临床医生是否有道德义务向患者披露他们使用医疗机器学习系统的情况?

IF 3.3 2区 哲学 Q1 ETHICS
Joshua Hatherley
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引用次数: 0

摘要

人们普遍认为,临床医生在道德上有义务向患者披露他们使用医疗机器学习系统的情况,如果不这样做,则构成道德过失,临床医生应对此负责。这就是 "披露论"。在伦理学文献中,支持披露论的论据主要有四个:基于风险的论据、基于权利的论据、实质性论据和自主性论据。在本文中,我认为这四个论点都不能令人信服,因此应该摒弃披露论。我认为,强制公开甚至可能会给患者带来伤害,因为利益相关者可以借此逃避因不当应用或使用这些系统而造成伤害的责任。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Are clinicians ethically obligated to disclose their use of medical machine learning systems to patients?

It is commonly accepted that clinicians are ethically obligated to disclose their use of medical machine learning systems to patients, and that failure to do so would amount to a moral fault for which clinicians ought to be held accountable. Call this 'the disclosure thesis.' Four main arguments have been, or could be, given to support the disclosure thesis in the ethics literature: the risk-based argument, the rights-based argument, the materiality argument and the autonomy argument. In this article, I argue that each of these four arguments are unconvincing, and therefore, that the disclosure thesis ought to be rejected. I suggest that mandating disclosure may also even risk harming patients by providing stakeholders with a way to avoid accountability for harm that results from improper applications or uses of these systems.

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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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