In healthcare, the role of AI is continually evolving, and understanding the challenges its introduction poses on relationships between healthcare providers and patients will require a regulatory and behavioral approach that can provide a guiding base for all users involved. In this paper, we present IAC (Informing, Assessment, and Consent), a framework for evaluating patient response to the introduction of AI-enabled digital technologies in healthcare settings. We justify the need for IAC with a general introduction of the challenges with and perceived relevance of AI in human-welfare-centered fields, with an emphasis on the provision of healthcare. The framework is composed of three core principles that guide how healthcare practitioners can inform patients about the use of AI in their healthcare, how practitioners can assess patients' acceptability and comfortability with the use of AI, and how patient consent can be gained after this process. We propose that the principles composing this framework can be translated into guidelines that improve practitioner-patient relationships and, concurrently, patient agency regarding the use of AI in healthcare while broadening the discourse on this topic.
翻译:在医疗领域,人工智能的作用持续演变,理解其引入对医患关系带来的挑战需要一种能够为所有相关用户提供指导基础的监管与行为学方法。本文提出IAC(告知、评估与知情同意)框架,用于评估患者对医疗场景中AI赋能数字技术的反应。我们通过概述以人类福祉为中心领域中AI面临的挑战及其感知相关性(重点聚焦医疗服务提供),论证了IAC框架的必要性。该框架包含三项核心原则,分别指导医疗从业者如何向患者告知AI在其诊疗中的使用情况、如何评估患者对AI使用的接受度与舒适度,以及在此过程后如何获取患者知情同意。我们提出,该框架的各项原则可转化为改善医患关系的实践指南,同时能增强患者在医疗AI使用中的主体性,并拓展相关领域的学术讨论。