Bioethics Principles in Machine Learning-Healthcare Application Design: Achieving Health Justice and Health Equity.

Journal: Harvard public health review (Cambridge, Mass.)
Published Date:

Abstract

Health technologies featuring artificial intelligence (AI) are becoming more common. Some healthcare AIs are exhibiting bias towards underrepresented persons and populations. Although many computer scientists and healthcare professionals agree that eliminating or mitigating bias in healthcare AIs is needed, little information exists regarding how to operationalize bioethics principles like autonomy in product design and implementation. This short course is framed with a Social Determinants of Health lens and a health justice and health equity stance to support computer scientists and healthcare professionals in building and deploying ethical healthcare AI. In this short course we introduce the bioethics principle of autonomy in the context of human-centered design (Module 1) and share options for design thinking models, suggesting four activities to embed ethics principles during design (Module 2). We then discuss the importance of gaining the perspectives of diverse groups to minimize harm and support the fundamental human values of underrepresented persons in support of health equity and health justice ideals (Module 3).

Authors

  • Roschelle L Fritz
    Betty Irene Moore School of Nursing at UC Davis in Sacramento, CA and Affiliate Faculty at Washington State University, Nursing & Systems Science Department, College of Nursing in Vancouver, WA.
  • Connie Kim Yen Nguyen-Truong
    Washington State University, Department of Nursing and Systems Science, College of Nursing in Vancouver, WA.
  • Thomas May
    Elson S. Floyd College of Medicine, Washington State University.
  • Katherine Wuestney
    Gilead Sciences as a clinical data manager in clinical data science.
  • Diane J Cook
    Washington State University, School of Electrical Engineering and Computer Science in Pullman.

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