医学人工智能辅助诊疗引发的伦理责任问题探讨  

Discussion on the Medical Ethical Responsibility Problems Caused by Artificial Intelligence Assisted Diagnosis and Treatment

作　　者：陈安天 张新庆[2] CHEN Antian;ZHANG Xinqing(Department of Cardiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,China;School of Humanitice ang Social Sciencct,Peking Union Mekical College,Beping 100075,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院心内科,北京100730 [2]北京协和医学院人文和社会科学学院,北京100005

出　　处：《中国医学伦理学》2020年第7期803-808,共6页Chinese Medical Ethics

基　　金：2018年国家自然科学基金项目“我国医学科研人员伦理认知和态度研究”(L1824002)。

摘　　要：人工智能(AI)诊疗过程中存在着治疗风险、隐私泄露及不被患者接受等伦理问题。针对AI辅助诊疗过程中的意外所引发的责任划定问题,目前还缺乏结合临床实际、伦理及与法规三位一体的探讨。医疗领域机器人可以分为低级的辅助性机器人和高级的机器人医生,机器人的不同类型决定了医生责任程度的差别。此外,医疗机构需要根据机构伦理、制度流程等方面的过失承担相应责任;AI厂家也应对机器人产品承担质量保障、网络安全维护和患者隐私保密的责任。In the process of artificial intelligence(AI)assisted diagnosis and treatment,there are ethical problems such as treatment risks,privacy disclosure and not being accepted by patients.As for the problem of responsibility demarcation caused by accidents in the process of AI-assisted diagnosis and treatment,there is still a lack of discussion on the trinity of clinical practice,ethics and regulations.Robots in the medical field can be divided into low-level auxiliary robots and high-level robot doctors.Different types of robots determine the difference in the degree of doctors’responsibilities.In addition,medical institutions should take corresponding responsibilities according to the institutional ethics,system and process,etc.AI manufacturers should also be responsible for quality assurance,network security maintenance and patient privacy.

关 键 词：人工智能 医疗机器人 医生责任 伦理责任 

分 类 号：R-052[医药卫生]