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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Bibliographic Details
Published in:Bioethics Vol. 37; no. 5; pp. 424 - 429
Main Authors: Lorenzini, Giorgia, Arbelaez Ossa, Laura, Shaw, David Martin, Elger, Bernice Simone
Format: Journal Article
Language:English
Published: England Blackwell Publishing Ltd 01.06.2023
Subjects:
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
Online Access:Get full text
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Summary: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.
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ISSN:0269-9702
1467-8519
1467-8519
DOI:10.1111/bioe.13158