Identifying Ethical Considerations for Machine Learning Healthcare Applications.

Journal: The American journal of bioethics : AJOB
Published Date:

Abstract

Along with potential benefits to healthcare delivery, machine learning healthcare applications (ML-HCAs) raise a number of ethical concerns. Ethical evaluations of ML-HCAs will need to structure the overall problem of evaluating these technologies, especially for a diverse group of stakeholders. This paper outlines a systematic approach to identifying ML-HCA ethical concerns, starting with a conceptual model of the pipeline of the conception, development, implementation of ML-HCAs, and the parallel pipeline of evaluation and oversight tasks at each stage. Over this model, we layer key questions that raise value-based issues, along with ethical considerations identified in large part by a literature review, but also identifying some ethical considerations that have yet to receive attention. This pipeline model framework will be useful for systematic ethical appraisals of ML-HCA from development through implementation, and for interdisciplinary collaboration of diverse stakeholders that will be required to understand and subsequently manage the ethical implications of ML-HCAs.

Authors

  • Danton S Char
    From the Department of Anesthesiology, Division of Pediatric Cardiac Anesthesia (D.S.C.), the Center for Biomedical Ethics (D.S.C., D.M.), and the Center for Biomedical Informatics Research (N.S.), Stanford University School of Medicine, Stanford, CA.
  • Michael D Abramoff
    Department of Ophthalmology and Visual Sciences, The University of Iowa, Iowa City, IA.
  • Chris Feudtner
    The University of Pennsylvania.