Generative artificial intelligence and ethical considerations in health care: a scoping review and ethics checklist

IF 23.8 1区医学 Q1 MEDICAL INFORMATICS

Lancet Digital Health Pub Date : 2024-09-17 DOI:10.1016/S2589-7500(24)00143-2

Yilin Ning PhD , Salinelat Teixayavong BSS , Yuqing Shang MSc , Prof Julian Savulescu PhD , Vaishaanth Nagaraj , Di Miao MSc , Mayli Mertens PhD , Daniel Shu Wei Ting PhD , Jasmine Chiat Ling Ong PharmD , Mingxuan Liu MSc , Prof Jiuwen Cao PhD , Michael Dunn PhD , Prof Roger Vaughan PhD , Prof Marcus Eng Hock Ong MPH , Prof Joseph Jao-Yiu Sung MD , Prof Eric J Topol MD , Nan Liu PhD

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引用次数: 0

Abstract

The widespread use of Chat Generative Pre-trained Transformer (known as ChatGPT) and other emerging technology that is powered by generative artificial intelligence (GenAI) has drawn attention to the potential ethical issues they can cause, especially in high-stakes applications such as health care, but ethical discussions have not yet been translated into operationalisable solutions. Furthermore, ongoing ethical discussions often neglect other types of GenAI that have been used to synthesise data (eg, images) for research and practical purposes, which resolve some ethical issues and expose others. We did a scoping review of the ethical discussions on GenAI in health care to comprehensively analyse gaps in the research. To reduce the gaps, we have developed a checklist for comprehensive assessment and evaluation of ethical discussions in GenAI research. The checklist can be integrated into peer review and publication systems to enhance GenAI research and might be useful for ethics-related disclosures for GenAI-powered products and health-care applications of such products and beyond.

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生成式人工智能与医疗保健中的伦理考量：范围综述和伦理清单。

聊天生成预训练转换器（Chat Generative Pre-trained Transformer，简称 ChatGPT）和其他由生成式人工智能（GenAI）驱动的新兴技术的广泛使用，引起了人们对其可能导致的潜在伦理问题的关注，尤其是在医疗保健等高风险应用领域，但伦理讨论尚未转化为可操作的解决方案。此外，正在进行的伦理讨论往往忽视了其他类型的 GenAI，这些 GenAI 已被用于综合数据（如图像）以达到研究和实用目的，从而解决了一些伦理问题，同时也暴露了其他伦理问题。我们对医疗保健领域的 GenAI 伦理讨论进行了一次范围审查，以全面分析研究中存在的差距。为了缩小差距，我们开发了一份核对表，用于全面评估和评价 GenAI 研究中的伦理讨论。该清单可整合到同行评审和出版系统中，以加强 GenAI 研究，并可用于 GenAI 驱动的产品和此类产品的医疗保健应用及其他方面的伦理相关披露。

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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来源期刊

Lancet Digital Health Multiple-

CiteScore

41.20

自引率

1.60%

发文量

232

审稿时长

13 weeks

期刊介绍： The Lancet Digital Health publishes important, innovative, and practice-changing research on any topic connected with digital technology in clinical medicine, public health, and global health. The journal’s open access content crosses subject boundaries, building bridges between health professionals and researchers.By bringing together the most important advances in this multidisciplinary field,The Lancet Digital Health is the most prominent publishing venue in digital health. We publish a range of content types including Articles,Review, Comment, and Correspondence, contributing to promoting digital technologies in health practice worldwide.