为医疗AI决策构建可问责框架,推动多方协同负责。
Accountability Framework for Healthcare AI Systems: Towards Joint Accountability in Decision Making
- 提出三级可问责框架,统一监管与实践机制
- 强调解释性促进各方协作,实现联合决策责任
- 适合医疗AI治理、政策制定者及系统设计者参考
人工智能正在深刻变革医疗领域,越来越多地辅助从业者做出健康相关决策。因此,关键决策中的可问责性成为核心关切。尽管欧盟委员会等监管机构提供了指导方针,但这些指南多聚焦于‘应做什么’(what),而缺乏‘如何做’(how)的具体路径,导致执行层面存在知识空白。通过对多方深入分析发现,不同角色对‘可问责性’的理解和实践方式差异显著。本文旨在弥合‘应做什么’与‘如何做’之间的鸿沟,尤其针对医疗AI系统。我们通过解析可问责概念,构建了一套可问责框架,并提出三层结构来管理各类问责机制。该框架将医疗AI的法规要求与各参与方的实际措施纳入统一问责体系;三层结构帮助参与者根据自身行为进行机制分类。本研究倡导医疗AI决策中的责任共担,强调通过解释性促进沟通与信息共享,以推动多方协作。
原文摘要 · Abstract (English)
AI is transforming the healthcare domain and is increasingly helping practitioners to make health-related decisions. Therefore, accountability becomes a crucial concern for critical AI-driven decisions. Although regulatory bodies, such as the EU commission, provide guidelines, they are highlevel and focus on the ''what'' that should be done and less on the ''how'', creating a knowledge gap for actors. Through an extensive analysis, we found that the term accountability is perceived and dealt with in many different ways, depending on the actor's expertise and domain of work. With increasing concerns about AI accountability issues and the ambiguity around this term, this paper bridges the gap between the ''what'' and ''how'' of AI accountability, specifically for AI systems in healthcare. We do this by analysing the concept of accountability, formulating an accountability framework, and providing a three-tier structure for handling various accountability mechanisms. Our accountability framework positions the regulations of healthcare AI systems and the mechanisms adopted by the actors under a consistent accountability regime. Moreover, the three-tier structure guides the actors of the healthcare AI system to categorise the mechanisms based on their conduct. Through our framework, we advocate that decision-making in healthcare AI holds shared dependencies, where accountability should be dealt with jointly and should foster collaborations. We highlight the role of explainability in instigating communication and information sharing between the actors to further facilitate the collaborative process.
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