Systematic Reviews,
Год журнала:
2022,
Номер
11(1)
Опубликована: Июнь 17, 2022
Medical
innovations
offer
tremendous
hope.
Yet,
similar
in
governance
(law,
policy,
ethics)
are
likely
necessary
if
society
is
to
realize
medical
innovations'
fruits
and
avoid
their
pitfalls.
As
artificial
intelligence
(AI)
advance
at
a
rapid
pace,
scholars
across
multiple
disciplines
articulating
concerns
health-related
AI
that
require
legal
responses
ensure
the
requisite
balance.
These
scholarly
perspectives
may
provide
critical
insights
into
most
pressing
challenges
will
help
shape
future
regulatory
reforms.
best
of
our
knowledge,
there
no
comprehensive
summary
literature
examining
relation
AI.
We
thus
aim
summarize
map
using
scoping
review
approach.The
framework
developed
by
(J
Soc
Res
Methodol
8:19-32,
2005)
extended
(Implement
Sci
5:69,
2010)
Preferred
Reporting
Items
for
Systematic
Reviews
Meta-Analysis
extension
reviews
(PRISMA-ScR)
guided
protocol
development.
In
close
consultation
with
trained
librarians,
we
develop
highly
sensitive
search
MEDLINE®
(OVID)
adapt
it
databases
designed
comprehensively
capture
texts
law,
medicine,
nursing,
pharmacy,
other
healthcare
professions
(e.g.,
dentistry,
nutrition),
public
health,
computer
science,
engineering.
English-
French-language
records
be
included
they
examine
AI,
describe
or
prioritize
concern
propose
solution
thereto,
were
published
2012
later.
Eligibility
assessment
conducted
independently
duplicate
all
stages.
Coded
data
analyzed
along
themes
stratified
discipline-specific
literatures.This
first-of-its-kind
available
examining,
documenting,
prioritizing
law
policy
reform(s).
The
also
reveal
concerns,
priorities,
proposed
solutions
concerns.
It
thereby
identify
priority
areas
should
focus
reforms
options
stakeholders
reform
processes.This
was
submitted
Open
Science
Foundation
registration
database.
See
https://osf.io/zav7w
.
Telematics and Informatics,
Год журнала:
2022,
Номер
77, С. 101925 - 101925
Опубликована: Дек. 14, 2022
Artificial
Intelligence
(AI)
agents
are
predicted
to
infiltrate
most
industries
within
the
next
decade,
creating
a
personal,
industrial,
and
social
shift
towards
new
technology.
As
result,
there
has
been
surge
of
interest
research
user
acceptance
AI
technology
in
recent
years.
However,
existing
appears
dispersed
lacks
systematic
synthesis,
limiting
our
understanding
technologies.
To
address
this
gap
literature,
we
conducted
review
following
Preferred
Reporting
Items
for
Systematic
Reviews
meta-Analysis
guidelines
using
five
databases:
EBSCO
host,
Embase,
Inspec
(Engineering
Village
host),
Scopus,
Web
Science.
Papers
were
required
focus
on
both
Acceptance
was
defined
as
behavioural
intention
or
willingness
use,
buy,
try
good
service.
A
total
7912
articles
identified
database
search.
Sixty
included
review.
Most
studies
(n
=
31)
did
not
define
their
papers,
38
participants.
The
extended
Technology
Model
(TAM)
frequently
used
theory
assess
Perceived
usefulness,
performance
expectancy,
attitudes,
trust,
effort
expectancy
significantly
positively
intention,
willingness,
use
behaviour
across
multiple
industries.
some
cultural
scenarios,
it
that
need
human
contact
cannot
be
replicated
replaced
by
AI,
no
matter
perceived
usefulness
ease
use.
Given
methodological
approaches
present
literature
have
relied
self-reported
data,
further
naturalistic
methods
is
needed
validate
theoretical
model/s
best
predict
adoption
BMC Health Services Research,
Год журнала:
2022,
Номер
22(1)
Опубликована: Июль 1, 2022
Artificial
intelligence
(AI)
for
healthcare
presents
potential
solutions
to
some
of
the
challenges
faced
by
health
systems
around
world.
