项结构化文献综述。
BMC Med Inform Decis Mak. 2021 Apr 10;21(1):125. doi: 10.1186/s12911-021-01488-9.
10
The role of explainability in creating trustworthy artificial intelligence for health care: A comprehensive survey of the terminology, design choices, and evaluation strategies.可解释性在医疗保健人工智能可信性构建中的作用:术语、设计选择和评估策略的全面调查。
J Biomed Inform. 2021 Jan;113:103655. doi: 10.1016/j.jbi.2020.103655. Epub 2020 Dec 10.