Ethical principles of the development of artificial intelligence systems for healthcare
https://doi.org/10.25881/18110193_2023_4_36
Abstract
Implementation of Artificial Intelligence (AI) is considered one of the most promising directions in the digital transformation of healthcare. Such systems can improve the quality of therapeutic and diagnostic processes and the efficiency of planning and managing the healthcare industry. However, the potential of AI to enhance public health indicators and improve the functioning quality of the healthcare system is inextricably linked to ethical issues arising from the specific aspects of their creation and implementation, as well as their direct impact on the life and health of communities, individual patients, and medical personnel.
It is necessary to form and increase trust from the medical community, patients, regulatory and supervisory bodies, and other interested parties in order to implement AI in healthcare. For this purpose, it is advisable for AI developers and other involved parties to follow a set of unified ethical principles. Based on leading work in the field of AI ethics, 19 principles for the creation of AI in healthcare were developed. They were directed to public discussions and adjusted in consideration of the feedback. Adherence to the published principles by participants in the processes of creation, testing, validation, market launch, and postmarketing support can significantly increase trust in AI and contribute to the successful implementation of ethical AI systems in healthcare.
About the Authors
Y. A. VasilievRussian Federation
PhD
Moscow
A. V. Gusev
Russian Federation
PhD
Petrozavodsk
Moscow
A. A. Mikhailova
Russian Federation
Moscow
D. E. Sharova
Russian Federation
Moscow
K. M. Arzamasov
Russian Federation
PhD
Moscow
A. V. Vladzymyrskyy
Russian Federation
DSc
Moscow
References
1. Cerrato P, Halamka J. The digital reconstruction of healthcare: Transitioning from brick and mortar to virtual care: monography. Moscow: GEOTAR-Media, 2022. (In Russ.)]
2. Decree of the President of the Russian Federation on 07.05.2018 № 204. «O nacional’nyh celjah i strategicheskih zadachah razvitija Rossijskoj Federacii na period do 2024 goda». Available at: http://publication.pravo.gov.ru/Document/View/0001201805070038. Accessed 01.11.2023. (In Russ.)]
3. Gusev AV, Vladzymyrskyy AV, Sharova DS, et al. Evolution of research and development in the field of artificial intelligence technologies for healthcare in the Russian Federation: results of 2021. Digital Diagnostics. 2022; 3(3): 178-194. (In Russ).] doi: 10.17816/DD107367.
4. Sharova DS, Zinchenko VV, Akhmad ES, et al. On the issue of ethical aspects of the artificial intelligence systems implementation in healthcare. Digital Diagnostics. 2021; 2(3): 356-368. (In Russ.) doi: 10.17816/DD77446.
5. Gusev AV, Astapenko EM, Ivanov IV, Zarubina TV, Kobrinskij BA. Principles of building trust in artificial intelligence systems for healthcare. Bulletin of Roszdravnadzor. 2022; 2: 25-33. (In Russ.)
6. Clark P, Kim J, Aphinyanaphongs Y. Marketing and US Food and Drug Administration Clearance of Artificial Intelligence and Machine Learning Enabled Software in and as Medical Devices: A Systematic Review. JAMA Netw Open. 2023; 6(7): e2321792. doi: 10.1001/jamanetworkopen.2023.21792.
7. AI Ethics Code (adopted on 10/26/2021) // AI Alliance Russia. Available at: https://a-ai.ru/ethics/index.html. Accessed 01.11.2023. (In Russ.)
8. Kodeks professional’noj jetiki vracha Rossijskoj Federacii (adopted by the First National Congress of Doctors of the Russian Federation on 05.10.2012) Available at: https://www.consultant.ru/document/cons_doc_LAW_174773/. Accessed 01.11.2023. (In Russ.)]
9. Ethics and governance of artificial intelligence for health: WHO guidance. World Health Organization. 2021. (In Russ.)]
10. Vladzimirskij AV, Gusev AV, SHarova DE, et al. Metodika ocenki urovnya zrelosti informacionnoj sistemy dlya zdravoohraneniya. Vrach i informacionnye tekhnologii. 2022; 3: 68-84. (In Russ.)]
Review
For citations:
Vasiliev Y.A., Gusev A.V., Mikhailova A.A., Sharova D.E., Arzamasov K.M., Vladzymyrskyy A.V. Ethical principles of the development of artificial intelligence systems for healthcare. Medical Doctor and Information Technologies. 2023;(4):36-41. (In Russ.) https://doi.org/10.25881/18110193_2023_4_36