BackgroundArtificial intelligence has been described as the “fourth industrial revolution” with transformative and global implications, including in healthcare, public health, and global health. AI approaches hold promise for improving health systems worldwide, as well as individual and population health outcomes. While AI may have potential for advancing health equity within and between countries, we must consider the ethical implications of its deployment in order to mitigate its potential harms, particularly for the most vulnerable. This scoping review addresses the following question: (...) What ethical issues have been identified in relation to AI in the field of health, including from a global health perspective?MethodsEight electronic databases were searched for peer reviewed and grey literature published before April 2018 using the concepts of health, ethics, and AI, and their related terms. Records were independently screened by two reviewers and were included if they reported on AI in relation to health and ethics and were written in the English language. Data was charted on a piloted data charting form, and a descriptive and thematic analysis was performed.ResultsUpon reviewing 12,722 articles, 103 met the predetermined inclusion criteria. The literature was primarily focused on the ethics of AI in health care, particularly on carer robots, diagnostics, and precision medicine, but was largely silent on ethics of AI in public and population health. The literature highlighted a number of common ethical concerns related to privacy, trust, accountability and responsibility, and bias. Largely missing from the literature was the ethics of AI in global health, particularly in the context of low- and middle-income countries.ConclusionsThe ethical issues surrounding AI in the field of health are both vast and complex. While AI holds the potential to improve health and health systems, our analysis suggests that its introduction should be approached with cautious optimism. The dearth of literature on the ethics of AI within LMICs, as well as in public health, also points to a critical need for further research into the ethical implications of AI within both global and public health, to ensure that its development and implementation is ethical for everyone, everywhere. (shrink)

Keskustelu tekoälyn soveltamiseen liittyvistä eettisistä ja poliittisista kysymyksistä käy juuri nyt kuumana. Emme halua tässä puheenvuorossa osallistua keskusteluun tarttumalla johonkin tiettyyn eettiseen ongelmaan. Sen sijaan pyrimme sanomaan jotain itsekeskustelusta ja sen vaikeudesta. Haluamme kiinnittää huomiota siihen, kuinka erilaiset ihmismielen ajattelutaipumukset ja virhepäätelmät voivat huomaamattamme vaikuttaa tapaamme hahmottaa ja ymmärtää tekoälyä ja siihen liittyviä eettisiä kysymyksiä. Kun ymmärrämme paremmin sen, kuinka hankalaa näiden kysymysten hahmottaminen arkisen mielemme kategorioilla oikein on, ja kun tunnistamme tästä syntyvät virhepäätelmät ja ajattelun vääristymät, kykenemme entistä korkeatasoisempaan (...) eettiseen arviointiin tekoälyyn liittyvissä kysymyksissä. Tarkoituksemme ei ole tarkastella loogisiavirhepäätelmiä, jotka rikkovat formaalin modus tollensin tai modus ponensin sääntöjä. Sen sijaan esittelemme empiirisiä tutkimustuloksia, jotka havainnollistavat ihmismielen taipumustatehdä systemaattisia virhearviointeja erilaisissa tilanteissa. (shrink)