医师评估、比较能力和人工智能:对知情同意的影响。

IF 3.4 2区 哲学 Q1 ETHICS Journal of Medical Ethics Pub Date : 2025-12-15 DOI:10.1136/jme-2024-110689
Jacob M Appel
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引用次数: 0

摘要

虽然人工智能(AI)在提高诊断准确性和个性化治疗方面的潜在作用得到了广泛认可,但它在评估医生方面的应用也引发了关键的伦理问题。本文研究了人工智能对知情同意的“比较能力”例外的影响,该例外目前豁免医生披露有关其他提供者绩效的信息。随着人工智能能够对医生的指标进行细致、准确的比较,这种例外将受到挑战,可能使患者做出更明智的决定。然而,人工智能在披露医生成功率方面的应用可能会加剧医疗保健差距,因为富裕的患者可能有更多机会获得更高技能的医生。政策制定者和伦理学家必须积极解决这些问题,以确保随着人工智能技术的进步,公平获得医疗服务。
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Physician assessment, comparative abilities and artificial intelligence: implications for informed consent.

While artificial intelligence's (AI's) potential role in enhancing diagnostic accuracy and personalising treatment is well-recognised, its application in evaluating physicians raises critical ethical concerns as well. The paper examines the impact of AI on the 'comparative abilities' exception to informed consent, which currently exempts physicians from disclosing information about the performance of other providers. With AI's ability to generate granular, accurate comparisons of physician metrics, this exception will be challenged, potentially empowering patients to make more informed decisions. However, AI's use in disclosing physician success rates may exacerbate healthcare disparities, as wealthier patients may have more access to higher-skilled providers. Policymakers and ethicists must proactively address these concerns to ensure equitable access to care as AI technologies advance.

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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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