Philosophy and Technology 34 (2):349-371 (2020)
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Abstract |
Advanced AI systems are rapidly making their way into medical research and practice, and, arguably, it is only a matter of time before they will surpass human practitioners in terms of accuracy, reliability, and knowledge. If this is true, practitioners will have a prima facie epistemic and professional obligation to align their medical verdicts with those of advanced AI systems. However, in light of their complexity, these AI systems will often function as black boxes: the details of their contents, calculations, and procedures cannot be meaningfully understood by human practitioners. When AI systems reach this level of complexity, we can also speak of black-box medicine. In this paper, we want to argue that black-box medicine conflicts with core ideals of patient-centered medicine. In particular, we claim, black-box medicine is not conducive for supporting informed decision-making based on shared information, shared deliberation, and shared mind between practitioner and patient.
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Keywords | Black-box medicine Patient-centered medicine Artificial intelligence and medicine Medical decision making |
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Reprint years | 2021 |
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DOI | 10.1007/s13347-019-00391-6 |
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Citations of this work BETA
Limits of Trust in Medical AI.Joshua James Hatherley - 2020 - Journal of Medical Ethics 46 (7):478-481.
Responsibility, Second Opinions and Peer-Disagreement: Ethical and Epistemological Challenges of Using AI in Clinical Diagnostic Contexts.Hendrik Kempt & Saskia K. Nagel - 2022 - Journal of Medical Ethics 48 (4):222-229.
On Algorithmic Fairness in Medical Practice.Thomas Grote & Geoff Keeling - 2022 - Cambridge Quarterly of Healthcare Ethics 31 (1):83-94.
Shared Decision‐Making and Maternity Care in the Deep Learning Age: Acknowledging and Overcoming Inherited Defeaters.Keith Begley, Cecily Begley & Valerie Smith - 2021 - Journal of Evaluation in Clinical Practice 27 (3):497–503.
Explanatory Pragmatism: A Context-Sensitive Framework for Explainable Medical AI.Diana Robinson & Rune Nyrup - 2022 - Ethics and Information Technology 24 (1).
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