The widespread use of ChatGPT and other emerging technology powered by generative artificial intelligence (GenAI) has drawn much attention to potential ethical issues, especially in high-stakes applications such as healthcare, but ethical discussions are yet to translate into operationalisable solutions. Furthermore, ongoing ethical discussions often neglect other types of GenAI that have been used to synthesise data (e.g., images) for research and practical purposes, which resolved some ethical issues and exposed others. We conduct a scoping review of ethical discussions on GenAI in healthcare to comprehensively analyse gaps in the current research, and further propose to reduce the gaps by developing a checklist for comprehensive assessment and transparent documentation of ethical discussions in GenAI research. The checklist can be readily integrated into the current peer review and publication system to enhance GenAI research, and may be used for ethics-related disclosures for GenAI-powered products, healthcare applications of such products and beyond.
翻译:ChatGPT及其他依托生成式人工智能(GenAI)的新兴技术的广泛应用,引发了大量关于潜在伦理问题的关注,尤其是在医疗保健等高风险领域。然而,相关的伦理讨论尚未转化为可操作性解决方案。此外,当前的伦理讨论往往忽视了其他类型GenAI(如图像合成)在研究和实践中的应用,这些应用在解决部分伦理问题的同时,也暴露了新的伦理挑战。我们通过对医疗保健领域GenAI伦理讨论的范畴综述,全面分析了当前研究的空白,并进一步提出通过制定一份综合评估清单来缩小这些空白,该清单旨在促进GenAI研究中伦理讨论的全面评估与透明记录。这份清单可便捷地整合至现行的同行评审与出版体系中,以提升GenAI研究的质量,并可用于GenAI相关产品、此类产品的医疗应用及其他领域的伦理信息披露。