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The ethics of advancing artificial intelligence in healthcare: analyzing ethical considerations for Japan’s innovative AI hospital system
Public and private investments into developing digital health technologies—including artificial intelligence (AI)—are intensifying globally. Japan is a key case study given major governmental investments, in part through a Cross-Ministerial Strategic Innovation Promotion Program (SIP) for an “Innova...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10390248/ https://www.ncbi.nlm.nih.gov/pubmed/37529426 http://dx.doi.org/10.3389/fpubh.2023.1142062 |
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author | Katirai, Amelia |
author_facet | Katirai, Amelia |
author_sort | Katirai, Amelia |
collection | PubMed |
description | Public and private investments into developing digital health technologies—including artificial intelligence (AI)—are intensifying globally. Japan is a key case study given major governmental investments, in part through a Cross-Ministerial Strategic Innovation Promotion Program (SIP) for an “Innovative AI Hospital System.” Yet, there has been little critical examination of the SIP Research Plan, particularly from an ethics approach. This paper reports on an analysis of the Plan to identify the extent to which it addressed ethical considerations set out in the World Health Organization’s 2021 Guidance on the Ethics and Governance of Artificial Intelligence for Health. A coding framework was created based on the six ethical principles proposed in the Guidance and was used as the basis for a content analysis. 101 references to aspects of the framework were identified in the Plan, but attention to the ethical principles was found to be uneven, ranging from the strongest focus on the potential benefits of AI to healthcare professionals and patients (n = 44; Principle 2), to no consideration of the need for responsive or sustainable AI (n = 0; Principle 6). Ultimately, the findings show that the Plan reflects insufficient consideration of the ethical issues that arise from developing and implementing AI for healthcare purposes. This case study is used to argue that, given the ethical complexity of the use of digital health technologies, consideration of the full range of ethical concerns put forward by the WHO must urgently be made visible in future plans for AI in healthcare. |
format | Online Article Text |
id | pubmed-10390248 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-103902482023-08-01 The ethics of advancing artificial intelligence in healthcare: analyzing ethical considerations for Japan’s innovative AI hospital system Katirai, Amelia Front Public Health Public Health Public and private investments into developing digital health technologies—including artificial intelligence (AI)—are intensifying globally. Japan is a key case study given major governmental investments, in part through a Cross-Ministerial Strategic Innovation Promotion Program (SIP) for an “Innovative AI Hospital System.” Yet, there has been little critical examination of the SIP Research Plan, particularly from an ethics approach. This paper reports on an analysis of the Plan to identify the extent to which it addressed ethical considerations set out in the World Health Organization’s 2021 Guidance on the Ethics and Governance of Artificial Intelligence for Health. A coding framework was created based on the six ethical principles proposed in the Guidance and was used as the basis for a content analysis. 101 references to aspects of the framework were identified in the Plan, but attention to the ethical principles was found to be uneven, ranging from the strongest focus on the potential benefits of AI to healthcare professionals and patients (n = 44; Principle 2), to no consideration of the need for responsive or sustainable AI (n = 0; Principle 6). Ultimately, the findings show that the Plan reflects insufficient consideration of the ethical issues that arise from developing and implementing AI for healthcare purposes. This case study is used to argue that, given the ethical complexity of the use of digital health technologies, consideration of the full range of ethical concerns put forward by the WHO must urgently be made visible in future plans for AI in healthcare. Frontiers Media S.A. 2023-07-17 /pmc/articles/PMC10390248/ /pubmed/37529426 http://dx.doi.org/10.3389/fpubh.2023.1142062 Text en Copyright © 2023 Katirai. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Katirai, Amelia The ethics of advancing artificial intelligence in healthcare: analyzing ethical considerations for Japan’s innovative AI hospital system |
title | The ethics of advancing artificial intelligence in healthcare: analyzing ethical considerations for Japan’s innovative AI hospital system |
title_full | The ethics of advancing artificial intelligence in healthcare: analyzing ethical considerations for Japan’s innovative AI hospital system |
title_fullStr | The ethics of advancing artificial intelligence in healthcare: analyzing ethical considerations for Japan’s innovative AI hospital system |
title_full_unstemmed | The ethics of advancing artificial intelligence in healthcare: analyzing ethical considerations for Japan’s innovative AI hospital system |
title_short | The ethics of advancing artificial intelligence in healthcare: analyzing ethical considerations for Japan’s innovative AI hospital system |
title_sort | ethics of advancing artificial intelligence in healthcare: analyzing ethical considerations for japan’s innovative ai hospital system |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10390248/ https://www.ncbi.nlm.nih.gov/pubmed/37529426 http://dx.doi.org/10.3389/fpubh.2023.1142062 |
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