Black-box assisted medical decisions: AI power vs. ethical physician care.

IF 2.3 2区 哲学 Q1 ETHICS Medicine Health Care and Philosophy Pub Date : 2023-09-01 DOI:10.1007/s11019-023-10153-z
Berman Chan
{"title":"Black-box assisted medical decisions: AI power vs. ethical physician care.","authors":"Berman Chan","doi":"10.1007/s11019-023-10153-z","DOIUrl":null,"url":null,"abstract":"<p><p>I raise an ethical problem with physicians using \"black box\" medical AI algorithms, arguing that its use would compromise proper patient care. Even if AI results are reliable, my contention is that without being able to explain medical decisions to patients, physicians' use of black box AIs would erode the effective and respectful care they provide patients. In addition, I argue that physicians should use AI black boxes only for patients in dire straits, or when physicians use AI as a \"co-pilot\" (analogous to a spellchecker) but can independently confirm its accuracy. My argument will be further sharpened when, lastly, I give important attention to Alex John London's objection that physicians already sometimes prescribe treatment, such as lithium drugs, even though neither researchers nor doctors can explain why the treatment works.</p>","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10425517/pdf/","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medicine Health Care and Philosophy","FirstCategoryId":"98","ListUrlMain":"https://doi.org/10.1007/s11019-023-10153-z","RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ETHICS","Score":null,"Total":0}
引用次数: 1

Abstract

I raise an ethical problem with physicians using "black box" medical AI algorithms, arguing that its use would compromise proper patient care. Even if AI results are reliable, my contention is that without being able to explain medical decisions to patients, physicians' use of black box AIs would erode the effective and respectful care they provide patients. In addition, I argue that physicians should use AI black boxes only for patients in dire straits, or when physicians use AI as a "co-pilot" (analogous to a spellchecker) but can independently confirm its accuracy. My argument will be further sharpened when, lastly, I give important attention to Alex John London's objection that physicians already sometimes prescribe treatment, such as lithium drugs, even though neither researchers nor doctors can explain why the treatment works.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
黑箱辅助医疗决策:人工智能与道德医生护理。
我对医生使用“黑盒”医疗人工智能算法提出了一个伦理问题,认为它的使用会损害对病人的适当护理。即使人工智能的结果是可靠的,我的论点是,如果不能向患者解释医疗决定,医生使用黑盒人工智能会削弱他们为患者提供的有效和尊重的护理。此外,我认为医生应该只在陷入困境的病人身上使用人工智能黑匣子,或者当医生使用人工智能作为“副驾驶员”(类似于拼写检查器),但可以独立确认其准确性时。最后,当我对亚历克斯·约翰·伦敦(Alex John London)的反对意见给予重要关注时,我的论点将进一步加强。他认为,医生有时已经开出治疗处方,比如锂盐药物,尽管研究人员和医生都无法解释这种治疗为什么有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
4.30
自引率
4.80%
发文量
64
期刊介绍: Medicine, Health Care and Philosophy: A European Journal is the official journal of the European Society for Philosophy of Medicine and Health Care. It provides a forum for international exchange of research data, theories, reports and opinions in bioethics and philosophy of medicine. The journal promotes interdisciplinary studies, and stimulates philosophical analysis centered on a common object of reflection: health care, the human effort to deal with disease, illness, death as well as health, well-being and life. Particular attention is paid to developing contributions from all European countries, and to making accessible scientific work and reports on the practice of health care ethics, from all nations, cultures and language areas in Europe.
期刊最新文献
To cure or not to cure. Non-empirical methods for ethics research on digital technologies in medicine, health care and public health: a systematic journal review. One R or the other - an experimental bioethics approach to 3R dilemmas in animal research. What is a cure through gene therapy? An analysis and evaluation of the use of "cure". Genetic enhancement from the perspective of transhumanism: exploring a new paradigm of transhuman evolution.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1