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实践中的嵌入式伦理:将伦理与社会问题分析融入医疗人工智能研究的工具箱

Embedded Ethics in Practice: A Toolbox for Integrating the Analysis of Ethical and Social Issues into Healthcare AI Research.

作者信息

Willem Theresa, Fritzsche Marie-Christine, Zimmermann Bettina M, Sierawska Anna, Breuer Svenja, Braun Maximilian, Ruess Anja K, Bak Marieke, Schönweitz Franziska B, Meier Lukas J, Fiske Amelia, Tigard Daniel, Müller Ruth, McLennan Stuart, Buyx Alena

机构信息

Institute of History and Ethics in Medicine, Department of Preclinical Medicine, TUM School of Medicine and Health, Technical University of Munich, Ismaninger Straße 22, 81675, Munich, Germany.

Department of Science, Technology and Society (STS), School of Social Science and Technology, Technical University of Munich, Munich, Germany.

出版信息

Sci Eng Ethics. 2024 Dec 24;31(1):3. doi: 10.1007/s11948-024-00523-y.

Abstract

Integrating artificial intelligence (AI) into critical domains such as healthcare holds immense promise. Nevertheless, significant challenges must be addressed to avoid harm, promote the well-being of individuals and societies, and ensure ethically sound and socially just technology development. Innovative approaches like Embedded Ethics, which refers to integrating ethics and social science into technology development based on interdisciplinary collaboration, are emerging to address issues of bias, transparency, misrepresentation, and more. This paper aims to develop this approach further to enable future projects to effectively deploy it. Based on the practical experience of using ethics and social science methodology in interdisciplinary AI-related healthcare consortia, this paper presents several methods that have proven helpful for embedding ethical and social science analysis and inquiry. They include (1) stakeholder analyses, (2) literature reviews, (3) ethnographic approaches, (4) peer-to-peer interviews, (5) focus groups, (6) interviews with affected groups and external stakeholders, (7) bias analyses, (8) workshops, and (9) interdisciplinary results dissemination. We believe that applying Embedded Ethics offers a pathway to stimulate reflexivity, proactively anticipate social and ethical concerns, and foster interdisciplinary inquiry into such concerns at every stage of technology development. This approach can help shape responsible, inclusive, and ethically aware technology innovation in healthcare and beyond.

摘要

将人工智能(AI)整合到医疗保健等关键领域具有巨大的潜力。然而,必须应对重大挑战,以避免造成伤害,促进个人和社会的福祉,并确保技术发展在伦理上合理且符合社会公正。诸如嵌入式伦理(Embedded Ethics)这样的创新方法正在兴起,它指的是基于跨学科合作将伦理和社会科学融入技术开发,以解决偏见、透明度、虚假陈述等问题。本文旨在进一步发展这种方法,以使未来的项目能够有效地应用它。基于在跨学科的人工智能相关医疗保健联盟中运用伦理和社会科学方法的实践经验,本文介绍了几种已被证明有助于嵌入伦理和社会科学分析与探究的方法。它们包括:(1)利益相关者分析;(2)文献综述;(3)人种志方法;(4)同行访谈;(5)焦点小组;(6)与受影响群体和外部利益相关者的访谈;(7)偏见分析;(8)研讨会;(9)跨学科成果传播。我们认为,应用嵌入式伦理提供了一条途径,以激发反思性,主动预测社会和伦理问题,并在技术开发的每个阶段促进对这些问题的跨学科探究。这种方法有助于塑造医疗保健及其他领域中负责任、包容且具有伦理意识的技术创新。

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