[The ethics of IA in medicine must be based on the practical ethics of the healthcare relationship].

La Revue du praticien Pub Date : 2024-05-01
Joël Colloc
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Abstract

THE ETHICS OF IA IN MEDICINE MUST BE BASED ON THE PRACTICAL ETHICS OF THE HEALTHCARE RELATIONSHIP. Artificial intelligence (AI) offers more and more applications on the Internet, smartphones, computers, telemedicine. AI is growing rapidly in health. Transdisciplinary, AI must respect software engineering (reliability, robustness, security), knowledge obsolescence, law, ethics because a wide variety of algorithms, more or less opaque, process personal data help clinical decision. Hospital or city doctors and caregivers question the benefits/risks/costs of AI for the patient, the care relationship, deontology and medical ethics. Drawing on 30 years of experience in AI and medical ethics, the author proposes a first indicator of the ethical risks of AI (axis 1) evaluated by the surface of a radar diagram defined on the other 6 axes: Semantics, Opacity and acceptability, Complexity and autonomy, Target population, Actors (roles and motivations). Highly autonomous strong AI carries the most ethic risks.

[医学 IA 的伦理必须以医疗保健关系的实际伦理为基础]。
医学中的人工智能伦理必须以医疗保健关系的实际伦理为基础。人工智能(AI)在互联网、智能手机、计算机、远程医疗方面的应用越来越多。人工智能在医疗领域的发展十分迅速。跨学科的人工智能必须尊重软件工程(可靠性、稳健性、安全性)、知识陈旧性、法律和伦理,因为各种各样的算法或多或少都不透明,处理个人数据有助于临床决策。医院或城市的医生和护理人员对人工智能给患者带来的好处/风险/成本、护理关系、义务论和医学伦理提出质疑。作者根据自己 30 年来在人工智能和医学伦理学方面的经验,提出了人工智能伦理风险的第一个指标(轴 1),该指标通过雷达图的表面进行评估,雷达图定义在其他 6 个轴上:语义、不透明性和可接受性、复杂性和自主性、目标人群、行为者(角色和动机)。高度自主的强人工智能具有最大的伦理风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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