中国医学伦理学2025，Vol.38Issue(2)：159-165,7.DOI:10.12026/j.issn.1001-8565.2025.02.03
医疗人工智能临床应用的伦理思考
Ethical reflections on the clinical application of medical artificial intelligence
摘要
Abstract
Medical artificial intelligence(AI)is a new type of application formed by the combination of machine learning,computer vision,natural language processing,and other technologies with clinical medical treatment.With the continuous iteration and development of relevant technologies,medical AI has shown great potential in improving the efficiency of diagnosis and treatment,and service quality,but it also increases the possibility of triggering ethical issues.Ethical issues resulting from the clinical application of medical AI were analyzed,including the lack of algorithmic interpretability and transparency of medical AI,leading to information asymmetry and cognitive discrepancies;the concerning status of security and privacy protection of medical data;and the complex and unclear division of responsibilities due to the collaborative participation of multiple subjects in the clinical application of medical AI,resulting in increased difficulty in the identification of medical accidents and clarification of responsibilities.The paper proposed the principles of not harming patients'interests,physician's subjectivity,fairness and inclusiveness,and rapid response.It also explored the strategies and implementation paths for responding to the ethical issues of medical AI from multiple perspectives,including standardizing the environment and processes,clarifying responsibility attribution,continuously assessing the impact of data protection,guaranteeing data security,ensuring model transparency and interpretability,carrying out multi-subject collaboration,as well as the principles of being driven by ethical values and adhering to the"human health-centeredness."It aimed to provide guidance for the healthy development of medical AI,ensuring technological progress while effectively managing and mitigating accompanying ethical risks,thereby promoting the benign development of medical AI technology and better serving the healthcare industry and patients.关键词
医疗人工智能/临床应用/伦理原则/科技伦理治理Key words
medical artificial intelligence/clinical application/ethical principle/ethical governance of science and technology引用本文复制引用
崔芳芳,李中琳,何贤英,王文超,初云天,石小兵,赵杰..医疗人工智能临床应用的伦理思考[J].中国医学伦理学,2025,38(2):159-165,7.基金项目
科技创新2030-(浦江国家实验室)新一代人工智能重大专项子课题"自适应智能辅助诊疗开放平台"(2022ZD0160704) （浦江国家实验室）
国家超级计算郑州中心创新生态系统建设科技专项"基于多模态数据的肺癌智能诊疗关键技术研究与示范应用"(201400210400) （201400210400）
河南省医学科技攻关计划省部共建重点项目"基于多模态特征融合的乳腺癌超声智能筛查技术研究"(SBGJ202402097) （SBGJ202402097）