However,
it
is
well
established
in
implementation
and
innovation
research
that
novel
technologies
are
often
resisted
leaders,
which
contributes
their
slow
variable
uptake.
Although
on
various
stakeholders'
perspectives
AI
has
been
undertaken,
very
few
studies
have
investigated
leaders'
issue
healthcare.
It
essential
understand
because
they
a
key
role
process
new
The
aim
this
study
was
explore
perceived
leaders
regional
Swedish
setting
concerning
healthcare.The
takes
an
explorative
qualitative
approach.
Individual,
semi-structured
interviews
were
conducted
from
October
2020
May
2021
with
26
leaders.
analysis
performed
using
content
analysis,
inductive
approach.The
yielded
three
categories,
representing
types
challenge
be
linked
healthcare:
1)
Conditions
external
system;
2)
Capacity
strategic
change
management;
3)
Transformation
professions
practice.In
conclusion,
highlighted
several
relation
within
beyond
system
general
organisations
particular.
comprised
conditions
system,
internal
capacity
management,
along
transformation
practice.
results
point
need
develop
strategies
across
address
AI-specific
building.
Laws
policies
needed
regulate
design
execution
effective
strategies.
There
invest
time
resources
processes,
collaboration
healthcare,
county
councils,
industry
partnerships.
AI and Ethics,
Год журнала:
2022,
Номер
2(4), С. 539 - 551
Опубликована: Март 28, 2022
Abstract
Artificial
intelligence
(AI)
is
being
increasingly
applied
in
healthcare.
The
expansion
of
AI
healthcare
necessitates
AI-related
ethical
issues
to
be
studied
and
addressed.
This
systematic
scoping
review
was
conducted
identify
the
application
healthcare,
highlight
gaps,
propose
steps
move
towards
an
evidence-informed
approach
for
addressing
them.
A
search
retrieve
all
articles
examining
aspects
from
Medline
(PubMed)
Embase
(OVID),
published
between
2010
July
21,
2020.
terms
were
“artificial
intelligence”
or
“machine
learning”
“deep
combination
with
“ethics”
“bioethics”.
studies
selected
utilizing
a
PRISMA
flowchart
predefined
inclusion
criteria.
Ethical
principles
respect
human
autonomy,
prevention
harm,
fairness,
explicability,
privacy
charted.
yielded
2166
articles,
which
18
data
charting
on
basis
focus
many
general
discussion
about
ethics
AI.
Nevertheless,
there
limited
examination
consideration
design
deployment
most
retrieved
studies.
In
few
instances
where
considered,
preservation
explicability
equally
discussed.
principle
harm
least
explored
topic.
Practical
tools
testing
upholding
requirements
across
lifecycle
AI-based
technologies
are
largely
absent
body
reported
evidence.
addition,
perspective
different
stakeholders
missing.
Journal of Medical Internet Research,
Год журнала:
2021,
Номер
24(1), С. e32215 - e32215
Опубликована: Дек. 27, 2021
Background
Significant
efforts
have
been
made
to
develop
artificial
intelligence
(AI)
solutions
for
health
care
improvement.
Despite
the
enthusiasm,
professionals
still
struggle
implement
AI
in
their
daily
practice.
Objective
This
paper
aims
identify
implementation
frameworks
used
understand
application
of
Methods
A
scoping
review
was
conducted
using
Cochrane,
Evidence
Based
Medicine
Reviews,
Embase,
MEDLINE,
and
PsycINFO
databases
publications
that
reported
frameworks,
models,
theories
concerning
care.
focused
on
studies
published
English
investigating
since
2000.
total
2541
unique
were
retrieved
from
screened
titles
abstracts
by
2
independent
reviewers.
Selected
articles
thematically
analyzed
against
Nilsen
taxonomy
Greenhalgh
framework
nonadoption,
abandonment,
scale-up,
spread,
sustainability
(NASSS)
technologies.
