医疗人工智能赋能健康治理:内在机理、伦理困境及其应对策略OA
Study on the Intrinsic Mechanisms,Ethical Dilemmas and Coping Strategies of Medical Artificial Intelligence Em-powering Health Governance
医疗人工智能的兴起驱动健康治理体系发生深刻变革.医疗人工智能通过数据驱动、流程优化与范式前移等机制赋能健康治理,但其应用引发了算法偏见与健康公正性的消解、数据隐私与信息安全风险的聚合、责任主体模糊与问责机制的缺失、患者主体性式微与人际关系的数字异化等伦理困境.鉴于此,亟需构建融合消解算法偏见、强化数据治理、健全问责机制与重构医患关系的综合性框架,以有效驾驭技术红利的同时,确保健康治理的公平、向善与可持续发展.
The rise of medical artificial intelligence has driven profound changes in the health governance system.Medical artificial intelligence empowers health governance through mechanisms such as data-driven,process optimization,and paradigm advancement.However,its application has led to ethical dilemmas such as the dissolution of algorithmic bias and health fairness,the aggregation of data privacy and information security risks,the ambiguity of responsible entities and the absence of accountabili-ty mechanisms,as well as the decline of patient subjectivity and the digital alienation of interpersonal relationships.Based on which,it is urgent to build a comprehensive framework integrating the resolution of algorithmic biases,strengthening data govern-ance,improving accountability mechanisms,and reconstructing doctor-patient relationships,so as to effectively harness the tech-nological dividend while ensure the fairness,goodness,and sustainable development of health governance.
杨渐雨;王超男
广西大学马克思主义学院,广西 南宁 530004三峡大学马克思主义学院
医药卫生
医疗人工智能健康治理内在机理伦理困境应对策略
medical artificial intelligencehealth governanceinternal mechanismethical dilemmacoping strategies
《中国卫生事业管理》 2026 (2)
141-145,5
国家社科基金重大项目"构建人类卫生健康共同体的伦理路径研究"(21&ZD057)
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