The disruptive power of Artificial Intelligence. Ethical aspects of gerontechnology in elderly care.

• AI in elderly care promises to be predictive, personalized, preventive, participatory. • AI could also bring disruption of care processes and relationships. • Model to frame ethical risks is lacking. • 4d-model: risk of depersonalized, discriminatory, dehumanized, disciplining care. • Joint effort...

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Publicado en:Archives of Gerontology & Geriatrics Vol. 91
Autor principal: Rubeis, Giovanni
Formato: Journal Article
Publicado: Elsevier B.V. Nov2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2020
      vid: 91
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      pub: Elsevier B.V.
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        146361235
        10.1016/j.archger.2020.104186
        146361235
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        atl: The disruptive power of Artificial Intelligence. Ethical aspects of gerontechnology in elderly care.
      aug:
        au: Rubeis, Giovanni
        affil: Institute of History and Ethics of Medicine, Heidelberg University, Im Neuenheimer Feld 327, 69120 Heidelberg, Germany
      sug:
        subj:
          Gerontologic Care
          Artificial Intelligence Utilization
          Artificial Intelligence Ethical Issues
          Technology Adverse Effects
          Dehumanization
          Depersonalization
          Interpersonal Relations
          Patient Centered Care
          Policy Making
          Collaboration
      ab: • AI in elderly care promises to be predictive, personalized, preventive, participatory. • AI could also bring disruption of care processes and relationships. • Model to frame ethical risks is lacking. • 4d-model: risk of depersonalized, discriminatory, dehumanized, disciplining care. • Joint effort of all stakeholders to prevent 4d-risks needed. Gerontechnology based on Artificial Intelligence (AI) is expected to fulfill the promise of the so-called 4p-medicine and enable a predictive, personalized, preventive, and participatory elderly care. Although empirical evidence shows positive health outcomes, commentators are concerned that AI-based gerontechnology could bring along the disruption of elderly care. A systematic conceptualization of these concerns is lacking. In this paper, such a conceptualization is suggested by analyzing the risks of AI in elderly care as "4d-risks": the depersonalization of care through algorithm-based standardization, the discrimination of minority groups through generalization, the dehumanization of the care relationship through automatization, and the disciplination of users through monitoring and surveillance. Based on the 4d-model, strategies for a patient-centered AI in elderly care are outlined. Whether AI-based gerontechnology will actualize the 4p-perspective or bring about the 4d-scenario depends on whether joint efforts of users, caregivers, care providers, engineers, and policy makers will be made.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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