Artificial intelligence and the doctor–patient relationship expanding the paradigm of shared decision making

Artificial intelligence (AI) based clinical decision support systems (CDSS) are becoming ever more widespread in healthcare and could play an important role in diagnostic and treatment processes. For this reason, AI‐based CDSS has an impact on the doctor–patient relationship, shaping their decisions...

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Vydané v:Bioethics Ročník 37; číslo 5; s. 424 - 429
Hlavní autori: Lorenzini, Giorgia, Arbelaez Ossa, Laura, Shaw, David Martin, Elger, Bernice Simone
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: England Blackwell Publishing Ltd 01.06.2023
Predmet:
Artificial Intelligence
Autonomy
Clinical decision making
Decision Making
Decision Making, Shared
Decision support systems
doctor–patient relationship
Ethical dilemmas
Ethics
Group decision making
Health services
healthcare
Humans
Inappropriateness
Medical decision making
Paradigms
Paternalism
Patient communication
Patients
Physician patient relationships
Physician-Patient Relations
Physicians
Practitioner patient relationship
Shared decision making
Support networks
autonomy
doctor-patient relationship
artificial intelligence
shared decision-making
healthcare
ISSN:0269-9702, 1467-8519, 1467-8519
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Abstract Artificial intelligence (AI) based clinical decision support systems (CDSS) are becoming ever more widespread in healthcare and could play an important role in diagnostic and treatment processes. For this reason, AI‐based CDSS has an impact on the doctor–patient relationship, shaping their decisions with its suggestions. We may be on the verge of a paradigm shift, where the doctor–patient relationship is no longer a dual relationship, but a triad. This paper analyses the role of AI‐based CDSS for shared decision‐making to better comprehend its promises and associated ethical issues. Moreover, it investigates how certain AI implementations may instead foster the inappropriate paradigm of paternalism. Understanding how AI relates to doctors and influences doctor–patient communication is essential to promote more ethical medical practice. Both doctors' and patients' autonomy need to be considered in the light of AI.
AbstractList Artificial intelligence (AI) based clinical decision support systems (CDSS) are becoming ever more widespread in healthcare and could play an important role in diagnostic and treatment processes. For this reason, AI‐based CDSS has an impact on the doctor–patient relationship, shaping their decisions with its suggestions. We may be on the verge of a paradigm shift, where the doctor–patient relationship is no longer a dual relationship, but a triad. This paper analyses the role of AI‐based CDSS for shared decision‐making to better comprehend its promises and associated ethical issues. Moreover, it investigates how certain AI implementations may instead foster the inappropriate paradigm of paternalism. Understanding how AI relates to doctors and influences doctor–patient communication is essential to promote more ethical medical practice. Both doctors' and patients' autonomy need to be considered in the light of AI.
Artificial intelligence (AI) based clinical decision support systems (CDSS) are becoming ever more widespread in healthcare and could play an important role in diagnostic and treatment processes. For this reason, AI-based CDSS has an impact on the doctor-patient relationship, shaping their decisions with its suggestions. We may be on the verge of a paradigm shift, where the doctor-patient relationship is no longer a dual relationship, but a triad. This paper analyses the role of AI-based CDSS for shared decision-making to better comprehend its promises and associated ethical issues. Moreover, it investigates how certain AI implementations may instead foster the inappropriate paradigm of paternalism. Understanding how AI relates to doctors and influences doctor-patient communication is essential to promote more ethical medical practice. Both doctors' and patients' autonomy need to be considered in the light of AI.
Artificial intelligence (AI) based clinical decision support systems (CDSS) are becoming ever more widespread in healthcare and could play an important role in diagnostic and treatment processes. For this reason, AI-based CDSS has an impact on the doctor-patient relationship, shaping their decisions with its suggestions. We may be on the verge of a paradigm shift, where the doctor-patient relationship is no longer a dual relationship, but a triad. This paper analyses the role of AI-based CDSS for shared decision-making to better comprehend its promises and associated ethical issues. Moreover, it investigates how certain AI implementations may instead foster the inappropriate paradigm of paternalism. Understanding how AI relates to doctors and influences doctor-patient communication is essential to promote more ethical medical practice. Both doctors' and patients' autonomy need to be considered in the light of AI.Artificial intelligence (AI) based clinical decision support systems (CDSS) are becoming ever more widespread in healthcare and could play an important role in diagnostic and treatment processes. For this reason, AI-based CDSS has an impact on the doctor-patient relationship, shaping their decisions with its suggestions. We may be on the verge of a paradigm shift, where the doctor-patient relationship is no longer a dual relationship, but a triad. This paper analyses the role of AI-based CDSS for shared decision-making to better comprehend its promises and associated ethical issues. Moreover, it investigates how certain AI implementations may instead foster the inappropriate paradigm of paternalism. Understanding how AI relates to doctors and influences doctor-patient communication is essential to promote more ethical medical practice. Both doctors' and patients' autonomy need to be considered in the light of AI.
Author Lorenzini, Giorgia
Arbelaez Ossa, Laura
Shaw, David Martin
Elger, Bernice Simone
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  organization: University of Basel
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  surname: Arbelaez Ossa
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  givenname: David Martin
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  surname: Shaw
  fullname: Shaw, David Martin
  organization: Universiteit Maastricht
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  givenname: Bernice Simone
  surname: Elger
  fullname: Elger, Bernice Simone
  organization: University of Geneva
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2023 The Authors. Bioethics published by John Wiley & Sons Ltd.
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Keywords autonomy
doctor-patient relationship
artificial intelligence
shared decision-making
healthcare
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Snippet Artificial intelligence (AI) based clinical decision support systems (CDSS) are becoming ever more widespread in healthcare and could play an important role in...
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SubjectTerms Artificial Intelligence
Autonomy
Clinical decision making
Decision Making
Decision Making, Shared
Decision support systems
doctor–patient relationship
Ethical dilemmas
Ethics
Group decision making
Health services
healthcare
Humans
Inappropriateness
Medical decision making
Paradigms
Paternalism
Patient communication
Patients
Physician patient relationships
Physician-Patient Relations
Physicians
Practitioner patient relationship
Shared decision making
Support networks
Title Artificial intelligence and the doctor–patient relationship expanding the paradigm of shared decision making
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