The ménage à trois of healthcare: the actors in after-AI era under patient consent

IntroductionArtificial intelligence has become an increasingly powerful technological instrument in recent years, revolutionizing many sectors, including public health. Its use in this field will inevitably change clinical practice, the patient-caregiver relationship and the concept of the diagnosis...

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Main Authors: Riccardo Saccà, Rachele Turrini, Francesco Ausania, Stefania Turrina, Domenico De Leo
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2023.1329087/full
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author Riccardo Saccà
Rachele Turrini
Francesco Ausania
Stefania Turrina
Domenico De Leo
author_facet Riccardo Saccà
Rachele Turrini
Francesco Ausania
Stefania Turrina
Domenico De Leo
author_sort Riccardo Saccà
collection DOAJ
description IntroductionArtificial intelligence has become an increasingly powerful technological instrument in recent years, revolutionizing many sectors, including public health. Its use in this field will inevitably change clinical practice, the patient-caregiver relationship and the concept of the diagnosis and treatment pathway, affecting the balance between the patient’s right to self-determination and health, and thus leading to an evolution of the concept of informed consent. The aim was to characterize the guidelines for the use of artificial intelligence, its areas of application and the relevant legislation, to propose guiding principles for the design of optimal informed consent for its use.Materials and methodsA classic review by keywords on the main search engines was conducted. An analysis of the guidelines and regulations issued by scientific authorities and legal bodies on the use of artificial intelligence in public health was carried out.ResultsThe current areas of application of this technology were highlighted, divided into sectors, its impact on them, as well as a summary of current guidelines and legislation.DiscussionThe ethical implications of artificial intelligence in the health care system were assessed, particularly regarding the therapeutic alliance between doctor and patient, and the balance between the right to self-determination and health. Finally, given the evolution of informed consent in relation to the use of this new technology, seven guiding principles were proposed to guarantee the right to the most informed consent or dissent.
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spelling doaj.art-0613cf949e6a4229ac05b5508d1116f32024-01-10T13:57:55ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2024-01-011010.3389/fmed.2023.13290871329087The ménage à trois of healthcare: the actors in after-AI era under patient consentRiccardo SaccàRachele TurriniFrancesco AusaniaStefania TurrinaDomenico De LeoIntroductionArtificial intelligence has become an increasingly powerful technological instrument in recent years, revolutionizing many sectors, including public health. Its use in this field will inevitably change clinical practice, the patient-caregiver relationship and the concept of the diagnosis and treatment pathway, affecting the balance between the patient’s right to self-determination and health, and thus leading to an evolution of the concept of informed consent. The aim was to characterize the guidelines for the use of artificial intelligence, its areas of application and the relevant legislation, to propose guiding principles for the design of optimal informed consent for its use.Materials and methodsA classic review by keywords on the main search engines was conducted. An analysis of the guidelines and regulations issued by scientific authorities and legal bodies on the use of artificial intelligence in public health was carried out.ResultsThe current areas of application of this technology were highlighted, divided into sectors, its impact on them, as well as a summary of current guidelines and legislation.DiscussionThe ethical implications of artificial intelligence in the health care system were assessed, particularly regarding the therapeutic alliance between doctor and patient, and the balance between the right to self-determination and health. Finally, given the evolution of informed consent in relation to the use of this new technology, seven guiding principles were proposed to guarantee the right to the most informed consent or dissent.https://www.frontiersin.org/articles/10.3389/fmed.2023.1329087/fullartificial intelligenceinformed consenttherapeutic alliancepatient-caregiver relationshipmedical ethicspatient autonomy
spellingShingle Riccardo Saccà
Rachele Turrini
Francesco Ausania
Stefania Turrina
Domenico De Leo
The ménage à trois of healthcare: the actors in after-AI era under patient consent
Frontiers in Medicine
artificial intelligence
informed consent
therapeutic alliance
patient-caregiver relationship
medical ethics
patient autonomy
title The ménage à trois of healthcare: the actors in after-AI era under patient consent
title_full The ménage à trois of healthcare: the actors in after-AI era under patient consent
title_fullStr The ménage à trois of healthcare: the actors in after-AI era under patient consent
title_full_unstemmed The ménage à trois of healthcare: the actors in after-AI era under patient consent
title_short The ménage à trois of healthcare: the actors in after-AI era under patient consent
title_sort menage a trois of healthcare the actors in after ai era under patient consent
topic artificial intelligence
informed consent
therapeutic alliance
patient-caregiver relationship
medical ethics
patient autonomy
url https://www.frontiersin.org/articles/10.3389/fmed.2023.1329087/full
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