智能医学算法决策的伦理困境及风险规制  

Ethical Dilemma and Risk Regulation of Algorithmic Decision-making in Intelligent Medicine

作　　者：张荣[1,2] 徐飞 ZHANG Rong;XU Fei(Department of Philosophy of Science and Technology,University of Science and Technology of China,Hefei 230026,China)

机构地区：[1]中国科学技术大学科技哲学系,安徽合肥230026 [2]西南科技大学马克思主义学院,四川绵阳621010

出　　处：《医学与哲学》2022年第8期10-15,共6页Medicine and Philosophy

基　　金：2020年中央高校基本科研业务费专项资金资助项目(YD2110002004)。

摘　　要：智能医学呈现出难追溯性、不公平性、过程难以理解性、结果不确定性和数据驱动性的技术特征。上述特征与诊疗场景特性的融合交叠可能诱发医生主体地位被削弱、医患信任危机、医疗资源分配不均加剧以及诊疗结果不确定性增加等风险。为有效防范智能算法的决策风险,在智能医学应用中必须遵循以强化医生主体地位为根本出发点,以降低医患信任危机为主导,以平衡资源分配为方向和以增加诊疗结果确定性为目标的伦理规制。Intelligent medicine is usually hard to be traced,unfair,difficult to be fully understood,uncertain in results and data-driven.The combination of the above features and medical scenarios may weaken doctors'subject position,trigger doctor-patient trust crisis,aggravate uneven distribution of medical resources,and increase the uncertainty of diagnosis and treatment results.In order to effectively prevent the decision-making risk of intelligent algorithm,the ethical norms must be followed in the application of intelligent medicine,strengthening subject position of doctors,relieving doctors-patients trust crisis,balancing resource allocation and increasing the certainty of diagnosis and treatment results.

关 键 词：智能医学 算法决策 伦理困境 风险规制 主体地位 

分 类 号：R-O5[医药卫生]