在马来西亚医疗保健中导航人工智能:研究发展,道德困境和治理策略。

IF 1.1 Q3 ETHICS
Kean Chang Phang, Tze Chang Ng, Sharon Kaur Gurmukh Singh, Teck Chuan Voo, Wellester Anak Alvis
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引用次数: 0

摘要

在不断发展的医疗保健人工智能(AIH)领域,了解管理其研发的实体和法律框架至关重要。本报告深入研究了马来西亚AIH的复杂性,对科学数据库、政府门户网站和新闻来源进行了全面的文献检索。此外,文献计量分析已同时进行,以辨别趋势和发展AIH多年来。值得注意的是,自2017年以来,对AIH的兴趣一直在持续上升,本地和外国创新者和应用程序开发的用例越来越多(这里报告了25个)。尽管研究和应用激增,但马来西亚缺乏专门针对AIH技术的直接立法,使其受制于11项现有法律。地方监管和伦理机构缺乏有效评估AIH研究和部署的专门知识,使这种缺乏明确监督的情况更加严重。由此产生的挑战包括人工智能创新者和应用程序面临的官僚障碍,引发了与患者自主权、隐私、数据管理、人工智能稳健性和责任相关的伦理问题。为了解决这些问题,本文建议:(1)采用AIH的国际伦理准则,(2)加强公众对AI技术的认识和教育,以及(3)通过临床或沉默试验促进AIH研究,以改善监督和促进创新。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Navigating Artificial Intelligence in Malaysian Healthcare: Research Developments, Ethical Dilemmas, and Governance Strategies

In the ever-evolving landscape of Artificial Intelligence in Healthcare (AIH), understanding the entities and legal frameworks governing its research and development is crucial. This report delves into the intricacies of AIH in Malaysia, undertaking a comprehensive literature search on scientific databases, government portals, and news sources. Additionally, bibliometric analysis has been concurrently conducted to discern trends and developments in AIH over the years. Notably, the interest in AIH has seen a consistent rise since 2017, marked by a growing number of use cases (25 reported here) developed by both local and foreign innovators and applicators. Despite this surge in research and adoption, Malaysia lacks direct legislation specifically addressing AIH technologies, leaving them subject to 11 existing laws. This lack of clear oversight is compounded by the insufficient expertise within local regulatory and ethical bodies to effectively assess AIH research and deployment. The resultant challenges include bureaucratic hurdles for AIH innovators and applicators, raising ethical concerns related to patient autonomy, privacy, data management, AI robustness, and liability. To address these issues, this paper recommends: (1) adopting international ethical guidelines for AIH, (2) enhancing public awareness and education on AI technologies, and (3) promoting AIH research through clinical or silent trials to improve oversight and foster innovation.

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来源期刊
CiteScore
6.20
自引率
3.40%
发文量
32
期刊介绍: Asian Bioethics Review (ABR) is an international academic journal, based in Asia, providing a forum to express and exchange original ideas on all aspects of bioethics, especially those relevant to the region. Published quarterly, the journal seeks to promote collaborative research among scholars in Asia or with an interest in Asia, as well as multi-cultural and multi-disciplinary bioethical studies more generally. It will appeal to all working on bioethical issues in biomedicine, healthcare, caregiving and patient support, genetics, law and governance, health systems and policy, science studies and research. ABR provides analyses, perspectives and insights into new approaches in bioethics, recent changes in biomedical law and policy, developments in capacity building and professional training, and voices or essays from a student’s perspective. The journal includes articles, research studies, target articles, case evaluations and commentaries. It also publishes book reviews and correspondence to the editor. ABR welcomes original papers from all countries, particularly those that relate to Asia. ABR is the flagship publication of the Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore. The Centre for Biomedical Ethics is a collaborating centre on bioethics of the World Health Organization.
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