The AI ethics of digital COVID-19 diagnosis and their legal, medical, technological, and operational managerial implications.

Journal: Artificial intelligence in medicine
Published Date:

Abstract

The COVID-19 pandemic has given rise to a broad range of research from fields alongside and beyond the core concerns of infectiology, epidemiology, and immunology. One significant subset of this work centers on machine learning-based approaches to supporting medical decision-making around COVID-19 diagnosis. To date, various challenges, including IT issues, have meant that, notwithstanding this strand of research on digital diagnosis of COVID-19, the actual use of these methods in medical facilities remains incipient at best, despite their potential to relieve pressure on scarce medical resources, prevent instances of infection, and help manage the difficulties and unpredictabilities surrounding the emergence of new mutations. The reasons behind this research-application gap are manifold and may imply an interdisciplinary dimension. We argue that the discipline of AI ethics can provide a framework for interdisciplinary discussion and create a roadmap for the application of digital COVID-19 diagnosis, taking into account all disciplinary stakeholders involved. This article proposes such an ethical framework for the practical use of digital COVID-19 diagnosis, considering legal, medical, operational managerial, and technological aspects of the issue in accordance with our diverse research backgrounds and noting the potential of the approach we set out here to guide future research.

Authors

  • Christina C Bartenschlager
    Nuremberg Technical University of Applied Sciences Georg Simon Ohm, Keßlerplatz 12, 90489, Germany; Anaesthesiology and Operative Intensive Care Medicine, Faculty of Medicine, University of Augsburg, University Hospital of Augsburg, Stenglinstr. 2, 86156 Augsburg, Germany; Center for Interdisciplinary Health Research, University of Augsburg, 86135 Augsburg, Germany. Electronic address: christina.bartenschlager@th-nuernberg.de.
  • Ulrich M Gassner
    Center for Interdisciplinary Health Research, University of Augsburg, 86135 Augsburg, Germany; Faculty of Law, University of Augsburg, Universitätsstraße 24, 86159 Augsburg, Germany; Research Centre for E-Health Law, Faculty of Law, University of Augsburg, Universitätsstraße 24, 86159 Augsburg, Germany.
  • Christoph Römmele
    Department of Gastroenterology, Universitätsklinikum Augsburg, Augsburg, Germany.
  • Jens O Brunner
  • Kerstin Schlögl-Flierl
    Center for Interdisciplinary Health Research, University of Augsburg, 86135 Augsburg, Germany; Faculty of Catholic Theology, University of Augsburg, Universitätsstraße 10, 86159 Augsburg, Germany; German Ethics Council, Jägerstraße 22/23, 10117 Berlin, Germany; Center for Responsible AI Technologies, University of Augsburg, 86135 Augsburg, Germany.
  • Paula Ziethmann
    Center for Interdisciplinary Health Research, University of Augsburg, 86135 Augsburg, Germany; Center for Responsible AI Technologies, University of Augsburg, 86135 Augsburg, Germany.