多层级公平性技术助力医疗公平,提升模型透明度与可解释性。
Advancing Health Equity through Multi-Level Fairness in Health Informatics
- 结合多种偏见缓解策略,分层减少不同人群的医疗算法偏差。
- 现有研究在公平性报告与健康不平等方面存在显著空白。
- 推荐采用MINIMAR/TRIPOD标准,强化医疗AI的公平性披露。
机器学习在医疗领域的广泛应用凸显了公平性、透明度与健康公平性的挑战。多层级公平性技术通过整合多种偏差缓解方法,在降低不同患者群体的算法偏差方面展现出潜力,但其对健康公平的实际影响仍缺乏深入探索。本文系统评估了健康信息学中多层级公平性的现状,重点关注其对医疗公平结果的影响,并分析透明度与报告标准在推动进展中的作用。通过对现有文献的梳理,我们识别出多层级公平性实施与健康公平影响一致报告方面的关键缺口。此外,研究考察了MINIMAR和TRIPOD等报告标准在提升医疗人工智能模型透明度、减少健康差异方面的价值。这些标准提供了重要基准,但仍有改进空间以更全面地捕捉公平性与公平结果。论文最后提出建议:增强报告透明度,推广多层级公平性技术应用,并在后续研究中明确将健康公平置于核心位置。
原文摘要 · Abstract (English)
The increasing integration of machine learning in healthcare has highlighted critical challenges related to fairness, transparency, and health equity. Specifically, the use of multi-level fairness techniques, which combine multiple bias mitigation steps or techniques, show promise for reducing biases across different patient demographics, yet this approach remains underexplored in terms of its health equity outcomes. In this paper, we assess the current landscape of multi-level fairness in health informatics by focusing on its impact on equitable healthcare outcomes and evaluating how transparency and reporting standards contribute to these advancements. Through an examination of the existing literature, we identify key gaps in both the implementation of multi-level fairness techniques and the consistent reporting of health equity impacts. Furthermore, we analyze the role of reporting standards, including MINIMAR and TRIPOD, in improving model transparency and ensuring that machine learning models in healthcare address health disparities. These standards offer valuable benchmarks for reporting on ML models, yet we identify key opportunities for enhancing how these reports capture fairness and equity outcomes. The paper concludes by providing recommendations that focus on improving transparency in reporting, advocating for the broader adoption of multi-level fairness techniques, and ensuring that health equity is explicitly prioritized in future research efforts.
Thank you to arXiv for use of its open access interoperability. PaperDance 不是 arXiv 官方产品;中文卡片由大模型生成,请以原文为准。