Data are essential in developing healthcare artificial intelligence (AI) systems. However, patient data collection, access, and use raise ethical concerns, including informed consent, data bias, data protection and privacy, data ownership, and benefit sharing. Various ethical frameworks have been proposed to ensure the ethical use of healthcare data and AI, however, these frameworks often align with Western cultural values, social norms, and institutional contexts emphasizing individual autonomy and well-being. Ethical guidelines must reflect political and cultural settings to account for cultural diversity, inclusivity, and historical factors such as colonialism. Thus, this paper discusses healthcare data ethics in the AI era in Africa from the Ubuntu philosophy perspective. It focuses on the contrast between individualistic and communitarian approaches to data ethics. The proposed framework could inform stakeholders, including AI developers, healthcare providers, the public, and policy-makers about healthcare data ethical usage in AI in Africa.
翻译:数据对于开发医疗人工智能(AI)系统至关重要。然而,患者数据的收集、访问和使用引发了诸多伦理问题,包括知情同意、数据偏见、数据保护与隐私、数据所有权以及利益共享。为确保医疗数据与AI的伦理使用,已有多种伦理框架被提出,但这些框架通常与西方文化价值观、社会规范及制度背景相一致,强调个人自主权与福祉。伦理准则必须反映政治与文化环境,以兼顾文化多样性、包容性及殖民主义等历史因素。因此,本文从Ubuntu哲学视角探讨非洲在AI时代的医疗数据伦理问题,重点关注个人主义与社群主义两种数据伦理路径的对比。所提出的框架可为包括AI开发者、医疗服务提供者、公众及政策制定者在内的利益相关方提供关于非洲医疗AI数据伦理使用的参考。