Artificial intelligence and the doctor–patient relationship expanding the paradigm of shared decision making

Giorgia Lorenzini; Laura Arbelaez Ossa; David Martin Shaw; Bernice Simone Elger

doi:10.1111/bioe.13158

journal article Open Access Mar 25, 2023

Artificial intelligence and the doctor–patient relationship expanding the paradigm of shared decision making

Giorgia Lorenzini

Laura Arbelaez Ossa

David Martin Shaw

Bernice Simone Elger

Bioethics Vol. 37 No. 5 pp. 424-429 · Wiley

View at Publisher Save 10.1111/bioe.13158

Abstract

AbstractArtificial intelligence (AI) based clinical decision support systems (CDSS) are becoming ever more widespread in healthcare and could play an important role in diagnostic and treatment processes. For this reason, AI‐based CDSS has an impact on the doctor–patient relationship, shaping their decisions with its suggestions. We may be on the verge of a paradigm shift, where the doctor–patient relationship is no longer a dual relationship, but a triad. This paper analyses the role of AI‐based CDSS for shared decision‐making to better comprehend its promises and associated ethical issues. Moreover, it investigates how certain AI implementations may instead foster the inappropriate paradigm of paternalism. Understanding how AI relates to doctors and influences doctor–patient communication is essential to promote more ethical medical practice. Both doctors' and patients' autonomy need to be considered in the light of AI.

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Details

Published: Mar 25, 2023
Vol/Issue: 37(5)
Pages: 424-429
License: View

Authors

G

Giorgia Lorenzini

Institute for Biomedical Ethics University of Basel Basel Switzerland

L

Laura Arbelaez Ossa

Institute for Biomedical Ethics University of Basel Basel Switzerland

D

David Martin Shaw

Institute for Biomedical Ethics University of Basel Basel Switzerland; Care and Public Health Research Institute Universiteit Maastricht Maastricht The Netherlands

B

Bernice Simone Elger

Institute for Biomedical Ethics University of Basel Basel Switzerland; Center for Legal Medicine, Unit for Health Law and Humanitarian Medicine University of Geneva Geneva Switzerland

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung Award: 407740_187263/1

Cite This Article

Giorgia Lorenzini, Laura Arbelaez Ossa, David Martin Shaw, et al. (2023). Artificial intelligence and the doctor–patient relationship expanding the paradigm of shared decision making. Bioethics, 37(5), 424-429. https://doi.org/10.1111/bioe.13158

Artificial intelligence and the doctor–patient relationship expanding the paradigm of shared decision making

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