AI-Enhanced Healthcare: Not a new Paradigm for Informed Consent

• Published in: Journal of bioethical inquiry
• Main Author: Pruski, M
• Format: Journal Article
• Language: English
• Published: Netherlands 01.02.2024
• Subjects: Clinical informatics; Patient consent; Artificial intelligence; GDPR; Health informatics
• ISSN: 1176-7529; 1872-4353
• DOI: 10.1007/s11673-023-10320-0

With the increasing prevalence of artificial intelligence (AI) and other digital technologies in healthcare, the ethical debate surrounding their adoption is becoming more prominent. Here I consider the issue of gaining informed patient consent to AI-enhanced care from the vantage point of the United Kingdom's National Health Service setting. I build my discussion around two claims from the World Health Organization: that healthcare services should not be denied to individuals who refuse AI-enhanced care and that there is no precedence to seeking patient consent to AI-enhanced care. I discus U.K. law relating to patient consent and the General Data Protection Regulation to show that current standards relating to patient consent are adequate for AI-enhanced care. I then suggest that in the future it may not be possible to guarantee patient access to non-AI-enhanced healthcare, in a similar way to how we do not offer patients manual alternatives to automated healthcare processes. Throughout my discussion I focus on the issues of patient choice and veracity in the patient-clinician relationship. Finally, I suggest that the best way to protect patients from potential harms associated with the introduction of AI to patient care is not via an overly burdensome patient consent process but via evaluation and regulation of AI technologies.