High-reward, high-risk technologies? An ethical and legal account of AI development in healthcare

Abstract Background Considering the disruptive potential of AI technology, its current and future impact in healthcare, as well as healthcare professionals’ lack of training in how to use it, the paper summarizes how to approach the challenges of AI from an ethical and legal perspective. It conclude...

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Main Authors: Maelenn Corfmat, Joé T. Martineau, Catherine Régis
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Medical Ethics
Subjects:
Online Access:https://doi.org/10.1186/s12910-024-01158-1
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author Maelenn Corfmat
Joé T. Martineau
Catherine Régis
author_facet Maelenn Corfmat
Joé T. Martineau
Catherine Régis
author_sort Maelenn Corfmat
collection DOAJ
description Abstract Background Considering the disruptive potential of AI technology, its current and future impact in healthcare, as well as healthcare professionals’ lack of training in how to use it, the paper summarizes how to approach the challenges of AI from an ethical and legal perspective. It concludes with suggestions for improvements to help healthcare professionals better navigate the AI wave. Methods We analyzed the literature that specifically discusses ethics and law related to the development and implementation of AI in healthcare as well as relevant normative documents that pertain to both ethical and legal issues. After such analysis, we created categories regrouping the most frequently cited and discussed ethical and legal issues. We then proposed a breakdown within such categories that emphasizes the different - yet often interconnecting - ways in which ethics and law are approached for each category of issues. Finally, we identified several key ideas for healthcare professionals and organizations to better integrate ethics and law into their practices. Results We identified six categories of issues related to AI development and implementation in healthcare: (1) privacy; (2) individual autonomy; (3) bias; (4) responsibility and liability; (5) evaluation and oversight; and (6) work, professions and the job market. While each one raises different questions depending on perspective, we propose three main legal and ethical priorities: education and training of healthcare professionals, offering support and guidance throughout the use of AI systems, and integrating the necessary ethical and legal reflection at the heart of the AI tools themselves. Conclusions By highlighting the main ethical and legal issues involved in the development and implementation of AI technologies in healthcare, we illustrate their profound effects on professionals as well as their relationship with patients and other organizations in the healthcare sector. We must be able to identify AI technologies in medical practices and distinguish them by their nature so we can better react and respond to them. Healthcare professionals need to work closely with ethicists and lawyers involved in the healthcare system, or the development of reliable and trusted AI will be jeopardized.
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spelling doaj-art-a49822e88d7543e4aeee6349037581e42025-01-19T12:37:58ZengBMCBMC Medical Ethics1472-69392025-01-0126111910.1186/s12910-024-01158-1High-reward, high-risk technologies? An ethical and legal account of AI development in healthcareMaelenn Corfmat0Joé T. Martineau1Catherine Régis2Faculty of Law, University of Montreal, Ch de la TourDepartment of Management, HEC MontrealFaculty of Law, University of Montreal, Ch de la TourAbstract Background Considering the disruptive potential of AI technology, its current and future impact in healthcare, as well as healthcare professionals’ lack of training in how to use it, the paper summarizes how to approach the challenges of AI from an ethical and legal perspective. It concludes with suggestions for improvements to help healthcare professionals better navigate the AI wave. Methods We analyzed the literature that specifically discusses ethics and law related to the development and implementation of AI in healthcare as well as relevant normative documents that pertain to both ethical and legal issues. After such analysis, we created categories regrouping the most frequently cited and discussed ethical and legal issues. We then proposed a breakdown within such categories that emphasizes the different - yet often interconnecting - ways in which ethics and law are approached for each category of issues. Finally, we identified several key ideas for healthcare professionals and organizations to better integrate ethics and law into their practices. Results We identified six categories of issues related to AI development and implementation in healthcare: (1) privacy; (2) individual autonomy; (3) bias; (4) responsibility and liability; (5) evaluation and oversight; and (6) work, professions and the job market. While each one raises different questions depending on perspective, we propose three main legal and ethical priorities: education and training of healthcare professionals, offering support and guidance throughout the use of AI systems, and integrating the necessary ethical and legal reflection at the heart of the AI tools themselves. Conclusions By highlighting the main ethical and legal issues involved in the development and implementation of AI technologies in healthcare, we illustrate their profound effects on professionals as well as their relationship with patients and other organizations in the healthcare sector. We must be able to identify AI technologies in medical practices and distinguish them by their nature so we can better react and respond to them. Healthcare professionals need to work closely with ethicists and lawyers involved in the healthcare system, or the development of reliable and trusted AI will be jeopardized.https://doi.org/10.1186/s12910-024-01158-1Artificial intelligenceMachine learningHealthcareEthicsLaw
spellingShingle Maelenn Corfmat
Joé T. Martineau
Catherine Régis
High-reward, high-risk technologies? An ethical and legal account of AI development in healthcare
BMC Medical Ethics
Artificial intelligence
Machine learning
Healthcare
Ethics
Law
title High-reward, high-risk technologies? An ethical and legal account of AI development in healthcare
title_full High-reward, high-risk technologies? An ethical and legal account of AI development in healthcare
title_fullStr High-reward, high-risk technologies? An ethical and legal account of AI development in healthcare
title_full_unstemmed High-reward, high-risk technologies? An ethical and legal account of AI development in healthcare
title_short High-reward, high-risk technologies? An ethical and legal account of AI development in healthcare
title_sort high reward high risk technologies an ethical and legal account of ai development in healthcare
topic Artificial intelligence
Machine learning
Healthcare
Ethics
Law
url https://doi.org/10.1186/s12910-024-01158-1
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