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人工智能在改善残疾人医疗保健方面的作用。

The role of artificial intelligence in enhancing healthcare for people with disabilities.

作者信息

Olawade David Bamidele, Bolarinwa Obasanjo Afolabi, Adebisi Yusuff Adebayo, Shongwe Sinegugu

机构信息

Department of Allied and Public Health, School of Health, Sport and Bioscience, University of East London, London, United Kingdom; Department of Research and Innovation, Medway NHS Foundation Trust, Gillingham, ME7 5NY, United Kingdom; School of Health and Care Management, Arden University, Arden House, Middlemarch Park, Coventry, CV3 4FJ, United Kingdom; Department of Public Health, York St John University, London, United Kingdom.

Department of Public Health, York St John University, London, United Kingdom; Department of Demography and Population Studies, University of Witwatersrand, Johannesburg, South Africa.

出版信息

Soc Sci Med. 2025 Jan;364:117560. doi: 10.1016/j.socscimed.2024.117560. Epub 2024 Nov 26.

Abstract

The integration of artificial intelligence (AI) in healthcare delivery represents a transformative opportunity to enhance the lives of people living with disabilities. AI-driven technologies, such as assistive devices, conversational agents, and rehabilitation tools, can mitigate health disparities, improve diagnostic accuracy, and facilitate effective communication with healthcare providers, fostering more equitable healthcare environments. This commentary explores these applications while addressing the ethical challenges and limitations associated with AI deployment. Specific challenges, such as algorithmic bias, privacy risks with patient data, and the complexity of designing inclusive technologies, are discussed to provide a balanced perspective. For example, biased diagnostic tools may lead to inequitable care, and privacy breaches can compromise sensitive data. Key areas of focus include personalised care through AI-powered systems, the design of inclusive AI technologies incorporating continuous feedback loops and partnerships with advocacy groups, and the development of AI-enabled robotics for physical assistance. This commentary paper emphasises the importance of addressing these limitations alongside advancing ethical AI practices and ensuring continuous user involvement to meet the diverse needs of people living with disabilities, ultimately promoting greater independence and participation in society. Consequently, while AI holds transformative potential in advancing equitable and inclusive healthcare for people with disabilities, addressing ethical challenges, overcoming limitations, and fostering user-centred design are essential to fully realise its benefits and ensure these innovations promote autonomy, accessibility, and well-being.

摘要

人工智能(AI)在医疗保健服务中的整合为改善残疾人的生活带来了变革性机遇。由人工智能驱动的技术,如辅助设备、对话代理和康复工具,可以减少健康差距,提高诊断准确性,并促进与医疗保健提供者的有效沟通,营造更加公平的医疗环境。本评论探讨了这些应用,同时也讨论了与人工智能部署相关的伦理挑战和局限性。文中讨论了算法偏见、患者数据隐私风险以及设计包容性技术的复杂性等具体挑战,以提供一个平衡的视角。例如,有偏见的诊断工具可能导致不公平的治疗,而隐私泄露可能危及敏感数据。重点关注的关键领域包括通过人工智能驱动的系统提供个性化护理、设计包含持续反馈回路并与倡导团体合作的包容性人工智能技术,以及开发用于身体辅助的人工智能机器人。这篇评论文章强调了在推进符合伦理的人工智能实践的同时解决这些局限性,并确保用户持续参与以满足残疾人多样化需求的重要性,最终促进更大程度的独立和社会参与。因此,虽然人工智能在推进为残疾人提供公平和包容性医疗保健方面具有变革潜力,但解决伦理挑战、克服局限性并促进以用户为中心的设计对于充分实现其益处并确保这些创新促进自主性、可及性和福祉至关重要。

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