论文标题
算法可以成为我的医疗保健代理吗?
Can an Algorithm be My Healthcare Proxy?
论文作者
论文摘要
计划死亡并不是每个人参与的过程。然而,缺乏计划会对患者的福祉,家庭的福祉以及整个医疗界产生巨大影响。预先护理计划(ACP)已在美国已经是一个半个世纪的领域。许多现代技术促使患者考虑生命的终结(EOL)涉及简短的调查或问卷调查。不同的调查针对不同的人群(例如,基于可能的疾病进展或文化因素),设计具有不同的意图,并以不同的方式管理。最近的工作使用技术来增加使用预先护理计划工具的人数。但是,可以采用机器学习和人工智能的现代技术来对当前的ACP过程进行其他更改。在本文中,我们将讨论一些可以应用这些工具的可能方法。我们将通过患者场景的小插曲讨论这些应用的可能含义。我们希望本文能够鼓励考虑人工智能在ACP中的适当应用以及实施AI,以确保尊重意图。
Planning for death is not a process in which everyone participates. Yet a lack of planning can have vast impacts on a patient's well-being, the well-being of her family, and the medical community as a whole. Advance Care Planning (ACP) has been a field in the United States for a half-century. Many modern techniques prompting patients to think about end of life (EOL) involve short surveys or questionnaires. Different surveys are targeted to different populations (based off of likely disease progression or cultural factors, for instance), are designed with different intentions, and are administered in different ways. There has been recent work using technology to increase the number of people using advance care planning tools. However, modern techniques from machine learning and artificial intelligence could be employed to make additional changes to the current ACP process. In this paper we will discuss some possible ways in which these tools could be applied. We will discuss possible implications of these applications through vignettes of patient scenarios. We hope that this paper will encourage thought about appropriate applications of artificial intelligence in ACP as well as implementation of AI in order to ensure intentions are honored.