Fair by chance? On the use of algorithms in therapeutic decisions.

IF 3.4 2区 哲学 Q1 ETHICS
Sune Holm
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引用次数: 0

Abstract

Predictive tools made possible by advances in machine learning techniques may help clinicians make more accurate decisions about who should be allocated costly therapies, such as immunotherapy, which only work on a relatively low proportion of patients. In this article, I argue that a fair decision procedure must recognise each patients' chance of responding well. To do so, the procedure should not apply a fixed threshold to probability scores. Rather, each patient should be given a chance of being allocated the therapy matching her probability score. An important consequence of this conclusion is that the fair use of algorithmic scores may not guarantee that the therapy is allocated to those who will respond well to the highest possible degree.

碰巧公平吗?关于算法在治疗决策中的应用。
机器学习技术的进步使预测工具成为可能,它可以帮助临床医生更准确地决定谁应该接受昂贵的治疗,比如免疫疗法,这种疗法只对相对较低比例的患者有效。在这篇文章中,我认为,一个公平的决策程序必须认识到每个病人的反应良好的机会。为此,该过程不应该对概率分数应用固定的阈值。更确切地说,每个病人都应该有机会被分配到与其概率得分相匹配的治疗方案。这一结论的一个重要后果是,公平使用算法评分可能不能保证将治疗分配给那些反应良好的人,以达到尽可能高的程度。
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
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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