Identifying Ethical Considerations for Machine Learning Healthcare Applications.

Identifying Ethical Considerations for Machine Learning Healthcare Applications.
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DOI:
10.1080/15265161.2020.1819469
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发表时间:
2020-11
期刊:
The American journal of bioethics : AJOB
影响因子:
--
通讯作者:
Feudtner C
Feudtner C
中科院分区:
其他
文献类型:
--
作者:
Char DS;Abràmoff MD;Feudtner C

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沿着医疗保健服务的潜在好处,机器学习医疗保健应用(ML-HCA)引起了许多伦理问题。ML-HCA的伦理评估需要构建评估这些技术的总体问题,特别是对于不同的利益相关者群体。本文概述了一个系统的方法来确定ML-HCA的道德问题,从一个概念模型的概念,开发,实施ML-HCA的管道,并在每个阶段的评估和监督任务的并行管道。在这个模型中,我们层的关键问题,提出了基于价值的问题,沿着在很大程度上通过文献综述确定的伦理考虑,但也确定了一些尚未得到重视的伦理考虑。这一管道模型框架将有助于对ML-HCA从开发到实施的系统伦理评估,以及不同利益相关者的跨学科合作,这些利益相关者将需要了解并随后管理ML-HCA的伦理影响。
Along with potential benefits to healthcare delivery, machine learning healthcare applications (ML-HCAs) raise a number of ethical concerns. Ethical evaluations of ML-HCAs will need to structure the overall problem of evaluating these technologies, especially for a diverse group of stakeholders. This paper outlines a systematic approach to identifying ML-HCA ethical concerns, starting with a conceptual model of the pipeline of the conception, development, implementation of ML-HCAs, and the parallel pipeline of evaluation and oversight tasks at each stage. Over this model, we layer key questions that raise value-based issues, along with ethical considerations identified in large part by a literature review, but also identifying some ethical considerations that have yet to receive attention. This pipeline model framework will be useful for systematic ethical appraisals of ML-HCA from development through implementation, and for interdisciplinary collaboration of diverse stakeholders that will be required to understand and subsequently manage the ethical implications of ML-HCAs.
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