Reflection on the equitable attribution of responsibility for artificial intelligence-assisted diagnosis and treatment decisions

作     者：Antian Chen Chenyu Wang Xinqing Zhang Antian Chen;Chenyu Wang;Xinqing Zhang

作者机构：Department of CardiologyPeking Union Medical College HospitalPeking Union Medical College&Chinese Academy of Medical SciencesBeijing 100730China Department of Computer ScienceCollege of Natural SciencesUniversity of Texas at AustinTXUSA Echocardiography Medical CenterMaternal-Fetal Medicine center in Fetal Heart DiseaseBeijing Anzhen HospitalCapital Medical UniversityBeijing 100029China School of Humanities and Social SciencesPeking Union Medical College&Chinese Academy of Medical SciencesBeijing 100005China 

出 版 物：《智慧医学(英文)》 (Intelligent Medicine)

年 卷 期：2023年第3卷第2期

页      面：139-143页

核心收录：

学科分类：1001[医学-基础医学(可授医学、理学学位)] 08[工学] 081104[工学-模式识别与智能系统] 0811[工学-控制科学与工程] 0812[工学-计算机科学与技术（可授工学、理学学位）] 

基　　金：Project Survey on Ethical awareness and perception of Chinese Med-ical Researcher(Grant No.L1824002)supported by National Natural Science Foundation of China. 

主　　题：Artificial intelligence Diagnosis Ethics Responsibility attribution 

摘      要：Artificial intelligence(AI)is developing rapidly and is being used in several medical capacities,including assisting in diagnosis and treatment decisions.As a result,this raises the conceptual and practical problem of how to distribute responsibility when AI-assisted diagnosis and treatment have been used and patients are harmed in the process.Regulations on this issue have not yet been established.It would be beneficial to tackle responsibility attribution prior to the development of biomedical AI technologies and ethical guidelines.In general,human doctors acting as superiors need to bear responsibility for their clinical decisions.However,human doctors should not bear responsibility for the behavior of an AI doctor that is practicing medicine inde-pendently.According to the degree of fault-which includes internal institutional ethics,the AI bidding process in procurement,and the medical process-clinical institutions are required to bear corresponding responsibility.AI manufacturers are responsible for creating accurate algorithms,network security,and insuring patient privacy protection.However,the AI itself should not be subjected to legal evaluation since there is no need for it to bear responsibility.Corresponding responsibility should be borne by the employer,in this case the medical institution.