Results
In
total,
7
met
all
eligibility
criteria
inclusion
review,
included
formal
directly
addressed
implementation,
whereas
other
provided
limited
descriptions
elements
influencing
implementation.
Collectively,
identified
aligned
with
NASSS
domains,
but
no
single
article
comprehensively
considered
factors
known
influence
technology
New
domains
identified,
including
dependency
data
input
existing
processes,
shared
decision-making,
role
human
oversight,
ethics
population
impact
inequality,
suggesting
do
not
fully
consider
needs
Conclusions
literature
demonstrates
understanding
how
practice
is
its
early
stages
development.
Our
findings
suggest
further
research
needed
provide
knowledge
necessary
guide
future
clinical
highlight
opportunity
draw
field
science.
Medicine,
Год журнала:
2023,
Номер
102(50), С. e36671 - e36671
Опубликована: Дек. 15, 2023
Integrating
Artificial
Intelligence
(AI)
and
robotics
in
healthcare
heralds
a
new
era
of
medical
innovation,
promising
enhanced
diagnostics,
streamlined
processes,
improved
patient
care.
However,
this
technological
revolution
is
accompanied
by
intricate
ethical
implications
that
demand
meticulous
consideration.
This
article
navigates
the
complex
terrain
surrounding
AI
healthcare,
delving
into
specific
dimensions
providing
strategies
best
practices
for
navigation.
Privacy
data
security
are
paramount
concerns,
necessitating
robust
encryption
anonymization
techniques
to
safeguard
data.
Responsible
handling
practices,
including
decentralized
sharing,
critical
preserve
privacy.
Algorithmic
bias
poses
significant
challenge,
demanding
diverse
datasets
ongoing
monitoring
ensure
fairness.
Transparency
explainability
decision-making
processes
enhance
trust
accountability.
Clear
responsibility
frameworks
essential
address
accountability
manufacturers,
institutions,
professionals.
Ethical
guidelines,
regularly
updated
accessible
all
stakeholders,
guide
dynamic
landscape.
Moreover,
societal
extend
accessibility,
equity,
trust.
Strategies
bridge
digital
divide
equitable
access
must
be
prioritized.
Global
collaboration
pivotal
developing
adaptable
regulations
addressing
legal
challenges
like
liability
intellectual
property.
Ethics
remain
at
forefront
ever-evolving
realm
technology.
By
embracing
these
systems
professionals
can
harness
potential
robotics,
ensuring
responsible
integration
benefits
patients
while
upholding
highest
standards.
Journal of Medical Internet Research,
Год журнала:
2022,
Номер
24(10), С. e40238 - e40238
Опубликована: Авг. 30, 2022
Artificial
intelligence
(AI)
is
often
heralded
as
a
potential
disruptor
that
will
transform
the
practice
of
medicine.
The
amount
data
collected
and
available
in
health
care,
coupled
with
advances
computational
power,
has
contributed
to
AI
an
exponential
growth
publications.
However,
development
applications
does
not
guarantee
their
adoption
into
routine
practice.
There
risk
despite
resources
invested,
benefits
for
patients,
staff,
society
be
realized
if
implementation
better
understood.The
aim
this
study
was
explore
how
care
been
described
researched
literature
by
answering
3
questions:
What
are
characteristics
research
on
practice?
types
systems
described?
process
discernible?A
scoping
review
conducted
MEDLINE
(PubMed),
Scopus,
Web
Science,
CINAHL,
PsycINFO
databases
identify
empirical
studies
since
2011,
addition
snowball
sampling
selected
reference
lists.
Using
Rayyan
software,
we
screened
titles
abstracts
full-text
articles.
Data
from
included
articles
were
charted
summarized.Of
9218
records
retrieved,
45
(0.49%)
included.
cover
diverse
clinical
settings
disciplines;
most
(32/45,
71%)
published
recently,
high-income
countries
(33/45,
73%),
intended
providers
(25/45,
56%).
predominantly
particularly
pertaining
patient-provider
encounters.
