论文标题
在人工智能和算法医学时代突发坏消息：使用享乐演算的探索披露及其道德理由
Breaking Bad News in the Era of Artificial Intelligence and Algorithmic Medicine: An Exploration of Disclosure and its Ethical Justification using the Hedonic Calculus
论文作者
论文摘要
在医疗保健中使用人工智能（AI）的适当道德框架已成为该技术越来越广泛地部署的关键。人工智能的进步具有提高个人水平上结果预测精度的承诺。但是，与任何复杂的人类相互作用一样，将这些技术添加到患者 - 临床主义的相互作用中具有潜在的陷阱。尽管医师一直必须仔细考虑其行为的道德背景和含义，但详细的审议可能并没有跟上。我们在医疗保健互动中使用了一个共同但主要的挑战，披露坏消息（可能即将死亡），以说明杰里米·本瑟姆（Jeremy Bentham）在18世纪开发的“ Felicivic colculus”的哲学框架如何在AI时代及时进行准量化应用。我们展示了如何使用这种道德算法来评估七个相互排斥和详尽的领域，是否可以在道德上证明AI支持的作用是合理的。
An appropriate ethical framework around the use of Artificial Intelligence (AI) in healthcare has become a key desirable with the increasingly widespread deployment of this technology. Advances in AI hold the promise of improving the precision of outcome prediction at the level of the individual. However, the addition of these technologies to patient-clinician interactions, as with any complex human interaction, has potential pitfalls. While physicians have always had to carefully consider the ethical background and implications of their actions, detailed deliberations around fast-moving technological progress may not have kept up. We use a common but key challenge in healthcare interactions, the disclosure of bad news (likely imminent death), to illustrate how the philosophical framework of the 'Felicific Calculus' developed in the 18th century by Jeremy Bentham, may have a timely quasi-quantitative application in the age of AI. We show how this ethical algorithm can be used to assess, across seven mutually exclusive and exhaustive domains, whether an AI-supported action can be morally justified.
