Materiality and practicality: a response to - are clinicians ethically obligated to disclose their use of medical machine learning systems to patients?

IF 3.3 2区 哲学 Q1 ETHICS Journal of Medical Ethics Pub Date : 2024-08-30 DOI:10.1136/jme-2024-110371
Michal Pruski
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Abstract

In his recent paper Hatherley discusses four reasons given to support mandatory disclosure of the use of machine learning technologies in healthcare, and provides counters to each of these reasons. While I agree with Hatherley's conclusion that such disclosures should not be mandatory (at least not in an upfront fashion), I raise some problems with his counters to the materiality argument. Finally, I raise another potential problem that exists in a democratic society: that even if Hatherley's (and other authors who share his conclusions) arguments are sound, in a democratic society the simple fact that most people might wish for such disclosures to be made might be an enough compelling reason to make such disclosures mandatory.

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物质性与实用性:对 "临床医生是否有道德义务向患者披露其使用医疗机器学习系统的情况?
在最近的论文中,Hatherley 讨论了支持强制披露医疗保健中使用机器学习技术的四个理由,并对每个理由进行了反驳。虽然我同意 Hatherley 的结论,即此类披露不应是强制性的(至少不应以预告的方式),但我对他对实质性论点的反驳提出了一些问题。最后,我提出了民主社会中存在的另一个潜在问题:即使 Hatherley(和其他赞同他的结论的作者)的论点是正确的,在民主社会中,大多数人可能希望进行此类披露这一简单事实,可能就足以成为强制进行此类披露的令人信服的理由。
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来源期刊
Journal of Medical Ethics
Journal of Medical Ethics 医学-医学:伦理
CiteScore
7.80
自引率
9.80%
发文量
164
审稿时长
4-8 weeks
期刊介绍: Journal of Medical Ethics is a leading international journal that reflects the whole field of medical ethics. The journal seeks to promote ethical reflection and conduct in scientific research and medical practice. It features articles on various ethical aspects of health care relevant to health care professionals, members of clinical ethics committees, medical ethics professionals, researchers and bioscientists, policy makers and patients. Subscribers to the Journal of Medical Ethics also receive Medical Humanities journal at no extra cost. JME is the official journal of the Institute of Medical Ethics.
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