More
than
half
(24/45,
53%)
possess
no
action
autonomy
but
rather
support
human
decision-making.
focus
establishing
effectiveness
interventions
(16/45,
35%)
or
related
technical
aspects
(11/45,
24%).
Focus
specifics
processes
yet
seem
priority
research,
use
frameworks
guide
rare.Our
current
knowledge
derives
implementations
low
approaches
common
other
information
systems.
To
develop
specific
empirically
based
framework,
further
needed
more
disruptive
being
implemented
unique
such
building
trust,
addressing
transparency
issues,
developing
explainable
interpretable
solutions,
ethical
concerns
around
privacy
protection.
Frontiers in Public Health,
Год журнала:
2023,
Номер
11
Опубликована: Окт. 26, 2023
Artificial
intelligence
(AI)
is
a
rapidly
evolving
tool
revolutionizing
many
aspects
of
healthcare.
AI
has
been
predominantly
employed
in
medicine
and
healthcare
administration.
However,
public
health,
the
widespread
employment
only
began
recently,
with
advent
COVID-19.
This
review
examines
advances
health
potential
challenges
that
lie
ahead.
Some
ways
aided
delivery
are
via
spatial
modeling,
risk
prediction,
misinformation
control,
surveillance,
disease
forecasting,
pandemic/epidemic
diagnosis.
implementation
not
universal
due
to
factors
including
limited
infrastructure,
lack
technical
understanding,
data
paucity,
ethical/privacy
issues.
Nature Medicine,
Год журнала:
2023,
Номер
29(11), С. 2929 - 2938
Опубликована: Окт. 26, 2023
Abstract
Artificial
intelligence
as
a
medical
device
is
increasingly
being
applied
to
healthcare
for
diagnosis,
risk
stratification
and
resource
allocation.
However,
growing
body
of
evidence
has
highlighted
the
algorithmic
bias,
which
may
perpetuate
existing
health
inequity.
This
problem
arises
in
part
because
systemic
inequalities
dataset
curation,
unequal
opportunity
participate
research
access.
study
aims
explore
standards,
frameworks
best
practices
ensuring
adequate
data
diversity
datasets.
Exploring
literature
expert
views
an
important
step
towards
development
consensus-based
guidelines.
The
comprises
two
parts:
systematic
review
datasets;
survey
thematic
analysis
stakeholder
equity
artificial
device.
We
found
that
need
was
well
described
literature,
experts
generally
favored
robust
set
guidelines,
but
there
were
mixed
about
how
these
could
be
implemented
practically.
outputs
this
will
used
inform
standards
transparency
datasets
(the
STANDING
Together
initiative).
Journal of Personalized Medicine,
Год журнала:
2022,
Номер
12(11), С. 1914 - 1914
Опубликована: Ноя. 16, 2022
With
the
availability
of
extensive
health
data,
artificial
intelligence
has
an
inordinate
capability
to
expedite
medical
explorations
and
revamp
healthcare.Artificial
is
set
reform
practice
medicine
soon.
Despite
mammoth
advantages
in
field,
there
exists
inconsistency
ethical
legal
framework
for
application
AI
healthcare.
Although
research
been
conducted
by
various
disciplines
investigating
implications
healthcare
setting,
literature
lacks
a
holistic
approach.The
purpose
this
review
ascertain
concerns
applications
healthcare,
identify
knowledge
gaps
provide
recommendations
framework.Electronic
databases
Pub
Med
Google
Scholar
were
extensively
searched
based
on
search
strategy
pertaining
review.
Further
screening
included
articles
was
done
grounds
inclusion
exclusion
criteria.The
yielded
total
1238
articles,
out
which
16
identified
be
eligible
The
selection
strictly
criteria
mentioned
manuscript.Artificial
(AI)
exceedingly
puissant
technology,
with
prospect
advancing
years
come.
Nevertheless,
brings
it
colossally
abundant
number
problems
associated
its
There
are
manifold
stakeholders
issues
revolving
around
medicine.
Thus,
multifaceted
approach
involving
policymakers,
developers,
providers
patients
crucial
arrive
at
feasible
solution
mitigating