International Journal of Transplantation & Plastic Surgery (IJTPS)

ISSN: 2639-2127

Commentary

Algorithmic Paternalism: Autonomy Versus Automation

Authors: Nitzan Kenig, Diego Garcia, Jose Campos Moreno and Aina Muntaner Vives

DOI: 10.23880/ijtps-16000193

Abstract

The integration of Artificial Intelligence (AI) into healthcare represents a significant technological advancement with the potential to revolutionize clinical practices. The tension between autonomy and automation will become increasingly apparent as AI tools become more prevalent in decision-making. While AI can offer substantial benefits in terms of efficiency and accuracy, it also raises concerns about the potential loss of autonomy for both patients and physicians. Patients are commonly encouraged to play an active role in their healthcare decisions, and their sense of autonomy is crucial for maintaining motivation and adherence to treatment. Similarly, physicians rely on their autonomy for satisfaction, skill retention and a sense of meaning and respect in their professional lives. As AI models take on more decision-making roles, there is a risk of shifting the healthcare dynamic towards an ¨algorithmic paternalism¨ model, where AI may be perceived as infallible. This shift necessitates careful consideration of how to balance the use of AI with the preservation of human agency. AI literacy for both patients and clinicians will be an important pillar for safe human-machine interaction, while further research into the emotional and psychological impacts of AI in healthcare is needed. As society moves towards this new era of AIassisted medicine, guidance and ethical frameworks are essential to ensure that technology safely enhances healthcare, while maintaining a healthy patient-doctor relationship.

Keywords: Human-Machine Interaction; Human-Computer Interaction; Doctor-Patient Relationship; Artificial Intelligence; Breast Cancer

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