arXiv:2505.02062cs.AI2025-05被引 3

提出医疗AI伦理采纳模型,揭示四大维度如何影响技术落地。

Ethical AI in the Healthcare Sector: Investigating Key Drivers of Adoption through the Multi-Dimensional Ethical AI Adoption Model (MEAAM)

  • 构建四维伦理框架:公平、责任、可解释、可持续
  • 规范性关切最促操作级采纳,全局性关切主导系统级策略
  • 实证验证模型有效性,适合政策制定与医疗科技管理者

医疗领域人工智能应用面临诸多伦理挑战,现有框架难以全面揭示多维度影响因素。本研究提出多维伦理AI采纳模型(MEAAM),将13个关键伦理变量归类于四大基础维度:公平AI、责任AI、可解释AI与可持续AI。进一步通过三大伦理视角分析:认识论关切(知识、透明度、系统可信性)、规范性关切(正义、自主、尊严、道德义务)及总体性关切(全球、系统性、长期伦理影响)。采用定量横断面研究设计,基于医疗从业者调查数据,运用偏最小二乘结构方程建模(PLS-SEM)检验伦理构念对两大结果的影响:操作级AI采纳与系统级AI采纳。结果表明,规范性关切显著驱动操作采纳决策,总体性关切主导系统采纳策略与治理框架;认识论关切起促进作用,增强伦理设计原则对信任与透明度的正向影响。本研究验证了MEAAM模型的有效性,为医疗AI的伦理化落地提供了系统性、可操作的理论支持,为政策制定者、技术开发者与医疗机构管理者提供关键洞见。

原文摘要 · Abstract (English)

The adoption of Artificial Intelligence (AI) in the healthcare service industry presents numerous ethical challenges, yet current frameworks often fail to offer a comprehensive, empirical understanding of the multidimensional factors influencing ethical AI integration. Addressing this critical research gap, this study introduces the Multi-Dimensional Ethical AI Adoption Model (MEAAM), a novel theoretical framework that categorizes 13 critical ethical variables across four foundational dimensions of Ethical AI Fair AI, Responsible AI, Explainable AI, and Sustainable AI. These dimensions are further analyzed through three core ethical lenses: epistemic concerns (related to knowledge, transparency, and system trustworthiness), normative concerns (focused on justice, autonomy, dignity, and moral obligations), and overarching concerns (highlighting global, systemic, and long-term ethical implications). This study adopts a quantitative, cross-sectional research design using survey data collected from healthcare professionals and analyzed via Partial Least Squares Structural Equation Modeling (PLS-SEM). Employing PLS-SEM, this study empirically investigates the influence of these ethical constructs on two outcomes Operational AI Adoption and Systemic AI Adoption. Results indicate that normative concerns most significantly drive operational adoption decisions, while overarching concerns predominantly shape systemic adoption strategies and governance frameworks. Epistemic concerns play a facilitative role, enhancing the impact of ethical design principles on trust and transparency in AI systems. By validating the MEAAM framework, this research advances a holistic, actionable approach to ethical AI adoption in healthcare and provides critical insights for policymakers, technologists, and healthcare administrators striving to implement ethically grounded AI solutions.

伦理AI医疗AI采纳模型

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